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Updated: Mar 10, 2026

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Real Talk: Developing a Computer-Delivered Sexual Health Program for Black Men Who Have Sex With Men.

Charles Klein1, Carmela Lomonaco2

  • 1Portland State University, Portland, Oregon.

AIDS Education and Prevention : Official Publication of the International Society for AIDS Education
|December 8, 2016
PubMed
Summary
This summary is machine-generated.

This study developed "Real Talk," a harm reduction sexual health program for Black men who have sex with men (MSM). It addresses stigma and community needs, moving beyond condoms to improve health outcomes for this disproportionately affected group.

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Area of Science:

  • Public Health
  • Sexual Health Interventions
  • Health Disparities

Background:

  • Black men who have sex with men (MSM) experience disproportionately high rates of HIV.
  • Existing evidence-based programs are insufficient to address the unique needs of Black MSM communities.
  • Harm reduction and community-centered approaches are crucial for effective sexual health interventions.

Purpose of the Study:

  • To examine the development of "Real Talk," a novel harm reduction-based sexual health intervention tailored for Black MSM.
  • To identify key themes from formative research to inform intervention design.
  • To describe the intervention's components and their alignment with identified community needs.

Main Methods:

  • Formative research to identify key themes: stigma, discrimination, intersectionality, need for safe spaces, and evolving sexual health messaging.
  • Agile design product development process for intervention creation.
  • Overview of intervention components addressing identified issues.

Main Results:

  • Formative research highlighted significant stigma, discrimination, and intersectional challenges faced by Black MSM.
  • The importance of safe spaces and community support was emphasized.
  • A need to move beyond traditional condom-focused messaging in sexual health programs was identified.
  • "Real Talk" was developed using an agile process, incorporating findings from formative research.

Conclusions:

  • "Real Talk" is a tailored intervention designed to address the specific sexual health needs of Black MSM.
  • Dissemination faces challenges including reduced prevention funding, the role of pre-exposure prophylaxis (PrEP), and the rise of e-health.
  • Future efforts should focus on adapting and disseminating such interventions effectively within the evolving public health landscape.