Navigation Links
Programs succeed in reducing risky sex among HIV-positive minority men
Date:6/4/2008

Research has shown that HIV-positive African American and Hispanic men who were sexually abused as children are particularly vulnerable to engaging in high-risk sex and experiencing depressive symptoms. Yet few HIV intervention programs exist to help them.

Now, a new study by UCLA's Center for Culture, Trauma and Mental Health Disparities has found that interventions that address the life experiences of these men including their early sexual experiences in addition to risk and general health issues can contribute significantly toward preventing high-risk behavior and reducing depression rates. The success is largely due to the social support found within these programs, researchers say.

And while brief interventions may be effective in the short term, periodic "boosters," or additional sessions, may be needed to reinforce positive changes over time, according to the study authors.

The study is currently available in the online version of the peer-reviewed Archives of Sexual Behavior at www.springerlink.com/content/7j27370841074318/fulltext.html.

"Usually, what you find after people complete interventions is that their behaviors have improved," said Dr. John Williams, assistant professor of psychiatry and biobehavioral sciences at the Semel Institute for Neuroscience and Human Behavior at UCLA and the study's lead researcher. "But as time goes on, they tend to revert to their old behaviors. Changing one's behavior is very difficult. We see that with all sorts of behaviors, like smoking and dieting. But with sex, it's even more difficult."

The study findings are from the UCLA Men's Health Study, a three-year project undertaken between 2003 and 2006 to develop and test HIV risk-reduction interventions. For this study, researchers recruited 137 HIV-positive gay and bisexual African American and Hispanic men who had a history of childhood sexual abuse. Participants were generally middle-aged, poor, had little formal education and were predominately single, lacking long-term partners and family support.

Participants were assigned to one of two intervention programs the researchers sought to compare: one, known as the Sexual Health Intervention for Men (S-HIM), was aimed at lowering high-risk behaviors, such as unprotected sex and multiple sex partners; the other, the Standard Health Promotion (SHP), focused on health issues unrelated to sexual behavior, such as diet, exercise, rest and medication adherence.

Both programs consisted of six weekly, two-hour sessions with groups of five to seven men. The men were split into African American or Hispanic groups, with each group led by an ethnically matched mentor. Follow-ups were conducted immediately after the sixth session, as well as three and six months later.

Researchers found that men from both intervention groups reduced risky behaviors and their number of sexual partners and also experienced a decrease in depressive symptoms. The S-HIM group participants, however, demonstrated a significantly greater decrease in risky behavior from the beginning of the study to the immediate post-program survey. And while there were no significant differences in decreased depression between the two groups, men from the whole sample reported a significant decrease in depressive symptoms by the six-month follow-up.

The social support the participants found in these groups, where they were able to share their experiences including those concerning childhood sexual abuse likely contributed to this outcome, Williams said.

"Boosters" may be necessary so that participants can revisit and practice skills that they have learned, he said. For instance, participants can practice applying condoms to a penis model so they become familiar with the common errors in using condoms and feel more confident in using one correctly.

"Interventions that address sexual abuse among ethnic minority men need to be developed, as they may have never previously disclosed their abuse histories or explored the impact of this experience in their current lives, especially as it relates to sexual decision-making," the authors said. "Understanding the meaning of CSA (childhood sexual abuse) in cultures where being sexually abused would preclude positive images of strength and prowess need to be considered when working with ethnically and racially diverse men."


'/>"/>

Contact: Enrique Rivero
erivero@mednet.ucla.edu
310-794-2273
University of California - Los Angeles
Source:Eurekalert

Related medicine news :

1. Online Directory Lists Anatomical Donation Programs in U.S. Offering Free Cremations
2. Ohio Association of Health Plans Names Pinnacle Awards to Programs That Improve Health Care for Ohioans
3. A Better Tomorrow Becomes One of the First Rehabilitation Clinics in the Nation to Offer Financing for Its Drug, Alcohol and Gambling Treatment Programs
4. Two Michigan Asthma Management Programs Win EPA National Award
5. Complimentary Excerpt of Employee Engagement: Programs and Activities that Work Available from Best Practices
6. Youngest Drug Users Most Likely to Leave Treatment Programs
7. Life Brokerage Partners Strengthens Premium Finance Programs
8. Remuda Programs for Eating Disorders and FINDINGbalance Partner to End Poor Self Image
9. Palmetto GBA Ranked Among Nations Best for Ethics, Compliance Programs
10. At Annual and Special Meeting of Shareholders - Neurochem to officially adopt new name - BELLUS Health - And to provide update on programs including first new natural health product, VIVIMIND(TM)
11. PAFP Golf Tournament to Benefit Student Programs
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... ... they have been diagnosed with endometriosis. These women need a treatment plan to ... a comprehensive approach that can help for preservation of fertility and ultimately achieving ...
(Date:6/25/2016)... ... , ... First Choice Emergency Room , the largest network of independent ... Director of its new Mesquite-Samuell Farm facility. , “We are pleased to announce ... Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. , ...
(Date:6/24/2016)... Angeles, CA (PRWEB) , ... June 24, 2016 , ... ... surgery procedures that most people are unfamiliar with. The article goes on to state ... procedures, but also many of these less common operations such as calf and cheek ...
(Date:6/24/2016)... Fla. (PRWEB) , ... June 24, 2016 , ... Global ... Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition ... Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this year’s ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented its first-ever ... Medicine conference in Ponte Vedra Beach, FL. The awards honor the outstanding work ... Practice and Pediatric Emergency Medicine Practice. , “With this award, we recognize ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016  MedSource announced ... as its e-clinical software solution of choice.  This ... best possible value to their clients by offering ... The preferred relationship establishes nowEDC as the EDC ... for MedSource,s full-service clients.  "nowEDC has long been ...
(Date:6/23/2016)... Calif. , June 23, 2016 Any dentist ... many challenges of the current process. Many of them do ... of the technical difficulties and high laboratory costs involved. And ... to offer it at such a high cost that the ... it. Dr. Parsa Zadeh , founder of ...
(Date:6/23/2016)... June 23, 2016  In a startling report released today, ... residents by lacking a comprehensive, proven plan to eliminate prescription opioid ... ranking of how states are tackling the worst drug crisis in ... states – Kentucky , New Mexico ... . Of the 28 failing states, three – ...
Breaking Medicine Technology: