Many Men, Many Voices (3MV)

An Evidence-Based Practice

Description

Many Men, Many Voices (3MV) is an intervention that addresses behavioral and social determinants that influence the risk of HIV and sexually transmitted infections (STIs) among black men who have sex with men (MSM). This social group experiences disproportionately high rates of HIV and STIs and specific interventions are required to stop the spread of these diseases.

The 3MV intervention consists of six consecutive 2- to 3-hour sessions. The 3MV program uses multiple behavior change options for HIV/STI prevention in addition to the promotion of condom use. Session 1, "The Culture of Black MSM," helps participants recognize how racism and homophobia are related to risky sexual behaviors. Session 2 describes the roles of ''Tops'' and ''Bottoms'' as they relate to relationship dynamics and the risk of HIV/STI transmission. Session 3 focuses on HIV/STI risk assessment and prevention options and helps participants personalize the prevention of risk. Session 4, "Intentions to Act & Capacity for Change," encourages participants' to replace their own risky behaviors with safer sex behaviors. Session 5, "Relationship issues: Partner selection, Communication & Negotiation," helps participants recognize power and control dynamics in their relationships. In session 6 participants role-play communication and negotiation strategies with their partners. These sessions were specifically designed to include the particular risks and needs of men on the 'down lo' or without female sexual partners who have sex with other men but do not identify as gay or bisexual.

Goal / Mission

Reduce unprotected insertive and receptive anal intercourse among HIV-negative black men who have sex with men (MSM) as well as to reduce the number of sex partners, increase consistent condom use during anal intercourse and increase testing for HIV and other sexually transmitted infections (STIs).

Results / Accomplishments

A study to evaluate the 3MV program was conducted in New York City in 2005 and 2006. Three hundred thirty-eight black men participated in the study.

Three months after the intervention, participants who went through the 3MV program reported having significantly fewer male sex partners (either main partners or casual partners) when compared with a group of men who did not participate in the 3MV intervention (p=0.04). At the 6-month follow-up, the 3MV intervention participants reported significantly fewer episodes of any unprotected anal intercourse with casual partners (p=0.012) and unprotected insertive anal intercourse with casual partners (p=0.005) compared to the control group.

About this Promising Practice

Organization(s)
State University of New York at Binghamton
Primary Contact
Dr. Leo Wilton
Department of Human Development, College of Community and Public Affairs
State University of New York at Binghamton
P.O. Box 6000
Binghamton, NY 13902
lwilton@binghamton.edu
Topics
Health / Wellness & Lifestyle
Health / Immunizations & Infectious Diseases
Organization(s)
State University of New York at Binghamton
Source
Diffusion of Effective Behavioral Interventions (DEBI)
For more details
http://www.effectiveinterventions.org/en/HighImpac...
http://www.ncbi.nlm.nih.gov/pubmed/19267264
Target Audience
Men, Racial/Ethnic Minorities

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  4. CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions
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Related Content for: Many Men, Many Voices (3MV)

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.