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Reducing AIDS Risk Among Men Who Have Sex with Men in Salvador, Brazil

Reducing AIDS Risk Among Men Who Have Sex with Men in Salvador, Brazil Even though men who have sex with men (MSM) continue to account for a high proportion of AIDS cases in Brazil, relatively few prevention programs have been designed for them. We developed, implemented, and measured the impact of such a program in Salvador, Bahia, Brazil. This prospective cohort study used pre–post comparison to evaluate the impact of an intervention. We interviewed a cohort of 227 men recruited through snowball sampling before and up to 6 months after participating in brief AIDS prevention interventions. Knowledge and attitudes measures of HIV/AIDS and safer sex practices were raised and reported AIDS sexual risk behaviors declined after the intervention (all p values <.001). The proportion of men reporting unprotected anal intercourse in the prior month fell from 19% before the intervention to 1% after it. This study suggests that AIDS prevention activities designed for MSM in similar settings can be feasible and effective. More such prevention programs are urgently needed for MSM in developing countries such as Brazil. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AIDS and Behavior Springer Journals

Reducing AIDS Risk Among Men Who Have Sex with Men in Salvador, Brazil

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References (31)

Publisher
Springer Journals
Copyright
Copyright © 2002 by Plenum Publishing Corporation
Subject
Medicine & Public Health; Public Health; Health Psychology; Infectious Diseases
ISSN
1090-7165
eISSN
1573-3254
DOI
10.1023/A:1015453332756
Publisher site
See Article on Publisher Site

Abstract

Even though men who have sex with men (MSM) continue to account for a high proportion of AIDS cases in Brazil, relatively few prevention programs have been designed for them. We developed, implemented, and measured the impact of such a program in Salvador, Bahia, Brazil. This prospective cohort study used pre–post comparison to evaluate the impact of an intervention. We interviewed a cohort of 227 men recruited through snowball sampling before and up to 6 months after participating in brief AIDS prevention interventions. Knowledge and attitudes measures of HIV/AIDS and safer sex practices were raised and reported AIDS sexual risk behaviors declined after the intervention (all p values <.001). The proportion of men reporting unprotected anal intercourse in the prior month fell from 19% before the intervention to 1% after it. This study suggests that AIDS prevention activities designed for MSM in similar settings can be feasible and effective. More such prevention programs are urgently needed for MSM in developing countries such as Brazil.

Journal

AIDS and BehaviorSpringer Journals

Published: Oct 10, 2004

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