The aim of this study is to determine, among young Black men who have sex with men (YBMSM), the 12-month efficacy of a single-session, clinic-based intervention promoting condom use to enhance sexual pleasure (purpose 1) and the use of condoms from the start-to-finish of anal sex (purpose 2). A pre-test, post-test randomized controlled trial was conducted, using a 12-month period of follow-up observation, in STI clinics. Data from 394 YBMSM completing baseline and 12-month follow-up assessments were analyzed. The experimental condition comprised a one-to-one, interactive program (Focus on the Future) designed for tailored delivery. Regarding study purpose 1, in an age-adjusted linear regression model for 277 HIV-uninfected men, there was a significant effect of the intervention (Beta=0.13, P =0.036) relative to more favorable sexual experiences when using condoms. Regarding study purpose 2, in an adjusted logistic regression model, for HIV-uninfected men, there was a significant effect of the intervention (AOR=0.54, P =0.048) relative to using condoms from start-to-finish of anal sex. Significant effects for HIV-infected men were not observed. A small, but non-significant, effect was observed relative to men's self-report of always using condoms. This single-session program may be a valuable counseling tool for use in conjunction with pre-exposure prophylaxis-related care for HIV-uninfected YBMSM.
|Number of pages||8|
|Journal||Health Education Research|
|State||Published - Jun 1 2018|
Bibliographical noteFunding Information:
This is a secondary analysis of data collected for a Phase III randomized controlled trial of a single-session, clinic-based condom use promotion program for YBMSM. Baseline data and data from the 12-month follow-up assessment were used for this study. A consecutive sample of 600 YBMSM was recruited from 2 sexually transmitted disease clinics located in Jackson, MS. One clinic was federally designated and the other was supported by the University of Mississippi Medical School. Both clinics received federal support for HIV/STD services, thus serving as ‘safety net’ clinics for persons without the options of seeing a private provider for suspected acquisition of HIV or other STIs.
This study was funded by a grant from the National Institute of Mental Health to the first author, R01MH092226.
© The Author(s) 2018. Published by Oxford University Press. All rights reserved.
ASJC Scopus subject areas
- Medicine (all)