Effect of a Community-Level HIV Prevention Intervention on Psychosocial Determinants of HIV Risk Behaviors among Young Black Men Who Have Sex with Men (YBMSM).

Authors:
Agatha N Eke
Agatha N Eke
Centers for Disease Control and Prevention
United States
Wayne D Johnson
Wayne D Johnson
and the Harris Graduate School of Public Policy Studies
United States
Gregory M Rebchook
Gregory M Rebchook
Center for AIDS Prevention Studies
David M Huebner
David M Huebner
University of Utah
United States
John L Peterson
John L Peterson
Georgia State University
United States
Susan M Kegeles
Susan M Kegeles
University of California
United States

AIDS Behav 2019 Apr 23. Epub 2019 Apr 23.

University of California, San Francisco, San Francisco, CA, USA.

In contrast to intervention studies that assess psychosocial factors only as mediators or moderators of HIV risk, the present study assessed the effects of an Mpowerment-based community-level intervention on psychosocial determinants (e.g., depressive symptoms, sexual stigma) of HIV risk behavior among young black MSM. Approximately 330 respondents were surveyed annually for 4 years in each of two sites. General linear models examined change across time between the intervention and comparison communities, and participation effects in the intervention site. Social diffusion (spreading information within networks) of safer sex messages (p < 0.01) and comfort with being gay (p < 0.05) increased with time in intervention versus control. Cross-sectionally, intervention participants responded more favorably (p < 0.05) on social diffusion and depressive symptoms, but less favorably (p < 0.01) on sex in difficult situations and attitudes toward condom use. Findings suggest a need to address broader health issues of MSM as well as sexual risk.

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Source
http://dx.doi.org/10.1007/s10461-019-02499-4DOI Listing
April 2019

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