237699 Straight Talk: Results from Formative Research to Develop an HIV Prevention Intervention for Heterosexual, African American Men

Tuesday, November 1, 2011: 11:24 AM

Keosha T. Bond, MPH, CHES , Division of General Internal Medicine, Mount Sinai Medical Center, New York, NY
Victoria A. Frye, DrPH , Laboratory of Social and Behavioral SciencesProgram, New York Blood Center, New York, NY
Kim Williams, PhD , Prevention Research Branch, Division of HIV/AIDS Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA
Kirk D. Henny, PhD , Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Sebastian Bonner, PhD , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Malik Cupid, JD , Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY
Stephen Smith , Project Achieve, New York Blood Center, Bronx, NY
Ronnald Harriotte , Project Achieve, New York Blood Center, Bronx, NY
Debbie Lucy, MS , Infectious Disease Prevention, New York Blood Center, Bronx, NY
Beryl Koblin, ScM, PhD , Laboratory of Infectious Disease Prevention, The New York Blood Center, New York, NY
Background: African American men comprised 55% of new, heterosexually acquired HIV/AIDS cases among men in the New York City in 2008. Few HIV prevention interventions exist for African American heterosexual men. Methods: To inform the design of an intervention, we conducted 5 focus groups (N=35), 30 qualitative and 61 quantitative interviews with men residing in two neighborhoods with high HIV prevalence (8-21%) among African American men. Descriptive analyses of quantitative data were conducted. Qualitative groups/interviews were transcribed verbatim, summative digests developed, and interviews coded using standard methods; a thematic analysis was conducted. Results: Participants' mean age was 33 (sd=7.9); 31% had less than high school education; 62% were unemployed and had less than $10,000 annual income; 85% reported lifetime history of incarceration. Seventy percent had a primary partner; 86% did not use a condom with this primary partner in the past 3 months. Participants reported 2.8 (sd=5.8) sex partners (past 3 months), with whom 85% reported no condom use. Qualitative analyses revealed that most men had low levels of HIV knowledge; perceived little risk of HIV from female partners; described concurrent/multiple partnering as normative; and disliked condoms. Accounts of sexual partnering patterns revealed how socioeconomic factors, including couple-level economic interdependence, and fatherhood influence sexual risk behaviors. Conclusions: These data identified a need for an HIV prevention intervention focused on basic HIV knowledge, condom use barriers/skills, concurrent partnering, and correct/consistent HIV testing. The roles of economic oppression, partnerships, masculinity and fathers/fatherhood emerged as processes conditioning sexual risk behavior.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Identify the personal, social, and behavior factors associated with sexual risk behavior among heterosexual African American men .

Keywords: HIV Risk Behavior, HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I coordinator research intervention focus on reducing HIV risk among the targeted population.
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.