270941 A literature review of HIV interventions for black men who have sex with Men (MSM)

Wednesday, October 31, 2012

Catherine Maulsby, PhD, MPH , Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: Black MSM are disproportionately impacted by HIV/AIDS. Implementation science is necessary for the development and implementation of effective interventions. To better understand the current landscape of HIV implementation research for black MSM, we reviewed the current peer literature to identify rigorously evaluation HIV interventions for black MSM and to identify gaps in current HIV implementation science research for black MSM. Methods: We searched three databases: Pubmed, Scopus, and Google Scholar to identify peer review articles using the terms “African American or black” and “program or intervention or evaluation or implementations research or implementation science.” We identified a total of fifteen studies to include in our review. Results: We identified nine interventions for black MSM that had been rigorously evaluated. Seven of these nine interventions aimed to reduce HIV risk behaviors and four found a significant reduction in HIV risk behaviors. We identified two health service interventions for young black MSM. One successfully increased HIV testing and a second increased rates of retention in care. Discussion: Behavior change interventions that are grounded in theory and address the social contextual factors within which HIV risk behaviors are embedded appear to reduce HIV risk behaviors among black MSM in the short term. However, relying solely on behavioral interventions that reduce risk behaviors will most likely not have a population-level impact on HIV infection among black MSM. Therefore, there is a compelling and urgent need for comprehensive HIV testing, linkage to care, retention in care and adherence intervention studies for black MSM.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
1. To identify and describe rigorously evaluated HIV interventions for black MSM 2. To identify current gaps in intervention research for black MSM 3. To make recommendations for future intervention research for black MSM

Keywords: Gay Men, HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal investigator or a co-investigator on multiple grants working with populations at increased risk for HIV, including minority men who have sex with men. One of my primary interests in HIV linkage to care and I am currently the Director of Evaluation for Access to Care, a national HIV linkage to care program.
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.