1. Part III: Good practice: Chapter 11: Peer-led HIV prevention among gay men in London (the 4 gym project).
- Author
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Elford, Jonathan, Sherr, Lorraine, Bolding, Graham, Maguire, Mark, Serle, Fraser, Watson, Jonathan, and Platt, Stephen
- Subjects
HEALTH of gay men ,HIV prevention ,GAY men's sexual behavior ,GAY men's bars ,PEER counseling - Abstract
This chapter examines a HIV prevention intervention that is identified as being both well-evaluated and effective in reducing sexual risk behavior among gay men. The intervention draws on the diffusion of innovation model, the researchers used peer educators to endorse HIV/AIDS risk reduction behavior change among gay men attending bars in three small cities in Mississippi and Louisiana. The researchers demonstrated that peer educators can serve as agents of behavior change in gay bars in small U.S. cities. This may, therefore, offer a new approach to HIV prevention among gay men in Great Britain. Although an intervention using peer educators as agents of behavior change may work in gay bars in London, England, the fluid nature of the customers in London bars argues against formally evaluating the intervention in bars in the capital by means of a controlled trial. For this reason it is decided to evaluate a peer-led intervention among gay men who used one of four gyms in central London. The chapter details the methodology of both the intervention and evaluation. There is considerable evidence that HIV transmission is continuing among gay men in the Great Britain. Peer-led interventions have been shown to be effective in the U.S. in reducing the level of sexual risk behavior among gay men. If this approach can be shown to be effective in gyms in London, this would go some way to supporting its introduction into other settings such as gay bars and clubs in London and elsewhere in the Great Britain. The population at risk that could potentially be reached is therefore considerable.
- Published
- 2000