This study evaluted a theory-based community-level intervention to promote progress toward consisten condom and bleach use among selected populations at increased risk for HIV infection in 5 US cities.
Role-model stories were distributed, along with condoms and bleach, by community members who encouraged behavior change among injection drug users, their female sex patners, sex workers, non-gay-identified men who have sex with men, high-risk youth, and residents in areas with high sexually transmitted disease rates.
Iver a 3-year period, cross-seciontal interviews (n=15 205) wer conducted in 10 intervention and comparison community pairs.
Outcomes were measured on a stage-of-change scale.
Observed condom carrying and intervention exposure were also measured.
At the community level, movement toward consistent condom use with main (P<. 05) and nonmain (P<. 05) partners, as well as increased condom carrying (P<. 0001). was greater in intervention than in comparison communities.
At the individual level, respondents recently exposed to the intervention were more likely to carry condoms and to have higher stage-of-changes scores for condom and bleach use.
The intervention led to significant communitywide progress toward consistent HIV risk reduction.
Mots-clés Pascal : SIDA, Virose, Infection, Prévention, Milieu urbain, Santé communautaire, Comportement sexuel, Utilisation, Condom, Programme sanitaire, Homme, Prise risque, Etats Unis, Amérique du Nord, Amérique, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Prevention, Urban environment, Community health, Sexual behavior, Use, Condom, Sanitary program, Human, Risk taking, United States, North America, America, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0164683
Code Inist : 002B30A03B. Création : 16/11/1999.