Department of Health Behavior, College of Public Health, University of Kentucky, 111 Washington Ave., Lexington, KY 40506-0003, USA.
Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, IN 47405, USA.
Health Educ Res. 2018 Jun 1;33(3):197-204. doi: 10.1093/her/cyy010.
The aim of this study is to determine, among young Black men who have sex with men (YBMSM), the 12-month efficacy of a single-session, clinic-based intervention promoting condom use to enhance sexual pleasure (purpose 1) and the use of condoms from the start-to-finish of anal sex (purpose 2). A pre-test, post-test randomized controlled trial was conducted, using a 12-month period of follow-up observation, in STI clinics. Data from 394 YBMSM completing baseline and 12-month follow-up assessments were analyzed. The experimental condition comprised a one-to-one, interactive program (Focus on the Future) designed for tailored delivery. Regarding study purpose 1, in an age-adjusted linear regression model for 277 HIV-uninfected men, there was a significant effect of the intervention (Beta=0.13, P =0.036) relative to more favorable sexual experiences when using condoms. Regarding study purpose 2, in an adjusted logistic regression model, for HIV-uninfected men, there was a significant effect of the intervention (AOR=0.54, P =0.048) relative to using condoms from start-to-finish of anal sex. Significant effects for HIV-infected men were not observed. A small, but non-significant, effect was observed relative to men's self-report of always using condoms. This single-session program may be a valuable counseling tool for use in conjunction with pre-exposure prophylaxis-related care for HIV-uninfected YBMSM.
本研究旨在确定与男性发生性行为的年轻黑人男性（YBMSM）中，单次诊所为基础的干预措施促进避孕套使用以增强性快感的 12 个月效果（目的 1）和从肛交开始到结束使用避孕套的效果（目的 2）。在性传播感染诊所进行了一项预测试、后测试随机对照试验，使用了 12 个月的随访观察期。对完成基线和 12 个月随访评估的 394 名 YBMSM 进行了数据分析。实验组由一对一、互动性的方案（关注未来）组成，旨在进行定制交付。关于研究目的 1，在针对 277 名未感染 HIV 的男性的年龄调整线性回归模型中，与使用避孕套时更有利的性体验相比，干预具有显著效果（Beta=0.13，P=0.036）。关于研究目的 2，在调整后的逻辑回归模型中，对于未感染 HIV 的男性，与从肛交开始到结束使用避孕套相比，干预具有显著效果（AOR=0.54，P=0.048）。对于感染 HIV 的男性，未观察到显著效果。对于男性始终使用避孕套的自我报告，观察到了一个小但不显著的效果。这种单次方案可能是一种有价值的咨询工具，可与 HIV 未感染 YBMSM 的暴露前预防相关护理一起使用。
