Official Title: Prevention of HIV Infection in Youth at Risk Developing Community-Level Intervention Strategies That Work Community Intervention Trial for Youth CITY Study
Status: COMPLETED
Status Verified Date: 2012-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The purpose of this study is to test whether a multi-component community-level HIV-prevention intervention is more effective than existing HIV prevention activities in reducing unprotected anal intercourse UAI among men ages 15-25 who have sex with men
Detailed Description: In recent years there have been increases in the rates of unprotected anal intercourse UAI reported by men who have sex with men MSM and in the numbers of newly diagnosed HIV infections among MSM Surveys of young MSM ages 15-29 in numerous US cities from 1994-2000 found an HIV prevalence of 22 to 18 however HIV prevalence was higher among young MSM of color than among white men In a survey of 23-29 year-old MSMnearly 13 of African-American men and 15 of HispanicLatino men were infected with HIV
The Community Intervention Trial for Youth CITY study is a 13-community randomized control trial designed to evaluate a multi-component community-level intervention for MSM ages 15-25 ie young MSM or YMSM All 13 communities have some form of HIV-prevention activities naturally occurring in their jurisdiction but 6 of the 13 communities were randomly assigned to also receive the multi-component intervention 1 additional city served as a case study and also received the intervention This intervention includes 4 components 1 community health advisor network CHAN consisting of YMSM who conduct outreach to their peers including linking other YMSM to community services and conducting other parts of the intervention 2 social marketing to include the use media to disseminate HIV risk-reduction messages and promote positive norms for safer sex 3 large group events with an HIV prevention theme and 4 small group activitiesworkshops that focus on increasing HIV prevention skills and enhancing a positive self-identity
The study population varies by site based on the specific racial or ethnic groups of YMSM that are targeted African-American YMSM are the study population in Atlanta Georgia comparison site Birmingham Alabama intervention site and Chicago Illinois intervention site HispanicLatino YMSM are the study population in Washington HeightsSouth Bronx New York intervention site Jackson HeightsQueens New York comparison site Orange County California intervention site and San Gabriel Valley California comparison site Asian and Pacific Islander YMSM are the study population in Seattle Washington intervention site and San Diego California comparison site YMSM regardless or raceethnicity are the study population in Milwaukee Wisconsin intervention site Detroit Michigan comparison site Minneapolis Minnesota comparison site and West Hollywood California intervention site
The primary goals of the intervention are to 1 decrease UAI with any male partners 2 decrease UAI with main male partners and 3 decrease UAI with non-main ie casual male partners Using a venue-based timespace sampling strategy in each community cross-sectional samples of YMSM were interviewed from May-August across 4 years 1999-2002 Data collected in 1999 and 2000 were prior to the implementation of the multi-component intervention and data collected in 2001 and 2002 were during the implementation of the intervention