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Title

If HIV prevention works, why are rates of high-risk sexual behavior increasing among MSM?

Authors

Elford J, Hart G

Network Affiliation

Other

Organization

 

Journal Name

AIDS Education & Prevention

Publication Date

8/1/2003

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/14516015

Link to full-text

 

PMID

14516015

Abstract

Systematic reviews of HIV prevention research provide clear evidence that behavioral interventions can influence the sexual behavior of men who have sex with men (MSM). However, if HIV prevention works, why are rates of high-risk sexual behavior increasing among MSM in major European, Australian, Canadian, and U.S. cities? The evidence generated by systematic reviews alone may not provide a clear answer to this question. This is because (a) it is uncertain whether experimental interventions shown to be effective in one setting, place, or moment in time can be repeated successfully in another; (b) we have limited understanding of the processes that underlie the interventions; (c) interventions shown to work in an experimental study may not necessarily be effective in everyday life. To answer the question, we need to be alert to the changing risk environment in which men have sex with other men. We also need to develop a new program of research addressing the transferability, sustainability, and effectiveness of sexual health promotion among MSM. Randomized controlled trials will remain one of the optimal means of evaluating behavioral interventions in such a program. By further strengthening the evidence base, we may identify opportunities for innovative as well as effective HIV prevention initiatives.

Keywords

 

Topic

MSM; Risk Assessment; Women

Attachments

Created at 4/1/2011 3:00 PM by Mooney, Jessica L
Last modified at 4/1/2011 3:00 PM by Mooney, Jessica L