"Straight Talk" for African-American heterosexual men: results of a single-arm behavioral intervention trial

AIDS Care. 2013;25(5):627-31. doi: 10.1080/09540121.2012.722605. Epub 2012 Sep 25.

Abstract

In the United States, heterosexual transmission is the second leading cause of HIV/AIDS, and two-thirds of all heterosexually acquired cases diagnosed between 2005 and 2008 occurred among African-Americans. Few HIV prevention interventions have been designed specifically for African-American heterosexual men not seeking clinical treatment. Here we report results of a single-arm intervention trial of a theory-based HIV prevention intervention designed to increase condom use, reduce concurrent partnering and increase HIV testing among heterosexually active African-American men living in high HIV prevalence areas of New York City. We tested our hypothesis using McNemar discordant pairs exact test for binary variables and paired t-tests for continuous variables. We observed statistically significant declines in mean number of total and new female partners, unprotected sex partners, and partner concurrency in both primary and nonprimary sex partnerships between baseline and 3 months postintervention.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / prevention & control
  • Adult
  • Black or African American / ethnology
  • Black or African American / psychology*
  • Condoms / statistics & numerical data
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / methods*
  • Heterosexuality
  • Humans
  • Male
  • New York City / epidemiology
  • Pilot Projects
  • Risk Reduction Behavior
  • Sexual Partners / psychology*
  • United States / epidemiology