A Pilot Evaluation of “Tayf”, a Cultural Adaptation of Mpowerment for Young Men who Have Sex with Men (YMSM) in Beirut, Lebanon, and Its Effects on Condomless Sex and HIV Testing
We evaluated the effects of a culturally adapted evidence-based HIV prevention intervention (Mpowerment), named “ Tayf ”, on condom use and HIV testing among young men who have sex with men (YMSM) in Beirut. A 2-year implementation of Tayf was carried out independently and in parallel with a researc...
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| Veröffentlicht in: | AIDS and behavior 2022-03, Vol.26 (3), p.639-650 |
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| creator | Wagner, Glenn J. Ghosh-Dastidar, Bonnie Tebbetts, Scott Ballan, Elie Mutchler, Matt G. Green, Harold Chamas, Sally Mokhbat, Jacques Kegeles, Susan |
| description | We evaluated the effects of a culturally adapted evidence-based HIV prevention intervention (Mpowerment), named “
Tayf
”, on condom use and HIV testing among young men who have sex with men (YMSM) in Beirut. A 2-year implementation of
Tayf
was carried out independently and in parallel with a research cohort of 226 YMSM who were surveyed at baseline and months 6, 12, 18 and 24 after
Tayf
initiation. Primary outcomes were (1) any condomless anal sex with HIV-positive or unknown status partners in the past 3 months, and (2) HIV testing in the past six months. Hierarchical logistic regression models examined the association of
Tayf
participation with the outcomes averaged across all assessments, and the moderating effect of
Tayf
participation on change in the outcomes over the follow-up period. A total of 331 YMSM attended at least one event, including 33% of the cohort.
Tayf
participation was associated with a higher rate of any condomless sex with HIV-positive or unknown status partners averaged across the five assessments, but there was no moderating effect of
Tayf
participation on change in this outcome over time.
Tayf
participation was associated with higher HIV testing when averaged across all assessments, but its interaction with time showed that the strength of this association diminished over time. In conclusion,
Tayf
proved feasible and acceptable in Beirut, but with limited effects. Further work is needed, including innovative publicity and marketing strategies, to bolster effects in high stigma settings where security and legal risks are prominent. |
| doi_str_mv | 10.1007/s10461-021-03424-4 |
| format | Article |
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Tayf
”, on condom use and HIV testing among young men who have sex with men (YMSM) in Beirut. A 2-year implementation of
Tayf
was carried out independently and in parallel with a research cohort of 226 YMSM who were surveyed at baseline and months 6, 12, 18 and 24 after
Tayf
initiation. Primary outcomes were (1) any condomless anal sex with HIV-positive or unknown status partners in the past 3 months, and (2) HIV testing in the past six months. Hierarchical logistic regression models examined the association of
Tayf
participation with the outcomes averaged across all assessments, and the moderating effect of
Tayf
participation on change in the outcomes over the follow-up period. A total of 331 YMSM attended at least one event, including 33% of the cohort.
Tayf
participation was associated with a higher rate of any condomless sex with HIV-positive or unknown status partners averaged across the five assessments, but there was no moderating effect of
Tayf
participation on change in this outcome over time.
Tayf
participation was associated with higher HIV testing when averaged across all assessments, but its interaction with time showed that the strength of this association diminished over time. In conclusion,
Tayf
proved feasible and acceptable in Beirut, but with limited effects. Further work is needed, including innovative publicity and marketing strategies, to bolster effects in high stigma settings where security and legal risks are prominent.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-021-03424-4</identifier><identifier>PMID: 34389890</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Anal intercourse ; Anal sex ; Assessments ; Evaluation ; Gays & lesbians ; Health behavior ; Health Psychology ; HIV ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Testing ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Lebanon ; Male ; Marketing ; Medical tests ; Medicine ; Medicine & Public Health ; Men ; Men who have sex with men ; Mens health ; Original Paper ; Participation ; Pilot Projects ; Prevention ; Public Health ; Publicity ; Regression analysis ; Regression models ; Sexual and Gender Minorities ; Sexual Behavior ; Sexually transmitted diseases ; STD ; Unsafe Sex ; Young adults ; Young men</subject><ispartof>AIDS and behavior, 2022-03, Vol.26 (3), p.639-650</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-970b56edb90ff94758ef38e42e7100c21cae24cd8922cbee6e5c5714fbad7e3b3</citedby><cites>FETCH-LOGICAL-c474t-970b56edb90ff94758ef38e42e7100c21cae24cd8922cbee6e5c5714fbad7e3b3</cites><orcidid>0000-0001-9081-3299</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-021-03424-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-021-03424-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34389890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wagner, Glenn J.</creatorcontrib><creatorcontrib>Ghosh-Dastidar, Bonnie</creatorcontrib><creatorcontrib>Tebbetts, Scott</creatorcontrib><creatorcontrib>Ballan, Elie</creatorcontrib><creatorcontrib>Mutchler, Matt G.</creatorcontrib><creatorcontrib>Green, Harold</creatorcontrib><creatorcontrib>Chamas, Sally</creatorcontrib><creatorcontrib>Mokhbat, Jacques</creatorcontrib><creatorcontrib>Kegeles, Susan</creatorcontrib><title>A Pilot Evaluation of “Tayf”, a Cultural Adaptation of Mpowerment for Young Men who Have Sex with Men (YMSM) in Beirut, Lebanon, and Its Effects on Condomless Sex and HIV Testing</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>We evaluated the effects of a culturally adapted evidence-based HIV prevention intervention (Mpowerment), named “
Tayf
”, on condom use and HIV testing among young men who have sex with men (YMSM) in Beirut. A 2-year implementation of
Tayf
was carried out independently and in parallel with a research cohort of 226 YMSM who were surveyed at baseline and months 6, 12, 18 and 24 after
Tayf
initiation. Primary outcomes were (1) any condomless anal sex with HIV-positive or unknown status partners in the past 3 months, and (2) HIV testing in the past six months. Hierarchical logistic regression models examined the association of
Tayf
participation with the outcomes averaged across all assessments, and the moderating effect of
Tayf
participation on change in the outcomes over the follow-up period. A total of 331 YMSM attended at least one event, including 33% of the cohort.
Tayf
participation was associated with a higher rate of any condomless sex with HIV-positive or unknown status partners averaged across the five assessments, but there was no moderating effect of
Tayf
participation on change in this outcome over time.
Tayf
participation was associated with higher HIV testing when averaged across all assessments, but its interaction with time showed that the strength of this association diminished over time. In conclusion,
Tayf
proved feasible and acceptable in Beirut, but with limited effects. Further work is needed, including innovative publicity and marketing strategies, to bolster effects in high stigma settings where security and legal risks are prominent.</description><subject>Anal intercourse</subject><subject>Anal sex</subject><subject>Assessments</subject><subject>Evaluation</subject><subject>Gays & lesbians</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Testing</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Lebanon</subject><subject>Male</subject><subject>Marketing</subject><subject>Medical tests</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Original Paper</subject><subject>Participation</subject><subject>Pilot Projects</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Publicity</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Behavior</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Unsafe Sex</subject><subject>Young adults</subject><subject>Young 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Pilot Evaluation of “Tayf”, a Cultural Adaptation of Mpowerment for Young Men who Have Sex with Men (YMSM) in Beirut, Lebanon, and Its Effects on Condomless Sex and HIV Testing</title><author>Wagner, Glenn J. ; Ghosh-Dastidar, Bonnie ; Tebbetts, Scott ; Ballan, Elie ; Mutchler, Matt G. ; Green, Harold ; Chamas, Sally ; Mokhbat, Jacques ; Kegeles, Susan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-970b56edb90ff94758ef38e42e7100c21cae24cd8922cbee6e5c5714fbad7e3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anal intercourse</topic><topic>Anal sex</topic><topic>Assessments</topic><topic>Evaluation</topic><topic>Gays & lesbians</topic><topic>Health behavior</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - prevention & control</topic><topic>HIV 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Susan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Pilot Evaluation of “Tayf”, a Cultural Adaptation of Mpowerment for Young Men who Have Sex with Men (YMSM) in Beirut, Lebanon, and Its Effects on Condomless Sex and HIV Testing</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>26</volume><issue>3</issue><spage>639</spage><epage>650</epage><pages>639-650</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>We evaluated the effects of a culturally adapted evidence-based HIV prevention intervention (Mpowerment), named “
Tayf
”, on condom use and HIV testing among young men who have sex with men (YMSM) in Beirut. A 2-year implementation of
Tayf
was carried out independently and in parallel with a research cohort of 226 YMSM who were surveyed at baseline and months 6, 12, 18 and 24 after
Tayf
initiation. Primary outcomes were (1) any condomless anal sex with HIV-positive or unknown status partners in the past 3 months, and (2) HIV testing in the past six months. Hierarchical logistic regression models examined the association of
Tayf
participation with the outcomes averaged across all assessments, and the moderating effect of
Tayf
participation on change in the outcomes over the follow-up period. A total of 331 YMSM attended at least one event, including 33% of the cohort.
Tayf
participation was associated with a higher rate of any condomless sex with HIV-positive or unknown status partners averaged across the five assessments, but there was no moderating effect of
Tayf
participation on change in this outcome over time.
Tayf
participation was associated with higher HIV testing when averaged across all assessments, but its interaction with time showed that the strength of this association diminished over time. In conclusion,
Tayf
proved feasible and acceptable in Beirut, but with limited effects. Further work is needed, including innovative publicity and marketing strategies, to bolster effects in high stigma settings where security and legal risks are prominent.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34389890</pmid><doi>10.1007/s10461-021-03424-4</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-9081-3299</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | AIDS and behavior, 2022-03, Vol.26 (3), p.639-650 |
| issn | 1090-7165 1573-3254 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals; Sociological Abstracts |
| subjects | Anal intercourse Anal sex Assessments Evaluation Gays & lesbians Health behavior Health Psychology HIV HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - prevention & control HIV Testing Homosexuality, Male Human immunodeficiency virus Humans Infectious Diseases Lebanon Male Marketing Medical tests Medicine Medicine & Public Health Men Men who have sex with men Mens health Original Paper Participation Pilot Projects Prevention Public Health Publicity Regression analysis Regression models Sexual and Gender Minorities Sexual Behavior Sexually transmitted diseases STD Unsafe Sex Young adults Young men |
| title | A Pilot Evaluation of “Tayf”, a Cultural Adaptation of Mpowerment for Young Men who Have Sex with Men (YMSM) in Beirut, Lebanon, and Its Effects on Condomless Sex and HIV Testing |
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