| Titre : | Community-level HIV intervention in 5 cities : Final outcome data from the CDC AIDS Community demonstration projects. (1999) |
| Auteurs : | Cdc Aids Community Demonstration Projects Research Group. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 89, n° 3, 1999) |
| Pagination : | 336-345 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Prévention santé ; Milieu urbain ; Santé communautaire ; Comportement sexuel ; Utilisation ; Préservatif ; Programme communautaire ; Lutte contre sida ; Programme santé ; Homme ; Prise de risque ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST d343R0xi. Diffusion soumise à autorisation]. Objectives. This study evaluted a theory-based community-level intervention to promote progress toward consisten condom and bleach use among selected populations at increased risk for HIV infection in 5 US cities. Methods. Role-model stories were distributed, along with condoms and bleach, by community members who encouraged behavior change among injection drug users, their female sex patners, sex workers, non-gay-identified men who have sex with men, high-risk youth, and residents in areas with high sexually transmitted disease rates. Iver a 3-year period, cross-seciontal interviews (n=15 205) wer conducted in 10 intervention and comparison community pairs. Outcomes were measured on a stage-of-change scale. Observed condom carrying and intervention exposure were also measured. Results. At the community level, movement toward consistent condom use with main (P<. 05) and nonmain (P<. 05) partners, as well as increased condom carrying (P<. 0001). was greater in intervention than in comparison communities. At the individual level, respondents recently exposed to the intervention were more likely to carry condoms and to have higher stage-of-changes scores for condom and bleach use. Conclusions. The intervention led to significant communitywide progress toward consistent HIV risk reduction. |
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