From community to clients: the professionalisation of HIV prevention among gay men and its implications for intervention selection
Sexually Transmitted InfectionsPublished 1 April 2002Open access
Dan Wohlfeiler
Citations24
SJR quartileQ1
SJR score1.02
SNIP1.06
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Forces at work are described which encourage professionalisation and a reliance on one on one HIV prevention interventions among gay men and the area of structural and environmental interventions provides a potential complementary solution for prevention workers, researchers, and funders alike.
Abstract
Forces at work are described which encourage professionalisation and a reliance on one on one HIV prevention interventions among gay men. Community involvement is intrinsically linked to epidemic phases; when the threat diminishes, so does the community's ability to sustain community level interventions. The area of structural and environmental interventions, which can reinforce safe behaviour when community interest in collective action wanes, provides a potential complementary solution for prevention workers, researchers, and funders alike.
Keywords
Health Professions
AJN American Journal of NursingAnd the Band Played on: Politics, People, and the AIDS Epidemic
824 Citations1988J Zurlinden, Randy Shilts
This expose of one of the most important issues of the authors' time reveals how the federal government put its budgetary concerns ahead of the nation's welfare, how health authorities placed political expediency before public health, and how some scientists valued national prestige more than saving lives.
Choice Reviews OnlineCommunity organizing and community building for health
682 Citations1997
This updated and revised edition provides insights into the systems of inequality in the United States, such as race, class, and gender, that impact health.
AIDSStructural interventions in public health
390 Citations2000Kim M. Blankenship, Sarah J. Bray +1 more
This framework suggests nine kinds of structural interventions, and it is possible to identify examples of each kind of intervention across a range of public health issues.
Health Education & BehaviorPersonal Responsibility for Health? A Review of the Arguments and the Evidence at Century’s End
322 Citations1999Meredith Minkler
The paper makes the case for more balanced, ecological approaches that stress individual responsibility for health within the context of broader social responsibility, and briefly summarizes the Canadian approach to health promotion as a useful example of what such abalanced, ecological approach might look like.
Annual Review of Public HealthIMPLICATIONS OF THE RESULTS OF COMMUNITY INTERVENTION TRIALS
318 Citations1998Glorian Sorensen, Karen M. Emmons +2 more
This paper examines the results of population-level interventions conducted in three settings: entire communities, worksites, and schools, and concludes that the public health research agenda may have contributed to observed secular trends by placing behavioral risk factors on the social and media agendas.
PubMedReducing HIV incidence in developing countries with structural and environmental interventions.
281 Citations1995Michael Sweat, Julie A. Denison
In the article the use of structural and environmental interventions for HIV risk reduction is examined by developing a theoretical approach to levels of causation in HIV incidence that goes beyond the individual perspective.
American Journal of Public HealthThe San Francisco Men's Health Study: III. Reduction in human immunodeficiency virus transmission among homosexual/bisexual men, 1982-86.
266 Citations1987Warren Winkelstein, M Samuel +5 more
The prevalence and incidence of infection by the human immunodeficiency virus (HIV) has been under study in a cohort of 1,034 single men recruited by area probability sampling from a six kilometer square area of San Francisco where the epidemic of acquired immuno-AIDS has been most severe.
American Journal of Public HealthMaintenance of safer sexual behaviors and predictors of risky sex: the San Francisco Men's Health Study.
252 Citations1990Maria L. Ekstrand, Thomas J. Coates
There were drastic reductions in insertive and receptive unprotective anal intercourse over time and the vast majority of subjects were able to maintain these changes for at least 12 months prior to the last interview.
AIDSGay men report high rates of unprotected anal sex with partners of unknown or discordant HIV status
246 Citations1999Maria L. Ekstrand, Ron Stall +3 more
Analysis of patterns and factors that correlate with unprotected anal intercourse (UAI) practices among San Francisco gay men, including UAI with partners of unknown or different HIV antibody status, confirms trends in sexual behavior previously suggested by rising rates of rectal gonorrhea.
Journal of American HistoryUnder the Cover of Kindness: The Invention of Social Work.
233 Citations1998Michael Reisch, Leslie Margolin
American Journal of Public HealthHIV infection in homosexual and bisexual men 18 to 29 years of age: the San Francisco Young Men's Health Study.
198 Citations1994Dennis Osmond, Kimberly Page +6 more
HIV infection rates in young homosexual men in San Francisco are lower than those in the early 1980s; however, the rate of infection in these men, most of whom became sexually active after awareness of AIDS had become widespread, threatens to continue the epidemic in the younger generation at a level not far below that of a decade ago.
PubMedReported changes in the sexual behavior of men at risk for AIDS, San Francisco, 1982-84--the AIDS Behavioral Research Project.
172 Citations1986Leon McKusick, Wiley Ja +7 more
Substantial changes in reported sexual behavior with persons other than a primary partner are found and increased length of time since the first homosexual experience is distinguished.
American Journal of Public HealthThe San Francisco Men's Health Study: continued decline in HIV seroconversion rates among homosexual/bisexual men.
155 Citations1988Warren Winkelstein, James Wiley +5 more
Conurrent declines of approximately 80 per cent in the prevalence of sexual behaviors associated with HIV transmission were observed in the sample and annualized HIV seroconversion rates in previously uninfected cohort members have declined by 88 per cent.
PubMedRelapse from safer sex: the next challenge for AIDS prevention efforts.
137 Citations1990Ron Stall, Maria Ekstrand +3 more
Data is presented from a 5-year prospective study to show that the vast majority of resident gay men in San Francisco have made initial risk reductions and relapse from safer sex techniques is now the predominant predominant kind of high-risk sex.
Social ProblemsDynamics of Black Mobilization against AIDS in New York City
75 Citations1989Ernest Quimby, Samuel R. Friedman
Reasons for the failure of these attempts to produce sizable mobilization include socially structured divisions among blacks; ideological paralysis of key actors such as churches and politicians confronted by an epidemic spread by risk behaviors they oppose; poverty.
AIDSStructural and environmental HIV prevention for gay and bisexual men
62 Citations2000Dan Wohlfeiler
The gay community's relationship with structural and environmental interventions, including its intensely debated approaches to reducing HIV transmission within bathhouses are reviewed, and the implications for HIV prevention for gay men are considered.
American Journal of Community PsychologyVolunteer Participation in Context: Motivations and Political Efficacy Within Three AIDS Organizations
48 Citations1997Eric Stewart, Rhona S. Weinstein
Qualitative data more clearly illuminated volunteers' motivations for participation, as well as complex, embedded relationships between setting, motivations, attitudes about sociopolitical participation, and personal and community experience and identification, which underscore the value of contextual approaches to participation and empowerment.
International Journal of Health ServicesCommunity-Based Aids Services: Formalization and Depoliticization
40 Citations1993Roy Cain
The article identifies ways in which the organization has changed over time, and highlights some of the forces which propel these changes, and discusses the political implications of the increased formalization of community AIDS groups.
International Journal of Health ServicesThinking and Rethinking Aids: Implications for Health Policy
28 Citations1993Elizabeth Fee, Nancy Krieger
The authors propose a new historical model of a slow-moving, long-lasting pandemic, a chronic infectious ailment manifested through myriad specific HIV-related diseases, and argue that the traditional distinction between, and approaches to, infectious and chronic diseases need to be rethought for other diseases as well as for AIDS.
Journal of Acquired Immune Deficiency Syndromes & Human RetrovirologyAIDS Epidemic in San Francisco Among Men Who Report Sex with Men
27 Citations1997Mitchell H. Katz
Although community mobilization has been effective in reducing infection rates, innovative techniques to address the special needs of young MSM and to prevent the return to unsafe sex among all MSM are needed.
American Journal of Public HealthSome principles in study design for preventing HIV transmission: rigor or reality.
25 Citations1996Mervyn Susser
American Journal of Health PromotionPrevention of HIV Infection through Changes in Sexual Behavior
14 Citations1999Michael P. Carey
Qualitative SociologyManaging impressions of an AIDS service organization: Into the mainstream or out of the closet?
11 Citations1994Roy Cain
The Journal of Infectious DiseasesPreventing Sexually Transmitted Diseases Through Individual- And Population-Based Public Health Approaches: Social And Political Implications
10 Citations1996Josef Decosas, VIOLETTE PEDNEAULT
The language of epidemiology, when used in public health campaigns to control STDs, has led to stigmatization and victimization of individuals, and policies that ignore the political and social organization of populations are in danger of becoming instruments of social and political repression.
Thinking and Rethinking AIDS: Implications for Health Policy
3 Citations2020Elizabeth Fee, Nancy Krieger
ICPSR Data HoldingsSan Francisco Men's Health Study, 1984-1993
3 Citations2023Winkelstein Jr., Warren, Wiley, James A.