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An HIV Prevention Intervention for Ethnically Diverse Men in Substance Abuse Treatment: Pilot Study Findings.

American Journal of Public Health 2013;103(5):896-902. [doi: 10.2105/AJPH.2012.300970]

Donald A. Calsyn, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Ann Kathleen Burlew, PhD (Crossroads Center, OV Node), Mary A. Hatch-Maillette, PhD (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Blair Beadnell, PhD (School of Social Work, UW, PN Node), Lynette Wright (Alcohol & Drug Abuse Institute, University of Washington, PN Node), Jerika Wilson (Crossroads Center, OV Node).

The National Drug Abuse Treatment Clinical Trials Network (CTN) recently completed a randomized clinical trial evaluating the utility of Real Men Are Safe (REMAS), an HIV prevention intervention for men in substance abuse treatment (protocol CTN-0018). Analysis of the data with a focus on racial/ethnicity-related differences found a differential effect for white versus minority men. This study aimed to determine the acceptability, participants' receptivity, and effectiveness of a culturally adapted version of Real Men Are Safe (REMAS-CA). In 2010 and 2011, the authors compared participants who attended at least 1 (of 5) REMAS-CA session (n=66) with participants in the original REMAS study (n=136). Participants completed an assessment battery at baseline and at 3-month follow-up with measures of substance abuse, HIV risk behaviors, perceived condom barriers, and demographics. Post-intervention focus groups were conducted at each clinic. Results found that minority REMAS-CA participants were more likely to have attended 3 or more sessions (87%), meeting the study definition of "intervention completion," than were minority participants in the REMAS study (75.1%; odds ratio: 2.1). For REMAS-CA participants with casual partners (n=25), the number of unprotected sexual occasions in the past 90 days declined (6.2 vs. 1.6). Among minority men in the REMAS study (n=36), the number of unprotected sexual occasions with casual partners changed little (9.4 vs. 8.4).

Conclusions: REMAS-CA was effective across ethnic groups and appears to be more appealing to minorities than the original REMAS intervention. The finding that REMAS-CA was appealing across ethnic groups is especially important because many HIV risk reduction programs serve a diverse clientele and lack the resources to target an intervention solely to one ethnic group. (Article, Peer-Reviewed, PDF, English, 2013)

Keywords: African Americans | Community health services | Condom use | CTN platform/ancillary study | Gender-specific interventions | HIV/AIDS | Minority groups | Real Men Are Safe (REMAS) | Real Men Are Safe - Culturally Adapted (REMAS-CA) | Sexual risk behavior | Sexually transmitted diseases | American Journal of Public Health (journal)

Document No: 969, PMID: 23488494, PMCID: PMC3698834.

Submitted by CTN Dissemination Librarians, 4/9/2012.

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