title: Efficacy of an HIV/STI prevention intervention for black men who have sex with men: findings from the Many Men, Many Voices (3MV) project.
abstract: Black men who have sex with men (MSM) in the United States experience disproportionately high rates of HIV and other sexually transmitted infections (STIs); however, the number of evidence-based interventions for Black MSM is limited. This study evaluated the efficacy of Many Men, Many Voices (3MV), a small-group HIV/STI prevention intervention developed by Black MSM-serving community-based organizations and a university-based HIV/STI prevention and training program. The study sample included 338 Black MSM of HIV-negative or unknown HIV serostatus residing in New York city. Participants were randomly assigned to the 3MV intervention condition (n = 164) or wait-list comparison condition (n = 174). Relative to comparison participants, 3MV participants reported significantly greater reductions in any unprotected anal intercourse with casual male partners; a trend for consistent condom use during receptive anal intercourse with casual male partners; and significantly greater reductions in the number of male sex partners and greater increases in HIV testing. This study is the first randomized trial to demonstrate the efficacy of an HIV/STI prevention intervention for Black MSM.
authors.affiliation: Department of Human Development, College of Community and Public Affairs, State University of New York at Binghamton, P.O. Box 6000, Binghamton, NY 13902, USA. lwilton@binghamton.edu
authors.forename: Leo
authors.initials: L
authors.lastname: Wilton
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Herbst
authors.forename: Patricia
authors.initials: P
authors.lastname: Coury-Doniger
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Painter
authors.forename: Gary
authors.initials: G
authors.lastname: English
authors.forename: Maria E
authors.initials: ME
authors.lastname: Alvarez
authors.forename: Maureen
authors.initials: M
authors.lastname: Scahill
authors.forename: Michael A
authors.initials: MA
authors.lastname: Roberson
authors.forename: Basil
authors.initials: B
authors.lastname: Lucas
authors.forename: Wayne D
authors.initials: WD
authors.lastname: Johnson
authors.forename: James W
authors.initials: JW
authors.lastname: Carey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044383:Black People; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D018451:Homosexuality, Male / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D015397:Program Evaluation; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000208:ethnology / Q000517:prevention & control*; D055815:Young Adult; D001741:Black or African American