The Effectiveness of Individual-, Group-, and Community-Level HIV Behavioral Risk-Reduction Interventions for Adult Men Who Have Sex with Men

Herbst, Jeffrey H.; Beeker, Carolyn; Mathew, Anita; McNally, Tarra K; Passin, Warren F.; Kay, Linda S.; Crepaz, Nicole; Lyles, Cynthia M.; Briss, Peter A.; Chattopadhyay, Sajal K.; Johnson, Robert L.

doi:10.1016/j.amepre.2006.12.006

Cited by 201 publications

(146 citation statements)

References 123 publications

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“…3) Interventions designed to address deficits may have shorter half-lives for efficacy than interventions that are designed to build resiliencies. That is, a focus on deficits alone does little to help men cope with ongoing exposure to risky environments [15,16]. A focus on building resiliencies, on the other hand, help men gain skills that are useful in avoiding risks that are likely to be sustainable over longer periods of time.…”

Section: Limitations Of Deficit-based Analysesmentioning

confidence: 99%

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

et al. 2013

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This commentary presents the content and results of a recent symposium held to discuss how resiliencies among gay and bisexual men, and other men who have sex with men, could inform HIV prevention interventions. We outline the argument for including resiliencies in prevention work and present a critique of the deficitbased approached to public health research as it applies to this line of inquiry. The commentary makes the case that HIV prevention work would be more efficacious if it were designed to incorporate naturally occurring resiliencies that manifest among gay male communities rather than primarily using interventions that address vulnerabilities among men who continue to reside in high risk contexts. The commentary concludes by listing a set of resiliency variables and constructs proposed at the meeting that could be tested in theoretically-based investigations to raise resiliencies among gay and bisexual men thereby lowering HIV risks in this population.Keywords Resilience Á MSM health Á Gay and bisexual men Á TheoryIn the summer of 2011, The Fenway Institute of Boston and the University of Pittsburgh Center for Lesbian, Gay, Bisexual and Transgender (LGBT) Health Research convened a meeting of many of the thought leaders in the field of Gay and Bisexual men's health to discuss how resilience among gay and bisexual men, and other men who have sex with men (henceforth referred to simply as gay and bisexual men), could inform HIV prevention interventions. The idea behind the meeting was to outline ways in which resiliencies could be used to move the field forward towards the abatement or elimination of health disparities within this population. The primary goals of this meeting were to raise interest in the study of resilience as a way to improve health outcomes among gay and bisexual men, to learn from community-based programs that were already using resilience-based approaches in their work, and to begin conceptualizing how researchers could adapt and use a resilience-based framework in their study of HIV and other health disparities in gay and bisexual men. We also critically reviewed deficit-based approach to health, focusing on assumptions underlying these methods.Relative to the field of prevention research, communitybased organizations for gay and bisexual men have better recognized that focusing on strengths, resilience, and other protective factors can bring about positive individual and community-level results. However, few community programs have had the resources to test or evaluate their work. To begin to bridge this divide, the meeting organizers brought together leaders in research as well as key informants from resilience-based community programs including Manifest Love, the Harlem United Community AIDS Center (www.harlemunited.org), Easton Mountain (www. eastonmountain.com), Life Lube (www.lifelube.org), and others who have already been using strength-based approaches to promote health among gay and bisexual men. After a day of sharing methods, challenges, questions and results f...

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Section: Limitations Of Deficit-based Analysesmentioning

confidence: 99%

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

et al. 2013

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“…34,51,52 Remember, however, that our application has considered only stages 1 and 2 of the ARRM, and the potential impact of interventions derived from these results relies on an assumption that intentions (and their facilitators such as self-efficacy) are related to actual behavior change as has been supported by several studies, 14,17,[59][60][61][62][63][64] but not as yet among heterosexual MA users. The significance of peer norms in directly or indirectly predicting intentions to change HIV risk behaviors in this population emphasizes the need for strategies to help build facilitating support structures to establish new or modified social networks and for the potential impact of wider social interventions designed to change general attitudes/norms for risk reduction.…”

Section: Implications For Addictions Health Servicesmentioning

confidence: 98%

“…Numerous studies have shown that treatment-based interventions are effective in promoting injection risk reduction but have had less than consistent success with sexual behavior. 52,[65][66][67] While some studies have provided evidence of sex risk reduction for specialized interventions for gay males who use MA, 36,[53][54][55]68 little research has focused on interventions specifically for heterosexual MA-using offenders.…”

Section: Aids Risk Reduction Model (Arrm)mentioning

confidence: 99%

“…[15][16][17]44 These studies have identified both direct and indirect effects across the stages of the model for both sexual and injection risk behaviors among substance users. The ARRM has also been used as the basis for developing HIV risk-reduction interventions [45][46][47][48][49][50] (see also recent reviews in Lyles et al 51 and Herbst et al 52 ), but few studies have focused specifically on heterosexual MA users. Furthermore, the relatively high prevalence of risk-seeking and impulsivity among individuals who use MA calls into question the applicability of interventions built solely upon reason-based models.…”

Section: Aids Risk Reduction Model (Arrm)mentioning

confidence: 99%

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Predictors of Intention to Change HIV Sexual and Injection Risk Behaviors among Heterosexual Methamphetamine-Using Offenders in Drug Treatment: A Test of the AIDS Risk Reduction Model

Brecht

Stein

Evans

et al. 2008

J Behav Health Serv Res

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This study tested components of the AIDS Risk Reduction Model (ARRM) for a sample of methamphetamine-using offenders in drug treatment. Analyses included the first two stages of the ARRM, problem recognition and intention to reduce risk (potential precursors to later possible behavior change), assessing predictors of intentions to increase condom use, reduce other sexual risk, and disinfect needles. Path analysis results showed potential applicability of the ARRM as a basis for intervention development for this population. There was a consistent effect of selfefficacy for risk reduction strategies, as well as direct or indirect effects of problem recognition factors (AIDS knowledge, peer norms), on the three intention indicators. Prior sex risk behavior (condom use) was directly negatively related to intention to use condoms; prior needle use was indirectly negatively related to intention to disinfect. Intention to use condoms was lower for females. Results can help identify areas for intervention development.

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“…Members of the RIAT drew on findings from the formative research that had been conducted up to this point [11,31,40,41]; theoretical considerations, including the Big Man/Little Man framework [28][29][30][31] and the Information-MotivationBehavioral (IMB) skills model [42]; and evidence from existing efficacious HIV prevention interventions [43][44][45][46][47] to systematically develop the BLHL intervention, a culturally congruent, gender-specific, and contextually relevant intervention for African American/black heterosexual men.…”

Section: The Establishment and Role Of A Research And Intervention Admentioning

confidence: 99%

Preventing HIV among Black Men in College Using a CBPR Approach

Graham

Aronson

Pulliam

et al. 2014

Innovations in HIV Prevention Research and Practice Through Community Engagement

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The Effectiveness of Individual-, Group-, and Community-Level HIV Behavioral Risk-Reduction Interventions for Adult Men Who Have Sex with Men

Cited by 201 publications

References 123 publications

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

Resilience as a Research Framework and as a Cornerstone of Prevention Research for Gay and Bisexual Men: Theory and Evidence

Predictors of Intention to Change HIV Sexual and Injection Risk Behaviors among Heterosexual Methamphetamine-Using Offenders in Drug Treatment: A Test of the AIDS Risk Reduction Model

Preventing HIV among Black Men in College Using a CBPR Approach

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