title: An HIV prevention intervention for ethnically diverse men in substance abuse treatment: pilot study findings.
abstract: OBJECTIVE
  We determined the acceptability, participants' receptivity, and effectiveness of a culturally adapted version of Real Men Are Safe (REMAS-CA), an HIV prevention intervention for men in substance abuse treatment.
  
  
  METHODS
  In 2010 and 2011, we compared participants who attended at least 1 (of 5) REMAS-CA session (n = 66) with participants in the original REMAS study (n = 136). Participants completed an assessment battery at baseline and at 3-month follow-up with measures of substance abuse, HIV risk behaviors, perceived condom barriers, and demographics. We conducted postintervention focus groups at each clinic.
  
  
  RESULTS
  Minority REMAS-CA participants were more likely to have attended 3 or more sessions (87.0%), meeting our definition of intervention completion, than were minority participants in the REMAS study (75.1%; odds ratio = 2.1). For REMAS-CA participants with casual partners (n = 25), the number of unprotected sexual occasions in the past 90 days declined (6.2 vs 1.6). Among minority men in the REMAS study (n = 36), the number of unprotected sexual occasions with casual partners changed little (9.4 vs 8.4; relative risk = 4.56).
  
  
  CONCLUSIONS
  REMAS-CA was effective across ethnic groups, a benefit for HIV risk reduction programs that serve a diverse clientele.
authors.affiliation: Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA.
authors.forename: Donald A
authors.initials: DA
authors.lastname: Calsyn
authors.forename: A Kathleen
authors.initials: AK
authors.lastname: Burlew
authors.forename: Mary A
authors.initials: MA
authors.lastname: Hatch-Maillette
authors.forename: Blair
authors.initials: B
authors.lastname: Beadnell
authors.forename: Lynette
authors.initials: L
authors.lastname: Wright
authors.forename: Jerika
authors.initials: J
authors.lastname: Wilson
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data*; D003237:Connecticut; D054521:Cultural Competency; D017144:Focus Groups; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016730:Program Development / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D012725:Sexual Behavior / Q000208:ethnology* / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications* / Q000208:ethnology / Q000534:rehabilitation; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult