A strengthsbased risk reduction intervention for highly vulnerable
A strengths-based risk reduction intervention for highly vulnerable urban gay men Steven P. Kurtz, Ronald D. Stall and Hilary L. Surratt Nova Southeastern University Center for Research on Substance Use and Health Disparities Resilience in American Gay and Bisexual Men: A New Perspective on HIV Prevention Research and Programs Fenway Health • June 23 -24, 2011 • Boston
This research was supported by DHHS Grant R 01 DA 024579 from the National Institute on Drug Abuse. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse or the National Institutes of Health. There are no relationships to disclose.
Conceptual Model of MSM Health Risks
Psychological empowerment theory Marc Zimmerman (1995)
Group Intervention Approach The 4 group sessions employ a motivational interviewing approach to emphasize : § A safe space to talk, building trust; § Open dialogue across age, ethnic, serostatus boundaries; § Critical awareness of others’ behavior norms, beliefs and motivations ………. . .
…………. § Increasing sexual and friendship intimacy § Accessing broader social networks § Strengths-based repositioning of the fast lane scene § Making life changes; goal setting § Overcoming barriers
Demographics (N=517) Age (median; range: 18 - 55) 38 years Education (median) 14 years Income (median) $15, 000 Race/Ethnicity Anglo Hispanic or Latino African American Other HIV+ N 250 133 110 24 % 48. 4 25. 7 21. 3 4. 6 241 46. 6
Current Substance Use (Past 90 days) DSM Abuse: 74. 2% DSM Dependence: 62. 3%
Sexual behaviors (Past 90 days) # male anal sex partners # anal sex times # times no condom Sex with women – 12 mos. Using sex to cope Means 13 33 23 N 86 397 % 16. 6 76. 8
Resiliency measures with variation and change Measures of Activities / States Brief COPE: How often have you been …. . Satisf. w/ relationships: How satisfied are you with…. Access to Social Capital: # people I can count on to … Social Activity: # times in the past 90 days…
Resiliency measures with low variation (social acceptability? ) Measures of Attitudes / Opinions Coping Self Efficacy: How confident are you …. Personal Mastery: Agree/disagree Resiliency: Agree/disagree Social support scales, generally
Limitations: substance-using sample n psychological empowerment theory based n limited social capital measures n there are many other measures available n n what else should we measure?
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