An HIV prevention intervention for ethnically diverse men in substance abuse treatment: Pilot study findings

D.A. Calsyn, A. Kathleen Burlew, M.A. Hatch-Maillette, B. Beadnell, L. Wright and J. Wilson

American Journal of Public Health, 2013, vol. 103, issue 5, 896-902

Abstract: Objectives: 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.

Keywords: addiction; adolescent; adult; African American; article; Caucasian; condom; cultural competence; drug dependence treatment; ethnology; Hispanic; human; Human immunodeficiency virus infection; information processing; male; methodology; middle aged; pilot study; program development; randomized controlled trial (topic); sexual behavior; statistics; United States; utilization review, Adolescent; Adult; African Americans; Condoms; Connecticut; Cultural Competency; European Continental Ancestry Group; Focus Groups; Hispanic Americans; HIV Infections; Humans; Los Angeles; Male; Middle Aged; Pilot Projects; Program Development; Randomized Controlled Trials as Topic; Sexual Behavior; Substance Abuse Treatment Centers; Substance-Related Disorders; Young Adult (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.300970_9

DOI: 10.2105/AJPH.2012.300970

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