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Kenneth T. Jones, MSW, Phyllis Gray, MPH, Y. Omar Whiteside, MEd, Terry Wang, MSPH, Debra Bost, BA, Erica Dunbar, MPH, Evelyn Foust, MPH and Wayne D. Johnson, MSPH

Kenneth T. Jones, Terry Wang, Erica Dunbar, and Wayne D. Johnson are with the Centers for Disease Control and Prevention, Atlanta, GA. At the time of the study, Phyllis Gray, Debra Bost, and Evelyn Foust were with the North Carolina Division of Public Health, Raleigh. Y. Omar White-side is with the Metrolina AIDS Project, Charlotte, NC.

Correspondence: Requests for reprints should be sent to Kenneth T. Jones, MSW, Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE (MS E-37), Atlanta, GA 30333 (email: kjones4{at}cdc.gov).

Objectives. We assessed the efficacy of an HIV behavioral intervention adapted for Black men who have sex with men (MSM).

Methods. We conducted serial cross-sectional surveys, 1 baseline measurement followed by initiation of an intervention and 3 follow-up measurements, among Black MSM in 3 North Carolina cities over 1 year.

Results. We observed significant decreases in unprotected receptive anal intercourse at 4 months (by 23.8%, n=287) and 8 months (by 24.7%, n=299), and in unprotected insertive anal intercourse (by 35.2%), unprotected receptive anal intercourse (by 44.1%), and any unprotected anal intercourse (by 31.8%) at 12 months (n=268). Additionally, at 12 months, the mean number of partners for unprotected receptive anal intercourse decreased by 40.5%. The mean number of episodes decreased by 53.0% for unprotected insertive anal intercourse, and by 56.8% for unprotected receptive anal intercourse. The percentage of respondents reporting always using condoms for insertive and receptive anal intercourse increased by 23.0% and 30.3%, respectively.

Conclusions. Adapting previously proven interventions designed for other MSM can significantly reduce HIV risk behaviors of Black MSM.

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