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01-05-2013 | Original Paper

A Systematic Review to Identify Challenges of Demonstrating Efficacy of HIV Behavioral Interventions for Gay, Bisexual, and Other Men Who Have Sex with Men (MSM)

Authors: Darrel H. Higa, Nicole Crepaz, Khiya J. Marshall, Linda Kay, H. Waverly Vosburgh, Pilgrim Spikes, Cynthia M. Lyles, David W. Purcell

Published in: AIDS and Behavior | Issue 4/2013

Abstract

Gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by HIV but few MSM-specific evidence-based interventions (EBIs) have been identified for this vulnerable group. We conducted a systematic review to identify reasons for the small number of EBIs for MSM. We also compared study, intervention and sample characteristics of EBIs versus non-EBIs to better understand the challenges of demonstrating efficacy evidence. Thirty-three MSM-specific studies were evaluated: Nine (27 %) were considered EBIs while 24 (73 %) were non-EBIs. Non-EBIs had multiple methodological limitations; the most common was not finding a significant positive effect. Compared to EBIs, non-EBIs were less likely to use peer intervention deliverers, include sexual communication in their interventions, and intervene at the community level. Incorporating characteristics associated with EBIs may strengthen behavioral interventions for MSM. More EBIs are needed for substance-using MSM, MSM of color, MSM residing in the south and MSM in couples.

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Title: A Systematic Review to Identify Challenges of Demonstrating Efficacy of HIV Behavioral Interventions for Gay, Bisexual, and Other Men Who Have Sex with Men (MSM)
Authors: Darrel H. Higa
Nicole Crepaz
Khiya J. Marshall
Linda Kay
H. Waverly Vosburgh
Pilgrim Spikes
Cynthia M. Lyles
David W. Purcell
Publication date: 01-05-2013
Publisher: Springer US
Published in: AIDS and Behavior / Issue 4/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-013-0418-z

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