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.

Public Health Relevance

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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
5P20MD000182-13
Application #
8724241
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
Project End
Budget Start
2014-06-01
Budget End
2015-05-31
Support Year
13
Fiscal Year
2014
Total Cost
$166,884
Indirect Cost
$23,404
Name
Charles R. Drew University of Medicine & Science
Department
Type
DUNS #
785877408
City
Los Angeles
State
CA
Country
United States
Zip Code
90059
Fung, Constance H; Alessi, Cathy; Truong, Cindy et al. (2017) Patient-Provider Communication With Older Adults About Sleep Apnea Diagnosis and Treatment. Behav Sleep Med 15:423-437
Jennings, Lee A; Palimaru, Alina; Corona, Maria G et al. (2017) Patient and caregiver goals for dementia care. Qual Life Res 26:685-693
Paz, Sylvia H; Spritzer, Karen L; Reise, Steven P et al. (2017) Differential item functioning of the patient-reported outcomes information system (PROMISĀ®) pain interference item bank by language (Spanish versus English). Qual Life Res 26:1451-1462
Laster, Marciana; Norris, Keith C (2017) Lesson Learned in Mortality and Kidney Transplant Outcomes among Pediatric Dialysis Patients. J Am Soc Nephrol 28:1334-1336
Kalantar-Zadeh, Kamyar; Crowley, Susan T; Beddhu, Srinivasan et al. (2017) Renal Replacement Therapy and Incremental Hemodialysis for Veterans with Advanced Chronic Kidney Disease. Semin Dial 30:251-261
Lee, A D; Spiegel, B M; Hays, R D et al. (2017) Gastrointestinal symptom severity in irritable bowel syndrome, inflammatory bowel disease and the general population. Neurogastroenterol Motil 29:
Bazargan-Hejazi, Shahrzad; Teruya, Stacey; Pan, Deyu et al. (2017) The theory of planned behavior (TPB) and texting while driving behavior in college students. Traffic Inj Prev 18:56-62
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
Green, Jonas B; Shapiro, Martin F; Ettner, Susan L et al. (2017) Physician variation in lung cancer treatment at the end of life. Am J Manag Care 23:216-223
Yu, Alison J; Norris, Keith C; Cheung, Alfred K et al. (2017) Younger black patients have a higher risk of infection mortality that is mostly non-dialysis related: A national study of cause-specific mortality among U.S. maintenance dialysis patients. Hemodial Int 21:232-242

Showing the most recent 10 out of 359 publications