Content analysis of HIV/STD risk reduction related role model stories for young men of color who have sex with men
F. Roque1, J. Andia2
1GMHC, Institute for Gay Men’s Health, New York, United States, 2Center for Disease Control & Prevention, Behavioral Scientist-Science Application Team, Atlanta, United States
Background: High rates of HIV and other STIs have been found among young men who have sex with men (YMSM) from the New York City House & Ball Community, a social structure of predominantly African-American and Latino gay and transgender persons. This study will analyze evidence-based (EB) Role Model Stories (RMS) in terms of stages-of-change theory for unprotected sex among YMSM.
Methods: Twenty RMS from 2007-2009 were analyzed by two coders. I) demographics, and II) RMS risk behaviors and stages of change with outstanding inter-rater reliability (kappa coefficient=0.84 p< 0.001). Information was compared with target population staging results from community identification process (CID).
Results: I) Demographics: All stories targeted YMSM of color. II) Risk behaviors: 85% of the stories focused on unprotected sex (anal or oral) and 15% of the stories focused on other risk factors (alcohol/drugs). During Year One, 81% of the target population (TP) was staged by CID from contemplation to action however 80% of the RMS were found to be developed from preparation to action. During Year Two, 46% of the TP was staged by CID at 46% in maintenance and 17% in action (a positive direction), and most RMS were constructed for action stage 40% and 20% for maintenance.
Conclusions: RMS distributed addressed the stage-of-change at one level above of the target population. The analysis of RMS provides a way to assess levels of fidelity. Further research needs to be conducted of other co-founding factors that may influence positive directions found during CID process.