CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Page 1-2: = ACDP Research Group, 1999, AIDS Community Demonstration Projects

From: Subject: CDC-NCHSTP-DHAP: Compendium of HIV Prevention Interventions with Evidence of Effectiveness - Section 1 - Page 1-2: ACDP Research Group, 1999, AIDS Community Demonstration Projects Date: Fri, 25 Oct 2002 00:54:22 -0500 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0026_01C27BC1.0EC9B580"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2919.6600 This is a multi-part message in MIME format. ------=_NextPart_000_0026_01C27BC1.0EC9B580 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.cdc.gov/hiv/pubs/hivcompendium/section1-2.htm CDC-NCHSTP-DHAP: Compendium of HIV Prevention = Interventions with Evidence of Effectiveness - Section 1 - Page 1-2: = ACDP Research Group, 1999, AIDS Community Demonstration Projects

National Center for HIV, STD and TB=20 Prevention
Divisions of HIV/AIDS Prevention=20

Community-level HIV = Intervention in Five=20 Cities: Final Outcome Data from the CDC AIDS Community = Demonstration=20 Projects

CDC AIDS Community Demonstration Projects = Research Group=20 (1999)
American Journal of Public Health, 89 (3), 336 - = 345

Description of Intervention: AIDS = Community=20 Demonstration Project

This community-level intervention was based on the=20 Transtheoretical Model of Behavior Change, which recognizes = that=20 change occurs in stages. The intervention aimed to modify = attitudes=20 and beliefs about prevention methods among the community = members by=20 providing models of successful risk-reduction strategies = adopted by=20 members of the target population. The intervention took = place over 3=20 years in Dallas, Denver, Long Beach, New York City, and = Seattle.=20 Peer volunteers from each target community were trained to = carry out=20 the intervention, drawing attention to and reinforcing=20 identification with and acceptance of the intervention = messages.

The intervention featured role model stories developed = from the=20 real-life experiences of local community members. These = stories=20 depicted members of the target population moving from = earlier to=20 later stages of change. Stories were developed and selected = so that=20 the majority matched the predominant stages of change and = beliefs=20 about condoms and bleach observed in the population.

The role model stories were featured in flyers = distributed with=20 condoms and bleach kits by the peer=20 volunteers.

Intervention Goal(s): To determine the effects of a=20 community-level intervention to increase condom use with main and = non-main=20 partners and/or to increase disinfection of injection = equipment.

Intervention Setting: Street settings, public sex = environments,=20 and other community venues.

Population: Interviews were conducted with 15,205 = individuals=20 who were injection drug users, female sex partners of injection = drug=20 users, commercial sex workers, non-gay-identified men who have sex = with=20 men, high-risk youth, and/or residents in census tracts with high = rates of=20 sexually transmitted disease. Of the interviewees, 45% were men = and 55%=20 were women; 54% were African American, 19% were Hispanic, 22% were = white,=20 and 5% were of other racial/ethnic groups; and 35% were under 30 = years of=20 age.

Comparison Condition: Usual HIV prevention activities = and=20 services available in the community.

Behavioral/Health Findings: Individuals in the = intervention=20 communities demonstrated significantly greater achievement of = consistent=20 condom use and maintenance of consistent condom use with non-main = partners=20 than individuals in the comparison communities.

Contact:
Behavioral Intervention Research=20 Branch
Division of HIV & AIDS Prevention
Centers = for=20 Disease Control and Prevention
Atlanta, GA = 30333

Phone:  404-639-1900
Fax:   =    404-639-1950
E-mail:  ryw1@cdc.gov

This study=20 meets CDC's HIV/AIDS Prevention Research Synthesis project = criteria for=20 relevance and methodological rigor and also has the positive and=20 significant behavioral/health findings required for the = Compendium. Date=20 added 1/99

Last Updated: August 31, = 2001=20
Centers for Disease Control & Prevention
National = Center for=20 HIV, STD, and TB Prevention
Divisions of HIV/AIDS=20 Prevention
Please send comments/suggestions/requests to: hivmail@cdc.gov

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