Health interventions for black and minority ethnic men who have sex with men: an evaluation

Abstract

Background: Black and minority ethnic (BME) men who have sex with men (MSM) constitute a group at high risk of HIV/STI acquisition. Commissioned by Public Health England (PHE), this is the first evaluation to examine the efficacy of behavioural change health interventions targeting BME MSM in the UK. The evaluated interventions were delivered by three organisations – NAZ, The Quest, and GMI Partnership. The aim of these interventions was to promote psychological wellbeing and positive sexual health behaviours. Method: A mixed methods approach was employed to assess the efficacy of the interventions. The quantitative evaluation tool consisting of 9 measures of key variables was administered to 71 individuals before and after their participation in the interventions. T-test analyses tested for changes between pre- and post-measures. The qualitative component consisted of 5 qualitative focus groups with participants. Qualitative thematic analysis explored the overarching patterns in participants’ reported wellbeing and sexual health behaviours. Findings: There were improvements to psychological wellbeing (p<0.05), identity authenticity (p<0.05) and attitudes towards alcohol use (p<0.05). These variables have been linked to sexual risk-taking behaviours. There was little evidence that the interventions produced measurable changes to current or intended engagement in sexual behaviours, although two of the interventions did lead to decreased engagement in chemsex. Discussion: Quantitative and qualitative data suggest improvements in psychological wellbeing and related constructs. We recommend further follow-up research to determine potential long-term effects. Future interventions should focus on a culturally sensitive approach and on helping participants to develop skills for adopting healthier behaviours.