The Mpowerment project: A community-level HIV prevention intervention for young gay men
The Mpowerment project: A community-level HIV prevention intervention for young gay men
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DOI：
10.2105/ajph.86.8_pt_1.1129
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发表时间：
1996-08-01
影响因子：
12.7
通讯作者：
Coates, TJ
中科院分区：
文献类型：
--
作者：
Kegeles, SM;Hays, RB;Coates, TJ
目标。由于年轻男同性恋者从事不安全性行为的比例高得惊人，而且很少有人寻求帮助来改变危险行为，因此迫切需要社区层面的项目来预防他们感染人类免疫缺陷病毒（HIV）。我们在俄勒冈州一个中等规模的社区开发并实施了一个社区层面的艾滋病预防项目。这个由同龄人主导的项目有三个组成部分：外联、小组和宣传活动。独立于预防项目，对一组年轻男同性恋者（n = 300）进行了调查，并在干预前后进行了类似的比较。干预后：与非主要伴侣进行无保护肛交的男性比例从41.0%下降到30.0%（比基线下降27%），与非主要伴侣进行无保护肛交的男性比例从20.2%下降到11.1%（比基线下降45%），与男朋友进行无保护肛交的男性比例从58.9%下降到44.7%（比基线下降24%）；在同一时期，比较社区没有发生显著变化。这种预防方法有效地减少了艾滋病毒风险。要让冒险的男同性恋青年接触到艾滋病毒，预防活动必须嵌入到社会活动和社区生活中。
Objectives. 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 are urgently needed.Methods. We developed and implemented a community-level HIV prevention program in a midsized Oregon community. The peer-led program had three components: outreach, 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.Results. 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.Conclusions. 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.