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Community building reduces young gay men's HIV risk behavior

Young gay men-ages 18 to 28-in Albuquerque reported a 12% decrease in risky sexual behavior as a result of a community building HIV prevention intervention. Similar cohorts in Austin and Phoenix who did not receive the intervention reported increases of 42% and 26% respectively, when compared to risky behavior rates prior to the introduction of HAART (Highly Active Anti-Retroviral Therapy) in 1996, say researchers at UCSF's Center for AIDS Prevention Studies (CAPS).

"Due, in part, to changing attitudes about safer sex because of the successfulness of HAART, huge increases in risky behavior by gay men are going on everywhere, not just in the gay meccas. But we have found that an intensive community building intervention based on theories of empowerment, diffusion, and peer mobilization can reverse this trend by giving young gay men the means to establish healthy communities that provide intimacy, validation, and peer support for safer sex," said study author, Susan M. Kegeles, PhD, UCSF professor of medicine and associate director of UCSF's CAPS.

"With AIDS deaths down dramatically-and along with that, visible reminders of the deadly consequences of AIDS-just handing out condoms or discussing safer sex is not going to do the job. You need to establish places that are not gay bars or cruising areas where young gay men can create a community that supports them in all aspects of their lives," said Kegeles who will present the findings at the XIV International AIDS Conference in Barcelona, Spain.

The baseline data for the study were collected in 1996, prior to widespread HAART use, from gay men ages 18 to 28 recruited from gay bars and social networks and through advertising in Albuquerque, New Mexico, Austin, Texas, and Phoenix, Arizona. They were surveyed independently of the intervention in 1996 and then again in 1998/1999 with additional men recruited for the follow-up survey. Unprotected anal intercourse (UAI) with a non-primary partner was
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Contact: Jeff Sheehy
jsheehy@psg.ucsf.edu
415-597-8165
University of California - San Francisco
8-Jul-2002


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