Since young gay men are engaging in alarmingly high rates of unsafe sex and few seek help for changing risky behaviors, community-level programs to prevent infection with the human immunodeficiency virus (HIV) among them ar urgently needed.
We developed and implemented a community-level HIV prevention program in a midsized Oregon community.
The peer-led program had three components : out-reach, small groups, and a publicity campaign.
Independently from the prevention program, a cohort of young gay men (n=300) was surveyed in this and in a similar comparison community pre-and postintervention.
Following intervention, the proportion of men engaging in any unprotected anal intercourse decreased from 41.0% to 30.0% (-27% from baseline), decreased from 20.2% to 11.1% (-45% from baseline) with nonprimary partners, and decreased from 58.9% to 44.7% (-24% from baseline) with boyfriends.
No significant changes occurred in the comparison community over the same period.
This prevention approach effectively led to HIV risk reduction.
To reach risk-taking young gay men, HIV prevention activities must be embedded in social activities and community life.
Mots-clés Pascal : SIDA, Virose, Infection, Prévention, Programme sanitaire, Adulte jeune, Homme, Homosexualité, Mâle, Comportement sexuel, Prise risque, Californie, Etats Unis, Amérique du Nord, Amérique, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Prevention, Sanitary program, Young adult, Human, Homosexuality, Male, Sexual behavior, Risk taking, California, United States, North America, America, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0396735
Code Inist : 002B30A03B. Création : 10/04/1997.