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Cited by 121HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskAdolescent Sexual and Reproductive Health

Mobilizing young gay and bisexual men for HIV prevention: a two-community study

Kegeles, Susan M., Hays, Robert B., Pollack, Lance M., Coates, Thomas J.·1999·AIDS
DOI 10.1097/00002030-199909100-00020
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Abstract

BACKGROUND: To develop, implement and evaluate a community-level HIV prevention program (the Mpowerment Project) for young gay men in two US communities. DESIGN: Using a multiple baseline design, a cohort of young gay men was recruited independently of the intervention in each community and surveyed twice (1 year apart) regarding sexual risk behavior and psychosexual variables. The intervention was then implemented sequentially in each community. The cohorts were resurveyed immediately post- and 1-year post-intervention. Since there were few differences between the two communities, data were pooled to increase statistical power. INTERVENTION: The program had four components: peer outreach, whereby young gay men encouraged other men to engage in safer sex; peer-led small groups; a publicity campaign; and a young men's center. RESULTS: Baseline rates of unprotected anal intercourse were stable. Following intervention, the proportion of men who engaged in unprotected anal intercourse decreased from 38.3 to 30.9% (-19.3% relative reduction), with a reduction from 19.2 to 13.6% (-29.2% relative reduction) with non-primary partners, and a reduction from 57.7 to 41.8% (-27.6% relative reduction) with boyfriends. Reductions were sustained 1 year later with non-primary partners, but mixed results were found regarding sex with boyfriends. CONCLUSIONS: Mobilizing young gay men to support each other about safer sex is an effective approach to HIV prevention, but programs must be sustained. To reach young gay men, HIV prevention activities must be embedded into the satisfaction of needs for social and community belonging.

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Crossref · 10.1097/00002030-199909100-00020

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  • A pairwise enrollment roll-out design resembles the original design of a roll-out randomized effectiveness trial of an HIV community-based intervention.

    “A pairwise enrollment roll-out design (111) differs from the two we previously discussed and is similar to the original design for a roll-out randomized effectiveness trial of an HIV community-based intervention.”

    From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [62]

  • In that original HIV design, two communities were randomized to receive the intervention in year one or year two, with assessments in both communities in year one to evaluate impact.

    “In their original design (62), a pair of communities were randomized to receive the intervention in the first or second year; assessments were made for both communities in the first year to evaluate impact.”

    From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [62]

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Authors
Kegeles, S. M., Hays, R. B., Pollack, L. M., & Coates, T. J.
Affiliations
University of California, San Francisco (US)
Corresponding author
Kegeles, Susan M.
ORCID
Venue
AIDS
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1999-09
Volume
13
Issue
13
Pages
1753-1762
ISSN
0269-9370 (ISSN-L)
DOI
10.1097/00002030-199909100-00020
OpenAlex
W2045967098
Cited by
121
References
47
Citations by year
2026: 1 · 2025: 3 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 7 · 2013: 6 · 2012: 6
FWCI
4.45
Type
journal article
Language
en
Open access
closed
Locations
  • AIDS (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH 42459, P50MH042459, MH46816, R01MH046816)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords
HIV prevention, young gay men, bisexual men, unprotected anal intercourse, safer sex, peer outreach, publicity campaigns, community mobilization, social belonging, sexual risk behavior
MeSH terms
Adolescent, Adult, Attitude to Health, Bisexuality, California, Health Education, Humans, Male, Mass Media, Oregon, Peer Group, Risk-Taking, Sexual Behavior, HIV Infections, Homosexuality, Male

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