title: A randomized controlled trial to test an HIV-prevention intervention for Latino gay and bisexual men: lessons learned.
abstract: At the time of this writing, no randomized controlled trial (RCT) of an intervention to reduce unsafe sex among Latino gay and bisexual men (LGBM) had been published. We report the results of an RCT conducted in New York City in which 180 LGBM were assigned either to an intervention developed specifically for this population or to a wait-list control group. The intervention was based on empowerment theory and used factors identified in prior research as determinants of unsafe sex. By eligibility criteria, all men had engaged in unprotected anal intercourse (UAI) within two months of the baseline assessment. At first (two months) and second (six months later) follow-up assessments, approximately half of the men in the experimental group reported no UAI. Yet, a similar proportion of the control group also reported no UAI. Baseline data indicate that although the men had been the subject of social oppression and sexual prejudice (homophobia), they did not feel disempowered, externally controlled or fatalistic, and they reported self-efficacy and intentionality to enact safer sex. Lessons learned are discussed, as well as notes of caution for future research employing a similar conceptual framework.
authors.affiliation: HIV Center for Clinical and Behavioral Studies at New York State Psychiatric Institute and Columbia University, New York City 10032, USA. ac72@columbia.edu
authors.forename: A
authors.initials: A
authors.lastname: Carballo-Diéguez
authors.forename: C
authors.initials: C
authors.lastname: Dolezal
authors.forename: C S
authors.initials: CS
authors.lastname: Leu
authors.forename: L
authors.initials: L
authors.lastname: Nieves
authors.forename: F
authors.initials: F
authors.lastname: Díaz
authors.forename: C
authors.initials: C
authors.lastname: Decena
authors.forename: I
authors.initials: I
authors.lastname: Balan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001727:Bisexuality / Q000208:ethnology / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006630:Hispanic or Latino / Q000523:psychology*; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000208:ethnology; D011209:Power, Psychological; D047568:Unsafe Sex / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D014504:Urban Health