People of Black ethnicity continue to experience a disproportionately high burden of STIs in the UK. Despite this, there has been little intervention research among people in this group. This review aims to explore the evidence of effectiveness of psychosocial interventions at increasing condom use among Black men in order to provide recommendations and inform future studies that aim to develop and trial psychosocial interventions for this cohort in a UK context.
Nine databases (MEDLINE, CINAHL Plus, AMED - The Allied and Complementary Medicine Database, eBook Collection (EBSCOhost), Information Science & Technology Abstracts, PsycARTICLES, PsycINFO, PsycBOOKS) were searched for relevant intervention studies alongside grey literature searching. Two reviewers independently assessed the quality and risk of bias of each study.
A total of 17 studies met the inclusion criteria. Eight studies reported weak evidence of positive intervention effects. Whilst interventions were multifactorial in their design, the core focus of these interventions centred around condom perception and acceptability, skills building, knowledge building, combination of knowledge and skills building, racial inequalities or life-coaching. Four studies reported mixed findings and five studies reported no intervention effects.
This review has identified scientifically weak evidence highlighting potential of multifactorial interventions to increase condom use among Black men, mainly in USA settings. Common psychosocial components supporting the core focus across promising interventions included STI/HIV knowledge, identifying personal motivators, enhancing motivation to change behaviour, goal setting and condom use skills building. The multifactorial nature of interventions provide obscure evidence on the successful components of interventions with positive effects. The limited generalisability of studies means future research should aim to acquire a better understanding of the sexual health behavioural experiences and motivators of Black men in the UK to underpin culturally relevant and tailored interventions.
Meyrick, J., & Nwaosu, U. (in press). Are psychosocial interventions effective at increasing condom use among Black men? A systematic review. International Journal of STD and AIDS,