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Community-based peer intervention to reduce HIV risk among men who have sex with men in Sichuan province, China.
AIDS Educ Prev. 2013 Feb; 25(1):38-48.AE

Abstract

This study evaluated the effectiveness of a community-based peer intervention to reduce HIV risk among men who have sex with men (MSM) in Sichuan province, China. The intervention was based on the Popular Opinion Leader framework, in which respected MSM peer leaders attempted to change MSM community norms related to sexual behavior and HIV risk. The intervention was conducted in a metropolitan city, with a matched city in the same province serving as a comparison. We conducted a baseline survey of HIV risk behaviors with 200 MSM per city, provided the intervention for 12 months in the treatment city, and conducted a post-treatment survey of an independent sample of 200 MSM per city. In the intervention city at post-treatment, we observed reduced unprotected anal intercourse during the last 3 sex episodes with a primary male partner (AOR = 0.31, 95% CI = 0.17-0.57), reduced anal intercourse during the last 3 sex episodes with male casual or commercial partners (AOR = 0.15, 95% CI = 0.07-0.35), increased condom use during last sex episode with a primary male partner (AOR = 3.33, 95% CI = 1.86-5.98), and increased condom use during last sex episode with male casual or commercial partners (AOR = 3.78, 95% CI = 1.07-13.41). In the control city at post-treatment, we observed decreased condom use with male casual or commercial partners (AOR = 0.39, 95% CI = 0.15-0.99). Findings suggest that a community-based intervention involving popular opinion leaders can decrease sexual risk behavior among MSM in China.

Authors+Show Affiliations

School of Public Health, Anhui Medical University, Anhui Province, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23387950

Citation

Duan, Yuwen, et al. "Community-based Peer Intervention to Reduce HIV Risk Among Men Who Have Sex With Men in Sichuan Province, China." AIDS Education and Prevention : Official Publication of the International Society for AIDS Education, vol. 25, no. 1, 2013, pp. 38-48.
Duan Y, Zhang H, Wang J, et al. Community-based peer intervention to reduce HIV risk among men who have sex with men in Sichuan province, China. AIDS Educ Prev. 2013;25(1):38-48.
Duan, Y., Zhang, H., Wang, J., Wei, S., Yu, F., & She, M. (2013). Community-based peer intervention to reduce HIV risk among men who have sex with men in Sichuan province, China. AIDS Education and Prevention : Official Publication of the International Society for AIDS Education, 25(1), 38-48. https://doi.org/10.1521/aeap.2013.25.1.38
Duan Y, et al. Community-based Peer Intervention to Reduce HIV Risk Among Men Who Have Sex With Men in Sichuan Province, China. AIDS Educ Prev. 2013;25(1):38-48. PubMed PMID: 23387950.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Community-based peer intervention to reduce HIV risk among men who have sex with men in Sichuan province, China. AU - Duan,Yuwen, AU - Zhang,Hongbo, AU - Wang,Jun, AU - Wei,Suo, AU - Yu,Fang, AU - She,Min, PY - 2013/2/8/entrez PY - 2013/2/8/pubmed PY - 2013/4/4/medline SP - 38 EP - 48 JF - AIDS education and prevention : official publication of the International Society for AIDS Education JO - AIDS Educ Prev VL - 25 IS - 1 N2 - This study evaluated the effectiveness of a community-based peer intervention to reduce HIV risk among men who have sex with men (MSM) in Sichuan province, China. The intervention was based on the Popular Opinion Leader framework, in which respected MSM peer leaders attempted to change MSM community norms related to sexual behavior and HIV risk. The intervention was conducted in a metropolitan city, with a matched city in the same province serving as a comparison. We conducted a baseline survey of HIV risk behaviors with 200 MSM per city, provided the intervention for 12 months in the treatment city, and conducted a post-treatment survey of an independent sample of 200 MSM per city. In the intervention city at post-treatment, we observed reduced unprotected anal intercourse during the last 3 sex episodes with a primary male partner (AOR = 0.31, 95% CI = 0.17-0.57), reduced anal intercourse during the last 3 sex episodes with male casual or commercial partners (AOR = 0.15, 95% CI = 0.07-0.35), increased condom use during last sex episode with a primary male partner (AOR = 3.33, 95% CI = 1.86-5.98), and increased condom use during last sex episode with male casual or commercial partners (AOR = 3.78, 95% CI = 1.07-13.41). In the control city at post-treatment, we observed decreased condom use with male casual or commercial partners (AOR = 0.39, 95% CI = 0.15-0.99). Findings suggest that a community-based intervention involving popular opinion leaders can decrease sexual risk behavior among MSM in China. SN - 1943-2755 UR - https://www.unboundmedicine.com/medline/citation/23387950/Community_based_peer_intervention_to_reduce_HIV_risk_among_men_who_have_sex_with_men_in_Sichuan_province_China_ L2 - https://guilfordjournals.com/doi/10.1521/aeap.2013.25.1.38 DB - PRIME DP - Unbound Medicine ER -