Racial/ethnic disparities in sexually transmitted infections (STl), especially HIV/AIDS, are most apparent among Black women, who account for two-thirds of female US AIDS cases, while comprising just 13% of the population. The majority of these infections have been attributed to sex with men. The risk of transmission from behaviorally bisexual men is particularly relevant in California, where men who have sex with men (MSM) comprise 65% of all people living with HIV/AIDS. Sociocultural factors unique to African American communities and to heterosexual partnerships call for HIV interventions specifically designed for African American women with at-risk male partners (e.g., behaviorally bisexual or drug-using men). We propose to test the efficacy of two small-group interventions: Females of African American Legacy Empowering Self (FemAALES) ~ an innovative and culturally congruent intervention guided by the Theory of Reasoned Action and Planned Behavior, the Critical Thinking and Cultural Affirmation (CTCA) Model, and the Empowerment Theory, that incorporates new media in order to enhance information acquisition and access to services and social support, and the Healthy Alternatives to Risk Reduction for HIV Project (HARRP) ~ a """"""""homegrown"""""""" intervention based on the Transtheoretical Model of Behavior Change. FemAALES is a gender- and ethnic-specific intervention consisting of six two-hour core and three two-hour technology and project-focused group sessions. HARRP is a non-ethnic specific, informational and skillbuilding intervention consisting of four one-hour sessions, developed and routinely offered by our community partner. Both are conducted over four weeks. We propose to evaluate 540 African American women with at-risk male partners using a 3-arm evenly randomized controlled trial: FemAALES versus HARRP versus Control/Standard Care. Baseline and 3- and 9-month post-intervention assessments, each accompanied by STl (gonorrhea and Chlamydia) testing, will be conducted and compared.
Specific aims are to: 1) test the efficacy ofthe FemAALES and HARRP interventions to reduce HIV risk factors including a) number of sex partners, b) unprotected anal/vaginal sex, and c) incidence of bacterial STls and 2) To test the efficacy ofthe FemAALES and HARRP interventions to improve psychosocial outcomes, including selfefficacy for safer sex negotiation and discussions with partners regarding HIV/STI testing and risk, the impact ofthe FemAALES intervention on the use of new media for social support and networking, obtaining health information, and identifying resources and services.
This Study focuses on low-income African American women with male partners who have an elevated risk for sexually transmitted infections (STls). It will compare a ethnic, gender-specific culturally congruent HIV risk reduction (FemAALES) intervention to a homegrown community (HARRP) intervention and a control/standard care in reducing sexual risk, improving psychosocial outcomes (e.g., self-efficacy), and using new media for social support/networking and identifying and obtaining health information and resources.
|Hays, Ron D; Calderón, José Luis; Spritzer, Karen L et al. (2018) Differential item functioning by language on the PROMIS® physical functioning items for children and adolescents. Qual Life Res 27:235-247|
|Reise, Steven P; Rodriguez, Anthony; Spritzer, Karen L et al. (2018) Alternative Approaches to Addressing Non-Normal Distributions in the Application of IRT Models to Personality Measures. J Pers Assess 100:363-374|
|Norris, Keith C; Edwina Barnett, M; Meng, Yuan-Xiang et al. (2018) Rationale and design of a placebo controlled randomized trial to assess short term, high-dose oral cholecalciferol on select laboratory and genomic responses in African Americans with hypovitaminosis D. Contemp Clin Trials 72:20-25|
|Norris, Keith C; Olabisi, Opeyemi; Barnett, M Edwina et al. (2018) The Role of Vitamin D and Oxidative Stress in Chronic Kidney Disease. Int J Environ Res Public Health 15:|
|Dangerfield 2nd, Derek T; Harawa, Nina T; Smith, Laramie R et al. (2018) Latent Classes of Sexual Risk Among Black Men Who Have Sex with Men and Women. Arch Sex Behav 47:2071-2080|
|Ijadi-Maghsoodi, Roya; Bath, Eraka; Cook, Mekeila et al. (2018) Commercially sexually exploited youths' health care experiences, barriers, and recommendations: A qualitative analysis. Child Abuse Negl 76:334-341|
|Cook, Mekeila C; Barnert, Elizabeth; Ijadi-Maghsoodi, Roya et al. (2018) Exploring Mental Health and Substance use Treatment Needs of Commercially Sexually Exploited Youth Participating in a Specialty Juvenile Court. Behav Med 44:242-249|
|Amani, Bita; Milburn, Norweeta G; Lopez, Susana et al. (2018) Families and the Juvenile Justice System: Considerations for Family-Based Interventions. Fam Community Health 41:55-63|
|Del Pino, Homero E; Harawa, Nina T; Liao, Diana et al. (2018) Age and Age Discordance Associations with Condomless Sex Among Men Who Have Sex with Men. AIDS Behav 22:649-657|
|Hoffman, Geoffrey J; Hays, Ron D; Wallace, Steven P et al. (2017) Depressive symptomatology and fall risk among community-dwelling older adults. Soc Sci Med 178:206-213|
Showing the most recent 10 out of 377 publications