Cited by 737HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskAdolescent Sexual and Reproductive Health

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HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis.

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Kelly, J A, St Lawrence, J S, Diaz, Y E, Stevenson, L Y, Hauth, A C, Brasfield, T L, Kalichman, S C, Smith, J E, Andrew, M E·1991·American Journal of Public Health

DOI 10.2105/ajph.81.2.168PMC PMC1404968

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Abstract

BACKGROUND AND PURPOSE. Peer norms influence the adoption of behavior changes to reduce risk for HIV (human immunodeficiency virus) infection. By experimentally intervening at a community level to modify risk behavior norms, it may be possible to promote generalized reductions in HIV risk practices within a population. METHODS. We trained persons reliably identified as popular opinion leaders among gay men in a small city to serve as behavior change endorsers to their peers. The opinion leaders acquired social skills for making these endorsements and complied in talking frequently with friends and acquaintances. Before and after intervention, we conducted surveys of men patronizing gay clubs in the intervention city and in two matched comparison cities. RESULTS. In the intervention city, the proportion of men who engaged in any unprotected anal intercourse in a two-month period decreased from 36.9 percent to 27.5 percent (-25 percent from baseline), with a reduction from 27.1 percent to 19.0 percent (-30 percent from baseline) for unprotected receptive anal intercourse. Relative to baseline levels, there was a 16 percent increase in condom use during anal intercourse and an 18 percent decrease in the proportion of men with more than one sexual partner. Little or no change was observed among men in the comparison cities over the same period of time. CONCLUSIONS. Interventions that employ peer leaders to endorse change may produce or accelerate population behavior changes to lessen risk for HIV infection.

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Psychological factors that predict AIDS high-risk versus AIDS precautionary behavior.
Kelly, J. A., Lawrence, J. S. S., Brasfield, T. L., Lemke, A., Amidei, T., Roffman, R. E., Hood, H. V., Smith, J. E., Kilgore, H., & McNeill, C. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.58.1.117 · Cited by 183
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Appendix A: Glossary
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Copyright Page
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Dedication
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Foreword
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“…also contributes to the growing body of evidence on the effectiveness of SNIs in promoting healthy behaviors (Campbell et al. 2008; Chung et al. 2017; Cruwys et al. 2015; Kelly et al. 1991; Latkin and Knowlton 2015; Robinson et al. 2014; Sebire et al. 2018; Story et al. 2002; Valente et al. 2003).”
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“…a socially influential member of a community communicates HIV risk reduction strategies with their peers, their peers’ behaviors change, but only if they positively perceive the messenger (Group, 2007; Ibrahim et al., 2024; Kelly, 2004; Kelly et al., 1991; Pagkas-Bather et al., 2020; Quinn, 2020).”
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Authors: Kelly, J. A., St Lawrence, J. S., Diaz, Y. E., Stevenson, L. Y., Hauth, A. C., Brasfield, T. L., Kalichman, S. C., Smith, J. E., & Andrew, M. E.
Affiliations: University of Mississippi Medical Center (US)
ORCID: Kelly, J A
Kalichman, S C
Smith, J E
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 1991-02
Volume: 81
Issue: 2
Pages: 168-171
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.81.2.168
PMC: PMC1404968
OpenAlex: W2012749243
Cited by: 736
References: 10
Citations by year: 2026: 9 · 2025: 7 · 2024: 14 · 2023: 7 · 2022: 22 · 2021: 17 · 2020: 17 · 2019: 19 · 2018: 26 · 2017: 25 · 2016: 17 · 2015: 30 · 2014: 31 · 2013: 28 · 2012: 29
FWCI: 19.99
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r01mh042908-11)
National Institute of Mental Health (R01 MH 42908)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Keywords: HIV risk behavior, peer leaders, opinion leaders, gay men, unprotected anal intercourse, condom use, sexual partners, peer norms, community-based intervention, HIV prevention, gay clubs
MeSH terms: Community Participation, Health Education, Homosexuality, Humans, Male, Risk Factors, Sexual Behavior, HIV Infections

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HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis.

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