What HIV-Positive MSM Want from Sexual Risk Reduction Interventions: Findings from a Qualitative Study
- 578 Downloads
To facilitate the development of a tailored intervention that meets the needs of HIV-positive men who have sex with men (HIV-positive MSM), we conducted formative research with 52 HIV-positive MSM. We sought to (a) identify major barriers to consistent condom use, (b) characterize their interest in sexual risk reduction interventions, and (c) elicit feedback regarding optimal intervention format. Men identified several key barriers to consistent condom use, including treatment optimism, lessened support for safer sex in the broader gay community, challenges communicating with partners, and concerns about stigmatization following serostatus disclosure. Many men expressed an interest in health promotion programming, but did not want to participate in an intervention focusing exclusively on safer sex. Instead, they preferred a supportive group intervention that addresses other coping challenges as well as sexual risk reduction. Study results reveal important considerations for the development of appealing and efficacious risk reduction interventions for HIV-positive MSM.
KeywordsHIV-positive Men who have sex with men HIV prevention intervention Sexual risk reduction intervention development
This research was supported by NIMH Grant R21-MH65865. Jennifer L. Brown is supported by K12 GM000680 from the National Institute of General Medical Sciences. The authors thank the Infectious Disease Clinic staff and patients at SUNY Upstate Medical University for their support of this work.
- 3.Johnson WD, Diaz RM, Flanders WD, Goodman M, Hill AN, Holtgrave D, et al. Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database Syst Rev. 2008;(3):CD001230.Google Scholar
- 10.Ostrow DG, Kalichman SC, editors. Practical prevention issues. New York: Plenum Publishers; 1999.Google Scholar
- 15.CDC. HIV and AIDS among gay and bisexual men: Fact Sheet 2010.Google Scholar
- 17.Morin SF, Shade SB, Steward WT, Carrico AW, Remien RH, Rotheram-Borus MJ, et al. A behavioral intervention reduces HIV transmission risk by promoting sustained serosorting practices among HIV-infected men who have sex with men. J Acquir Immune Defic Syndr. 2008;49(5):544–51.PubMedCrossRefGoogle Scholar
- 21.Strauss A, Corbin J. Basics of qualitative research. 2nd ed. London: Sage; 1988.Google Scholar
- 22.Krueger RA. Analyzing & reporting focus group results. London: Sage Publications; 1998.Google Scholar
- 23.Henwood K, Pidgeon N, editors. Grounded theory in psychological research. Washington: APA; 2003.Google Scholar
- 24.MacQueen K, McLellan E, Kay K, Milstein B. Codebook development for team-based qualitative research. CAMJ. 1998;10:31–6.Google Scholar
- 25.Taylor SJ, Bogdan R. Introduction to qualitative research methods: a guidebook and resource. 3rd ed. New York: Wiley; 1998.Google Scholar
- 26.CDC. Analysis software for web-based records (AnSWR).. 6.4.x ed. Atlanta 2004.Google Scholar
- 36.Herbst JH, Sherba RT, Crepaz N, Deluca JB, Zohrabyan L, Stall RD, et al. A meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men. J Acquir Immune Defic Syndr [Meta-Analysis Research Support, U.S. Gov’t, P.H.S.]. 2005;39(2):228–41.Google Scholar