Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men: A Randomized Controlled Trial

Richard A. Crosby; Leandro Mena; Laura F. Salazar; James W. Hardin; Tim Brown; Rachel Vickers Smith

doi:10.1097/OLQ.0000000000000721

Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men: A Randomized Controlled Trial

Richard A. Crosby, Leandro Mena, Laura F. Salazar, James W. Hardin, Tim Brown, Rachel Vickers Smith

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

Objective To test the efficacy of a single-session, clinic-based intervention designed to promote condom use among young black men who have sex with men (YBMSM). Methods Six hundred YBMSM were enrolled in a randomized controlled trial, using a 12-month observation period. An intent-to-treat analysis was performed, with multiple imputation for missing data. Results Compared with the reference group, human immunodeficiency virus (HIV)-infected men in the intervention group had 64% greater odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 1.64; 95% confidence interval, 1.23-2.17, P = 0.001). Also, compared with the reference group, HIV-uninfected men in the intervention group had more than twice the odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 2.14; 95% confidence interval, 1.74-2.63, P < 0.001). Significant intervention effects relative to incident sexually transmitted diseases were not observed. Conclusions A single-session, clinic-based, intervention may help protect HIV-uninfected YBMSM against HIV acquisition and HIV-infected YBMSM from transmitting the virus to insertive partners.

Original language	English
Pages (from-to)	169-176
Number of pages	8
Journal	Sexually Transmitted Diseases
Volume	45
Issue number	3
DOIs	https://doi.org/10.1097/OLQ.0000000000000721
State	Published - Mar 1 2018

Bibliographical note

Funding Information:
Source of Funding: This study was funded by a grant from the National Institute of Mental Health to the first author, R01MH092226.

Publisher Copyright:
Copyright © 2018 by the American Sexually Transmitted Diseases Association. Unauthorized reproduction of this article is prohibited.

ASJC Scopus subject areas

Dermatology
Public Health, Environmental and Occupational Health
Microbiology (medical)
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/OLQ.0000000000000721

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Crosby, R. A., Mena, L., Salazar, L. F., Hardin, J. W., Brown, T., & Vickers Smith, R. (2018). Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men: A Randomized Controlled Trial. Sexually Transmitted Diseases, 45(3), 169-176. https://doi.org/10.1097/OLQ.0000000000000721

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title = "Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men: A Randomized Controlled Trial",

abstract = "Objective To test the efficacy of a single-session, clinic-based intervention designed to promote condom use among young black men who have sex with men (YBMSM). Methods Six hundred YBMSM were enrolled in a randomized controlled trial, using a 12-month observation period. An intent-to-treat analysis was performed, with multiple imputation for missing data. Results Compared with the reference group, human immunodeficiency virus (HIV)-infected men in the intervention group had 64% greater odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 1.64; 95% confidence interval, 1.23-2.17, P = 0.001). Also, compared with the reference group, HIV-uninfected men in the intervention group had more than twice the odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 2.14; 95% confidence interval, 1.74-2.63, P < 0.001). Significant intervention effects relative to incident sexually transmitted diseases were not observed. Conclusions A single-session, clinic-based, intervention may help protect HIV-uninfected YBMSM against HIV acquisition and HIV-infected YBMSM from transmitting the virus to insertive partners.",

author = "Crosby, {Richard A.} and Leandro Mena and Salazar, {Laura F.} and Hardin, {James W.} and Tim Brown and {Vickers Smith}, Rachel",

note = "Funding Information: Source of Funding: This study was funded by a grant from the National Institute of Mental Health to the first author, R01MH092226. Publisher Copyright: Copyright {\textcopyright} 2018 by the American Sexually Transmitted Diseases Association. Unauthorized reproduction of this article is prohibited.",

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Crosby, RA, Mena, L, Salazar, LF, Hardin, JW, Brown, T & Vickers Smith, R 2018, 'Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men: A Randomized Controlled Trial', Sexually Transmitted Diseases, vol. 45, no. 3, pp. 169-176. https://doi.org/10.1097/OLQ.0000000000000721

Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men : A Randomized Controlled Trial. / Crosby, Richard A.; Mena, Leandro; Salazar, Laura F. et al.

In: Sexually Transmitted Diseases, Vol. 45, No. 3, 01.03.2018, p. 169-176.

Research output: Contribution to journal › Article › peer-review

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AU - Crosby, Richard A.

AU - Mena, Leandro

AU - Salazar, Laura F.

AU - Hardin, James W.

AU - Brown, Tim

AU - Vickers Smith, Rachel

N1 - Funding Information: Source of Funding: This study was funded by a grant from the National Institute of Mental Health to the first author, R01MH092226. Publisher Copyright: Copyright © 2018 by the American Sexually Transmitted Diseases Association. Unauthorized reproduction of this article is prohibited.

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N2 - Objective To test the efficacy of a single-session, clinic-based intervention designed to promote condom use among young black men who have sex with men (YBMSM). Methods Six hundred YBMSM were enrolled in a randomized controlled trial, using a 12-month observation period. An intent-to-treat analysis was performed, with multiple imputation for missing data. Results Compared with the reference group, human immunodeficiency virus (HIV)-infected men in the intervention group had 64% greater odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 1.64; 95% confidence interval, 1.23-2.17, P = 0.001). Also, compared with the reference group, HIV-uninfected men in the intervention group had more than twice the odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 2.14; 95% confidence interval, 1.74-2.63, P < 0.001). Significant intervention effects relative to incident sexually transmitted diseases were not observed. Conclusions A single-session, clinic-based, intervention may help protect HIV-uninfected YBMSM against HIV acquisition and HIV-infected YBMSM from transmitting the virus to insertive partners.

AB - Objective To test the efficacy of a single-session, clinic-based intervention designed to promote condom use among young black men who have sex with men (YBMSM). Methods Six hundred YBMSM were enrolled in a randomized controlled trial, using a 12-month observation period. An intent-to-treat analysis was performed, with multiple imputation for missing data. Results Compared with the reference group, human immunodeficiency virus (HIV)-infected men in the intervention group had 64% greater odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 1.64; 95% confidence interval, 1.23-2.17, P = 0.001). Also, compared with the reference group, HIV-uninfected men in the intervention group had more than twice the odds of reporting consistent condom use for anal receptive sex over 12 months (estimated odds ratio, 2.14; 95% confidence interval, 1.74-2.63, P < 0.001). Significant intervention effects relative to incident sexually transmitted diseases were not observed. Conclusions A single-session, clinic-based, intervention may help protect HIV-uninfected YBMSM against HIV acquisition and HIV-infected YBMSM from transmitting the virus to insertive partners.

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Efficacy of a Clinic-Based Safer Sex Program for Human Immunodeficiency Virus-Uninfected and Human Immunodeficiency Virus-Infected Young Black Men Who Have Sex with Men: A Randomized Controlled Trial

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

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