An emerging HIV epidemic can be seen among men who have sex
with men (MSM) in Vietnam. There are currently no evidence-based behavioral
sexual risk reduction interventions for MSM in this setting.
Between October
2012 and June 2013, 100 high-risk MSM from Ho Chi Minh City were enrolled in an
open pilot trial to assess feasibility and acceptability of a group-based,
manualized sexual risk reduction intervention, and to preliminarily examine
changes in primary and secondary outcomes.
Participants completed a behavioral
assessment battery and HIV testing at baseline, 3, and 6 months post-baseline.
Over 80.0 % of the sample was <25 years old and 77.0 %
identified as Bong kin ("hidden," masculine-appearing). Feasibility
and acceptability of the program was evidenced by 87.0 % retention for the
intervention sessions, 78.0 % completion of the 6 month assessment, and
positive responses on evaluation forms and qualitative exit interviews.
There
was a decline in the number of condomless anal sex acts from baseline (6.32) to
3 month (2.06) and 6 month (2.49) follow-up (p < .0001). These
data support the need for further testing of this group-based, behavioral HIV
prevention intervention to reduce sexual risk behavior among MSM in Vietnam in
a randomized controlled efficacy trial.
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By:
1Department
of Epidemiology and Behavioral & Social Health Sciences, Brown University
School of Public Health, Providence, RI, USA. matthew_mimiaga@brown.edu.
2Institute
for Community Health Promotion, Brown University, Providence, RI, USA.
matthew_mimiaga@brown.edu.
3Department
of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
matthew_mimiaga@brown.edu.
4The Fenway
Institute, Fenway Health, 1340 Boylston Street, Boston, MA, 02215, USA.
matthew_mimiaga@brown.edu.
5The Fenway
Institute, Fenway Health, 1340 Boylston Street, Boston, MA, 02215, USA.
6Department
of Social and Environmental Health, The London School of Hygiene and Tropical
Medicine, London, UK.
7Department
of Epidemiology and Behavioral & Social Health Sciences, Brown University
School of Public Health, Providence, RI, USA.
8Institute
for Community Health Promotion, Brown University, Providence, RI, USA.
9Harvard
AIDS Initiative in Vietnam, Ho Chi Minh City, Vietnam.
10Center for
Applied Research on Men and Health, Ho Chi Minh City, Vietnam.
11Department
of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
12The Life
Centre, Ho Chi Minh City, Vietnam.
13Department
of Psychology, The University of Miami, Miami, FL, USA.
14Department
of Global Health and Population, Harvard T.H. Chan School of Public Health,
Boston, MA, USA.
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