This study evaluated the effectiveness of HIV prevention groups for men-who-have-sex-with-men conducted in 4 Montana communities: Butte, Bozeman, Helena and Missoula. A convenience sample of participants (n=37) were recruited from MSM who voluntarily signed-up for participation in the evaluated groups. Comparison group participants (n=31) consisted of a convenience sample of MSM recruited by Montana Targeted Prevention (MTaP) workers during the course of their regular HIV/Hepatitis C outreach activities. Behavioral changes in unprotected anal intercourse and substance use and seven HIV-transmission-behavior influencing factors (sexual communication skills, attitudes towards condoms, HIV transmission knowledge, internalized homophobia, social isolation, self-esteem and depression) were assessed at baseline and again following 9 hours of intervention exposure. No significant changes in frequency of unprotected anal intercourse were observed, however participants reported that they more regularly wear a condom as a result of the intervention. Changes in frequency of unprotected anal intercourse may have been underestimated by the short 9-week evaluation period. Forty-eight percent (n=10) of participants engaging in binge drinking (5 or more drinks in one sitting) and 22% (n=4) of marijuana using participants reported a reduction in use. Intervention group participants indicated significant positive changes in measures of depression (p=.00) and self-esteem (p=.00). Participants identified factors related to community involvement and social support as being the primary factors facilitating MSM participation in HIV prevention groups. Group participation generated multiple positive intrapersonal and interpersonal outcomes that may facilitate short-term and long-term adoption and maintenance of positive health behavior changes. In the rural and geographically vast frontier state of Montana, HIV prevention groups may also play a critical role in the health and well being of Montanas MSM community by providing gay community infrastructure and positive social norms of sexual health that may serve to reduce the damaging effects of social stigma often experienced by rural MSM.
| Identifer | oai:union.ndltd.org:MONTANA/oai:etd.lib.umt.edu:etd-06182009-233452 |
| Date | 16 July 2009 |
| Creators | O'Brien, Patricia Anne |
| Contributors | Dr. Annie K. Sondag, Dr. Laura Dybdal, Dr. Bryan Cochran |
| Publisher | The University of Montana |
| Source Sets | University of Montana Missoula |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.umt.edu/theses/available/etd-06182009-233452/ |
| Rights | restricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Montana or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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