Klein Charles, Lomonaco Carmela
Portland State University, Portland, Oregon.
Office of the President, University of California, Oakland, California.
AIDS Educ Prev. 2016 Dec;28(6):455-471. doi: 10.1521/aeap.2016.28.6.455.
HIV disproportionately affects Black men who have sex with men (MSM), yet there are few evidence-based programs that respond to the diverse realities of Black MSM communities. This article examines the development of Real Talk, a new harm reduction-based, sexual health intervention for Black MSM. We first analyze the key themes from our formative research: (1) stigma, discrimination, and intersectionalities in the lives of Black MSM, (2) the importance of safe spaces and community provided by health promotion programs, and (3) moving beyond condoms in sexual health messaging. We then describe our agile design product development process and present an overview of the intervention's components and how they respond to the issues identified in the formative research. In conclusion, we discuss dissemination opportunities and challenges in an age of decreased prevention funding, pre-exposure prophylaxis (PrEP), and the increased use of e-health promotion modalities.
艾滋病毒对与男性发生性关系的黑人男性（男男性行为者）影响尤为严重，但针对黑人男男性行为者群体多样化现实情况的循证项目却寥寥无几。本文探讨了“真实对话”（Real Talk）的发展情况，这是一项针对黑人男男性行为者的、基于减少伤害理念的新型性健康干预措施。我们首先分析了形成性研究中的关键主题：（1）黑人男男性行为者生活中的耻辱感、歧视及交叉性问题；（2）健康促进项目所提供的安全空间和社区的重要性；（3）性健康信息传播应超越避孕套范畴。然后，我们描述了敏捷设计产品开发过程，并概述了该干预措施的组成部分以及它们如何应对形成性研究中发现的问题。最后，我们讨论了在预防资金减少、暴露前预防（PrEP）以及电子健康促进方式使用增加的时代背景下，该干预措施的推广机会和挑战。
