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The Mpowerment project: A community-level HIV prevention intervention for young gay men

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  • Kegeles, S.M.
  • Hays, R.B.
  • Coates, T.J.

Abstract

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. Wc 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.

Suggested Citation

  • Kegeles, S.M. & Hays, R.B. & Coates, T.J., 1996. "The Mpowerment project: A community-level HIV prevention intervention for young gay men," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1129-1136.
    • Handle: RePEc:aph:ajpbhl:1996:86:8:1129-1136_4
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    Cited by:

    1. Altman, Lara & Kuhlmann, Anne K. Sebert & Galavotti, Christine, 2015. "Understanding the black box: A systematic review of the measurement of the community mobilization process in evaluations of interventions targeting sexual, reproductive, and maternal health," Evaluation and Program Planning, Elsevier, vol. 49(C), pages 86-97.
    2. Kathleen J. Sikkema, 2005. "HIV Prevention among Women in Low-Income Housing Developments: Issues and Intervention Outcomes in a Place-Based Randomized Controlled Trial," The ANNALS of the American Academy of Political and Social Science, , vol. 599(1), pages 52-70, May.
    3. Schneider, John A. & McFadden, Rachel B. & Laumann, Edward O. & Prem Kumar, S.G. & Gandham, Sabitha R. & Oruganti, Ganesh, 2012. "Candidate change agent identification among men at risk for HIV infection," Social Science & Medicine, Elsevier, vol. 75(7), pages 1192-1201.
    4. Hsiao-Ying Chang & Vanessa Johnson & Liza Marie Conyers, 2023. "Exploring the Impact of an Integrated Trauma-Informed HIV and Vocational Intervention for Black/African American Women Living with HIV," IJERPH, MDPI, vol. 20(17), pages 1-25, August.
    5. Schneider, John A. & Zhou, A. Ning & Laumann, Edward O., 2015. "A new HIV prevention network approach: Sociometric peer change agent selection," Social Science & Medicine, Elsevier, vol. 125(C), pages 192-202.

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