230067 Creating a structural HIV intervention for Black men who have sex with women: A CBPR collaboration at an urban community health center

Monday, November 8, 2010

Rachel Weidenfeld, MSW, MPH , HIV Program, PACT Project, Dorchester, MA
Dumas Lafontant , Lower Roxbury Coalition & Wellness Whittier Street Health Center, Whittier Street Community Health Center, Roxbury, MA
Anita Raj, PhD , Department of Social & Behavioral Sciences, Boston University School of Public Health, Boston, MA
Background: There are few HIV programs with demonstrated effectiveness with Black men who have sex with women (MSWs). Inadequate consideration of Black men's structural risks for HIV, such as unemployment and homelessness, has impeded the success of existing models. This poster outlines the work of an academic-community collaborative which has developed a structural HIV intervention for Black MSWs, known as the MEN [Making Employment Needs] Count Program. MEN Count integrates HIV risk reduction with case management to support employment and stable housing. Methods: Focus groups were conducted with the target population (4 groups, n=24) and service providers serving this population (2 groups, n=13). Currently, a shorter version of MEN Count is being pilot-tested with 14 men. At baseline, all participants were unemployed (n=6 were homeless) and reported at least 2 sex partners and unprotected sex in the past six months. Results: Formative research documented the following recommendations: a) counselors reflecting the target population; b) provision of a community engagement group; and c) collection of “success stories” to encourage other men in the program. The revised program is now being pilot tested; findings will be available for presentation at APHA. Conclusion: Preliminary findings indicate the utility of a structural intervention approach to reducing HIV risk among Black MSWs; this approach should include risk reduction counseling, practical support for employment and housing, and group counseling to build skills, self-esteem, and productivity. Such an approach is labor intensive; pilot findings will examine the feasibility of conducting the model in the clinical setting.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Program planning
Social and behavioral sciences

Learning Objectives:
Learning Objectives: After viewing this poster, participants will be able to: 1) Identify both challenges and rewards to using community-based participatory research. 2) Describe the interaction between homelessness and unemployment with sexual risk in a Black male population and what is required to reduce these inter-related risks. 3) Describe the feasibility of providing a structural and intensive HIV intervention for Black MSWs in terms of both recruitment and retention of participants and capacity of the clinic to meet both HIV risk and structural needs of participants.

Keywords: African American, Case Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to speak about about HIV prevention because of my several years working in HIV prevention and treatment, as well as my clinical experience working in addictions. I am the project manager for the program that is the subject of this poster.
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.