Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA.
Am J Public Health. 2013 May;103(5):896-902. doi: 10.2105/AJPH.2012.300970. Epub 2013 Mar 14.
We determined the acceptability, participants' receptivity, and effectiveness of a culturally adapted version of Real Men Are Safe (REMAS-CA), an HIV prevention intervention for men in substance abuse treatment.
In 2010 and 2011, we 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. We conducted postintervention focus groups at each clinic.
Minority REMAS-CA participants were more likely to have attended 3 or more sessions (87.0%), meeting our 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; relative risk = 4.56).
REMAS-CA was effective across ethnic groups, a benefit for HIV risk reduction programs that serve a diverse clientele.
我们旨在评估经过文化适应性调整的男性安全真实项目（REMAS-CA）对于接受药物滥用治疗的男性预防 HIV 的可接受性、参与者的接受度和有效性。
在 2010 年和 2011 年，我们比较了参加至少 1 次（共 5 次）REMAS-CA 项目的参与者（n=66）和原始 REMAS 研究中的参与者（n=136）。参与者在基线和 3 个月随访时完成了一个评估工具，包括物质滥用、HIV 风险行为、避孕套使用障碍和人口统计学的评估。我们在每个诊所进行了干预后的焦点小组讨论。
少数民族 REMAS-CA 参与者更有可能参加 3 次或更多次（87.0%），达到我们定义的干预完成标准，而在 REMAS 研究中的少数民族参与者为 75.1%（优势比=2.1）。对于有偶然伴侣的 REMAS-CA 参与者（n=25），过去 90 天内无保护的性行为次数减少（6.2 次比 1.6 次）。在 REMAS 研究中的少数民族男性（n=36）中，与偶然伴侣发生无保护性行为的次数变化不大（9.4 次比 8.4 次；相对风险=4.56）。
REMAS-CA 在不同种族群体中都有效，这是为不同客户群体服务的 HIV 风险降低项目的一个益处。
