222027 Contextualizing Community-Based Participatory Research on HIV among MSM: A study of a decentralized Midwestern community

Monday, November 8, 2010 : 10:30 AM - 10:50 AM

Sonya Satinsky, PhD, MPH , Department of Health, Sport, and Exercise Sciences, University of Kansas, Lawrence, KS
Michael Reece, PhD, MPH , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Nathan W. Stupiansky, PhD , Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, IN
Christopher Fisher, PhD , Department of Health Promotion, Social & Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE
BACKGROUND: In regions where MSM-specific resources are decentralized, community-based participatory research (CBPR) methods can build on existing community relationships to access hard-to-reach individuals. Using a CBPR approach, data on sexual compulsivity, sexual partner-seeking, and sexual behavior were collected from MSM to explore patterns of venues where men reported meeting sexual partners.

METHODS: Researchers and community partners collectively determined research questions, recruitment methods, and instruments assessing demographic, behavioral, and perceptual sexual health constructs. Participants were recruited from nine sites identified by community members: five gay bars, two bathhouses, Internet chatrooms and a local “House Ball” event.

RESULTS: After facing initial recruitment challenges, 504 MSM completed the survey. Participants were predominantly White, seronegative, and well-educated. 12.3% of men were categorized as higher in sexual compulsivity (n = 62). Having had sex with someone a participant met in a cruising venue such as the Internet, or parks, and/or bathhouses was predictive of higher sexual compulsivity scores. Those higher in sexual compulsivity were more likely to make sexual contacts in all three venues (p < 0.001).

CONCLUSIONS: Results may indicate patterns of partner-seeking among MSM in regions where MSM- specific resources are lacking. Interventions targeting MSM in similar areas should consider venue-specific interventions and similar messages across venues. CBPR methods offered a means of exploring the situational sexual context of venues frequented by MSM, which have helped target community-specific intervention messages.

Learning Areas:
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
1. Identify how CBPR approaches can help access hard-to-reach individuals when communities are diffuse 2. Explain the relationship between sexual compulsivity and venue-based sexual partner-seeking among MSM in this sample 3. Evaluate some of the strengths and challenges of studying HIV using CBPR methods.

Keywords: HIV Interventions, Community-Based Public Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was a part of the community-academic partnership that developed and administered this study, and took a lead role in the study's data analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.