Straight Talk: HIV Prevention for African-American Heterosexual Men: Theoretical Bases and Intervention Design

Victoria Frye, Sebastian Bonner, Kim M. Williams, Kirk D. Henny, Keosha T. Bond, Debbie Lucy, Malik Cupid, Stephen J. Smith, Beryl A. Koblin

AIDS Education and Prevention · 2012 · 17 citations · 48 references

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Abstract

In the United States, racial disparities in HIV/AIDS are stark. Although African Americans comprise an estimated 14% of the U.S. population, they made up 52% of new HIV cases among adults and adolescents diagnosed in 2009. Heterosexual transmission is now the second leading cause of HIV in the United States. African Americans made up a full two-thirds of all heterosexually acquired HIV/AIDS cases between 2005 and 2008. Few demonstrated efficacious HIV prevention interventions designed specifically for adult, African-American heterosexual men exist. Here, we describe the process used to design a theory-based HIV prevention intervention to increase condom use, reduce concurrent partnering, and increase HIV testing among heterosexually active African-American men living in high HIV prevalence areas of New York City. The intervention integrated empowerment, social identity, and rational choices theories and focused on four major content areas: HIV/AIDS testing and education; condom skills training; key relational and behavioral turning points; and masculinity and fatherhood.

References

48