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Am J Public Health. 2017 Jun;107(6):969-976. doi: 10.2105/AJPH.2017.303814. Epub 2017 Apr 20.

Small-Group Randomized Controlled Trial to Increase Condom Use and HIV Testing Among Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex With Men.

Author information

1
Scott D. Rhodes, Jorge Alonzo, Lilli Mann, Eunyoung Y. Song, and Beth A. Reboussin are with Wake Forest University School of Medicine, Winston-Salem, NC. Amanda E. Tanner is with the University of North Carolina, Greensboro. At the initiation of this study, Jorge Elias Arellano, Manuel Garcia, and Rodrigo Rodriguez-Celedon were with the Chatham Social Health Council, Siler City, NC. Arin Freeman and Thomas M. Painter are with the Centers for Disease Control and Prevention, Atlanta, GA.

Abstract

OBJECTIVES:

To evaluate the HOLA en Grupos intervention, a Spanish-language small-group behavioral HIV prevention intervention designed to increase condom use and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men.

METHODS:

In 2012 to 2015, we recruited and randomized 304 Hispanic/Latino men who have sex with men, aged 18 to 55 years in North Carolina, to the 4-session HOLA en Grupos intervention or an attention-equivalent general health education comparison intervention. Participants completed structured assessments at baseline and 6-month follow-up. Follow-up retention was 100%.

RESULTS:

At follow-up, relative to comparison participants, HOLA en Grupos participants reported increased consistent condom use during the past 3 months (adjusted odds ratio [AOR] = 4.1; 95% confidence interval [CI] = 2.2, 7.9; P < .001) and HIV testing during the past 6 months (AOR = 13.8; 95% CI = 7.6, 25.3; P < .001). HOLA en Grupos participants also reported increased knowledge of HIV (P < .001) and sexually transmitted infections (P < .001); condom use skills (P < .001), self-efficacy (P < .001), expectancies (P < .001), and intentions (P < .001); sexual communication skills (P < .01); and decreased fatalism (P < .001).

CONCLUSIONS:

The HOLA en Grupos intervention is efficacious for reducing HIV risk behaviors among Hispanic/Latino men who have sex with men.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01626898.

PMID:
28426301
PMCID:
PMC5425903
DOI:
10.2105/AJPH.2017.303814
[Indexed for MEDLINE]
Free PMC Article

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