HIV prevention outreach in commercial gay venues in large cities: evaluation findings from London

Human immunodeficiency virus (HIV) prevention delivered in gay venues in US cities has been found to be effective in reducing HIV transmission in the 1990s but effects might not be generalizable to different times and settings. Doubts have been raised about: outreach's ability to address skills...

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Veröffentlicht in:Health education research 2006-08, Vol.21 (4), p.452-464
Hauptverfasser: Bonell, Chris, Strange, V, Allen, E, Barnett-Page, E
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creator Bonell, Chris
Strange, V
Allen, E
Barnett-Page, E
description Human immunodeficiency virus (HIV) prevention delivered in gay venues in US cities has been found to be effective in reducing HIV transmission in the 1990s but effects might not be generalizable to different times and settings. Doubts have been raised about: outreach's ability to address skills and explore personal behaviour; big-city commercial gay venues being appropriate sites for outreach because of gossip and social surveillance; and acceptability of outreach by professionals rather than ‘popular opinion formers’. We evaluated coverage, feasibility, acceptability and perceived impact of venue-based HIV prevention outreach by professionals in London, employing observation, surveys and interviews with venue-users, and focus groups/semi-structured interviews with workers. We found high coverage especially among target groups. Addressing negotiation skills and personal behaviour was feasible but required worker motivation and skill. Social surveillance rarely impeded work. Gay men generally found outreach acceptable and useful, and professionals were not regarded negatively. Impact on knowledge was commonly reported; impacts on negotiation skills and reflection on personal behaviour were more common among men experiencing longer contacts. In conclusion, professional HIV prevention outreach in gay venues in large cities is a feasible and acceptable intervention with significant potential impacts. Workers need to be well briefed and trained to maximize impact.
doi_str_mv 10.1093/her/cyh071
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source MEDLINE; Oxford Journals Online; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection; JSTOR
subjects Adult
Community based preventive programmes
Community Relations
Evaluation
Focus Groups
Health Education - methods
Health Knowledge, Attitudes, Practice
Health Promotion
Health technology assessment
HIV
HIV Infections - prevention & control
Homosexuality, Male
Homosexuals
Humans
Interviews
London
Male
Males
Middle Aged
ORIGINAL ARTICLES
Outreach programmes
Semi Structured Interviews
Sexual Behavior
Sexually Transmitted Diseases
Socialization
Socioeconomic Factors
Urban Population
World cities
title HIV prevention outreach in commercial gay venues in large cities: evaluation findings from London
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