Barber-Led HIV/Sexually Transmitted Infection Risk Reduction for Young African-American Men : Efficacy and Mediation in a Cluster Randomized Controlled Trial
Copyright © 2022 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved..
PURPOSE: The aim of this study is to evaluate the efficacy and mediation of a culturally appropriate, theory-based HIV/STI (sexually transmitted infection) risk-reduction intervention delivered in barbershops by barbers via iPads to African-American young men in reducing sexual risk behaviors.
METHODS: In a cluster randomized controlled trial, 24 matched pairs of barbershops serving African-American men ages 18-24 in the 10 Philadelphia, PA zip codes with the highest HIV/AIDS prevalence were randomized to implement via iPads one of 2 interventions: "Shape Up! Barbers Building Better Brothers," an HIV/STI risk-reduction intervention based on the theory of planned behavior and formative research or an attention-matched violence-prevention control intervention. The primary outcome was self-reported consistent condom use 3, 6, and 12 months postintervention, controlling for baseline consistent condom use.
RESULTS: Participants were 618 men, 319 in the HIV/STI intervention and 299 in the control intervention. Generalized estimating equation analysis indicated that the direct effect of the HIV/STI intervention in increasing consistent condom use postintervention was nonsignificant (odds ratio = 1.13, 95% confidence interval: 0.73-1.75), adjusting for clustering among participants in barbershops and baseline condom use. However, mediation analysis using the product-of-coefficients approach revealed indirect effects of the intervention. Consistent with the theory of planned behavior, the intervention increased behavioral beliefs and self-efficacy regarding using condoms, which raised condom use intention, which, in turn, boosted consistent condom use.
DISCUSSION: Sexual risks among young African-American men can be reduced by barber-led theory-based, culturally appropriate HIV/STI risk-reduction interventions in barbershops in high HIV prevalence neighborhoods that increase behavioral beliefs and self-efficacy.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:72 |
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| Enthalten in: |
The Journal of adolescent health : official publication of the Society for Adolescent Medicine - 72(2023), 4 vom: 18. Apr., Seite 575-582 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Jemmott, Loretta S [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 21.03.2023 Date Revised 02.04.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jadohealth.2022.10.030 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM352012242 |
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| 245 | 1 | 0 | |a Barber-Led HIV/Sexually Transmitted Infection Risk Reduction for Young African-American Men |b Efficacy and Mediation in a Cluster Randomized Controlled Trial |
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| 500 | |a Date Revised 02.04.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: The aim of this study is to evaluate the efficacy and mediation of a culturally appropriate, theory-based HIV/STI (sexually transmitted infection) risk-reduction intervention delivered in barbershops by barbers via iPads to African-American young men in reducing sexual risk behaviors | ||
| 520 | |a METHODS: In a cluster randomized controlled trial, 24 matched pairs of barbershops serving African-American men ages 18-24 in the 10 Philadelphia, PA zip codes with the highest HIV/AIDS prevalence were randomized to implement via iPads one of 2 interventions: "Shape Up! Barbers Building Better Brothers," an HIV/STI risk-reduction intervention based on the theory of planned behavior and formative research or an attention-matched violence-prevention control intervention. The primary outcome was self-reported consistent condom use 3, 6, and 12 months postintervention, controlling for baseline consistent condom use | ||
| 520 | |a RESULTS: Participants were 618 men, 319 in the HIV/STI intervention and 299 in the control intervention. Generalized estimating equation analysis indicated that the direct effect of the HIV/STI intervention in increasing consistent condom use postintervention was nonsignificant (odds ratio = 1.13, 95% confidence interval: 0.73-1.75), adjusting for clustering among participants in barbershops and baseline condom use. However, mediation analysis using the product-of-coefficients approach revealed indirect effects of the intervention. Consistent with the theory of planned behavior, the intervention increased behavioral beliefs and self-efficacy regarding using condoms, which raised condom use intention, which, in turn, boosted consistent condom use | ||
| 520 | |a DISCUSSION: Sexual risks among young African-American men can be reduced by barber-led theory-based, culturally appropriate HIV/STI risk-reduction interventions in barbershops in high HIV prevalence neighborhoods that increase behavioral beliefs and self-efficacy | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Adolescent | |
| 650 | 4 | |a African-Americans | |
| 650 | 4 | |a Condoms | |
| 650 | 4 | |a HIV infections | |
| 650 | 4 | |a Intention | |
| 650 | 4 | |a Male | |
| 650 | 4 | |a Self-efficacy | |
| 650 | 4 | |a Sexual behavior | |
| 650 | 4 | |a Sexually transmitted diseases | |
| 650 | 4 | |a Young adult | |
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| 700 | 1 | |a Stevenson, Howard S |e verfasserin |4 aut | |
| 700 | 1 | |a Chittamuru, Deepti |e verfasserin |4 aut | |
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