To address HIV-risk among justice-involved minority men, New York City Health + Hospitals Correctional Health Services implemented a modified version of Choosing Life: Empowerment, Action Results (CLEAR), an evidence-based intervention to influence behavior. A total of 166 young (i.e., 20-29 years old) minority (e.g., non-Hispanic Black or Latinx) men at risk for HIV and incarcerated in New York City jails completed the adapted group-format intervention and corresponding evaluation assessments. Participants showed significantly improved HIV knowledge on the 18-item HIV-KQ-18 scale (mean increase = 3.11 correct, from 13.23 [SD = 3.80] pre-intervention to 16.34 [SD = 2.29] post-intervention). Similarly, participant summary scores for substance use risk, sexual risk, and health promotion improved significantly. At 90 days after jail release, participants reported improved "CLEAR thinking," reduced risk behaviors and improved health-promoting behaviors. Health and HIV-prevention education programs implemented in the jail setting may help reduce health inequities and improve health outcomes.

中文翻译：

---

改编循证干预措施以减少服务不足人群的艾滋病毒风险：纽约市监狱中的少数民族年轻人

为了解决涉及司法的少数族裔中的HIV风险，纽约市卫生与医院教养局实施了《选择生活：赋权，行动结果》（CLEAR）的修订版，这是一种基于证据的干预行为，用以影响行为。在纽约市监狱中，共有166名面临艾滋病毒感染风险并被监禁的年轻（即20-29岁）少数民族（例如，非西班牙裔黑人或拉丁裔）完成了适应性团体形式的干预和相应的评估评估。参与者显示，在18个项目的HIV-KQ-18量表上，HIV知识有了显着改善（平均干预增加= 3.11，从干预前的13.23 [SD = 3.80]到干预后的16.34 [SD = 2.29]）。同样，参与者对物质使用风险，性风险和健康促进的总体评分也得到了显着提高。入狱90天后，参与者报告说，“清晰思维”得到改善，风险行为减少，健康促进行为得到改善。在监狱环境中实施的健康和预防艾滋病毒教育计划可能有助于减少健康不平等并改善健康结果。