Résumé :
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[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<. and nonmain partners as well increased condom carrying was greater in intervention than comparison communities. at the individual level respondents recently exposed to were more likely carry condoms have higher stage-of-changes scores for bleach use. conclusions. led significant communitywide progress toward consistent hiv risk reduction.>
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