View in EDS HTML Full Text

Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. Community HIV Prevention Research Collaborative.

Saved in:
Bibliographic Details
Title: Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. Community HIV Prevention Research Collaborative.
Authors: Kelly JA (AUTHOR), Murphy DA (AUTHOR), Sikkema KJ (AUTHOR), McAuliffe TL (AUTHOR), Roffman RA (AUTHOR), Solomon LJ (AUTHOR), Winett RA (AUTHOR), Kalichman SC (AUTHOR), Community HIV Prevention Research Collaborative (CORPORATE AUTHOR), Kelly, J A (AUTHOR), Murphy, D A (AUTHOR), Sikkema, K J (AUTHOR), McAuliffe, T L (AUTHOR), Roffman, R A (AUTHOR), Solomon, L J (AUTHOR), Winett, R A (AUTHOR), Kalichman, S C (AUTHOR)
Source: Lancet. 11/22/1997, Vol. 350 Issue 9090, p1500-1505. 6p.
Abstract: Background: Community-level interventions may be helpful in population-focused HIV prevention. If members of populations at risk of HIV infection who are popular with other members can be engaged to advocate the benefits of behaviour change to peers, decreases in risk behaviour may be possible. We assessed a community-level intervention to lower the risk of HIV infection, focusing on men patronising gay bars in eight small US cities.Methods: We used a randomised community-level field design. Four cities received the intervention and four control cities did not. Participants were men from each city who went to gay bars. Men completed surveys about their sexual behaviour on entering the bars during 3-night periods at baseline and at 1-year follow-up. In the control cities, HIV educational materials were placed in the bars. In the intervention cities, we recruited popular homosexual men in the community and trained them to spread behaviour-change endorsements and recommendations to their peers through conversation.Findings: Population-level of risk behaviour decreased significantly in the intervention cities compared with the control cities at 1-year follow-up, after exclusion of surveys completed by transients and men with exclusive sexual partners in a city-level analysis, in the intervention cities we found a reduction in the mean frequency of unprotected anal intercourse during the previous 2 months (baseline 1.68 occasions; follow-up 0.59: p = 0.04) and an increase in the mean percentage of occasions of anal intercourse protected by condoms (baseline 44.7%; follow-up 66.8%, p = 0.02). Increased numbers of condoms taken from dispensers in intervention-city bars corroborated risk-behaviour self-reports.Interpretation: Popular and well-liked members of a community who systematically endorse and recommend risk-reduction behaviour can influence the sexual-risk practices of others in their social networks. Natural styles of communication, such as conversations, brought about population-level changes in risk behaviour. [ABSTRACT FROM AUTHOR]
Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 107266468
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. Community HIV Prevention Research Collaborative.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Kelly+JA%22">Kelly JA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murphy+DA%22">Murphy DA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sikkema+KJ%22">Sikkema KJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McAuliffe+TL%22">McAuliffe TL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roffman+RA%22">Roffman RA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solomon+LJ%22">Solomon LJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winett+RA%22">Winett RA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kalichman+SC%22">Kalichman SC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Community+HIV+Prevention+Research+Collaborative%22">Community HIV Prevention Research Collaborative</searchLink> (CORPORATE AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kelly%2C+J+A%22">Kelly, J A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Murphy%2C+D+A%22">Murphy, D A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sikkema%2C+K+J%22">Sikkema, K J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McAuliffe%2C+T+L%22">McAuliffe, T L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roffman%2C+R+A%22">Roffman, R A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solomon%2C+L+J%22">Solomon, L J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winett%2C+R+A%22">Winett, R A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kalichman%2C+S+C%22">Kalichman, S C</searchLink> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Lancet%22">Lancet</searchLink>. 11/22/1997, Vol. 350 Issue 9090, p1500-1505. 6p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Background: </bold>Community-level interventions may be helpful in population-focused HIV prevention. If members of populations at risk of HIV infection who are popular with other members can be engaged to advocate the benefits of behaviour change to peers, decreases in risk behaviour may be possible. We assessed a community-level intervention to lower the risk of HIV infection, focusing on men patronising gay bars in eight small US cities.<bold>Methods: </bold>We used a randomised community-level field design. Four cities received the intervention and four control cities did not. Participants were men from each city who went to gay bars. Men completed surveys about their sexual behaviour on entering the bars during 3-night periods at baseline and at 1-year follow-up. In the control cities, HIV educational materials were placed in the bars. In the intervention cities, we recruited popular homosexual men in the community and trained them to spread behaviour-change endorsements and recommendations to their peers through conversation.<bold>Findings: </bold>Population-level of risk behaviour decreased significantly in the intervention cities compared with the control cities at 1-year follow-up, after exclusion of surveys completed by transients and men with exclusive sexual partners in a city-level analysis, in the intervention cities we found a reduction in the mean frequency of unprotected anal intercourse during the previous 2 months (baseline 1.68 occasions; follow-up 0.59: p = 0.04) and an increase in the mean percentage of occasions of anal intercourse protected by condoms (baseline 44.7%; follow-up 66.8%, p = 0.02). Increased numbers of condoms taken from dispensers in intervention-city bars corroborated risk-behaviour self-reports.<bold>Interpretation: </bold>Popular and well-liked members of a community who systematically endorse and recommend risk-reduction behaviour can influence the sexual-risk practices of others in their social networks. Natural styles of communication, such as conversations, brought about population-level changes in risk behaviour. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=107266468
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/s0140-6736(97)07439-4
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 1500
    Titles:
      – TitleFull: Randomised, controlled, community-level HIV-prevention intervention for sexual-risk behaviour among homosexual men in US cities. Community HIV Prevention Research Collaborative.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Kelly JA
      – PersonEntity:
          Name:
            NameFull: Murphy DA
      – PersonEntity:
          Name:
            NameFull: Sikkema KJ
      – PersonEntity:
          Name:
            NameFull: McAuliffe TL
      – PersonEntity:
          Name:
            NameFull: Roffman RA
      – PersonEntity:
          Name:
            NameFull: Solomon LJ
      – PersonEntity:
          Name:
            NameFull: Winett RA
      – PersonEntity:
          Name:
            NameFull: Kalichman SC
      – PersonEntity:
          Name:
            NameFull: Community HIV Prevention Research Collaborative
      – PersonEntity:
          Name:
            NameFull: Kelly, J A
      – PersonEntity:
          Name:
            NameFull: Murphy, D A
      – PersonEntity:
          Name:
            NameFull: Sikkema, K J
      – PersonEntity:
          Name:
            NameFull: McAuliffe, T L
      – PersonEntity:
          Name:
            NameFull: Roffman, R A
      – PersonEntity:
          Name:
            NameFull: Solomon, L J
      – PersonEntity:
          Name:
            NameFull: Winett, R A
      – PersonEntity:
          Name:
            NameFull: Kalichman, S C
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 22
              M: 11
              Text: 11/22/1997
              Type: published
              Y: 1997
          Identifiers:
            – Type: issn-print
              Value: 01406736
          Numbering:
            – Type: volume
              Value: 350
            – Type: issue
              Value: 9090
          Titles:
            – TitleFull: Lancet
              Type: main
ResultId 1