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AJPH First Look, published online ahead of print Apr 16, 2009
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June 2009, Vol 99, No. 6 | American Journal of Public Health 1008-1012
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.140558

ANALYTIC ESSAY FORUMS

Learning From Successful Interventions: A Culturally Congruent HIV Risk–Reduction Intervention for African American Men Who Have Sex With Men and Women

John K. Williams, MD, Hema C. Ramamurthi, MBBS, Cleo Manago, MA and Nina T. Harawa, PhD, MPH

John K. Williams is with the Semel Institute of Neuroscience and Human Behavior, Department of Psychiatry and Behavioral Sciences, University of California, Los Angeles. Hema C. Ramamurthi and Nina T. Harawa are with the Charles Drew University of Medicine and Science, Los Angeles. Cleo Manago is with the AmASSI Health and Cultural Center, Inglewood, CA.

Correspondence: Requests for reprints should be sent to John K. Williams, MD, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 760 Westwood Plaza, C8-871C NPI, Los Angeles, CA 90024-1759 (e-mail: keoniwmd{at}aol.com).

Few HIV prevention interventions have been developed for African American men who have sex with men or who have sex with both men and women. Many interventions neglect the historical, structural or institutional, and sociocultural factors that hinder or support risk reduction in this high-risk group.

We examined ways to incorporate these factors into Men of African American Legacy Empowering Self, a culturally congruent HIV intervention targeting African American men who have sex with men and women.

We also studied how to apply key elements from successful interventions to future efforts. These elements include having gender specificity, a target population, a theoretical foundation, cultural and historical congruence, skill-building components, and well-defined goals.






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