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AIDS, Culture, and Gay Men$
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Douglas A. Feldman

Print publication date: 2010

Print ISBN-13: 9780813034317

Published to Florida Scholarship Online: September 2011

DOI: 10.5744/florida/9780813034317.001.0001

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Diffusion of Effective Behavioral Interventions for HIV Prevention for Men Who Have Sex with Men

Diffusion of Effective Behavioral Interventions for HIV Prevention for Men Who Have Sex with Men

From Academia to the Gay Community

(p.80) 5 Diffusion of Effective Behavioral Interventions for HIV Prevention for Men Who Have Sex with Men
AIDS, Culture, and Gay Men

Charles Collins

Camilla Harshbarger

University Press of Florida

Several researchers have identified an increase in risk-taking behaviors by men who have sex with men (MSM) and rates of HIV infection that continue to be unacceptably high. The national diffusion and implementation of evidence-based behavioral interventions for gay men to facilitate and maintain safer sexual behaviors is an important strategy for reducing the spread of HIV. Five practical barriers during diffusion have been identified. First, some community-based organizations (CBOs) did not provide incentives for participation in behavioral interventions. Second, some interventions were conceptually complex or difficult to implement, or both. Third, some agencies lacked the capacity to implement complex interventions. Fourth, some CBOs could not bear the costs of some of the interventions. Fifth, difficulty in adapting the intervention to local conditions and populations was an immediate and persistent theme. This chapter also considers five interventions listed in the Centers for Disease Control and Prevention's Compendium that have been proven efficacious for MSM: Popular Opinion Leader, AIDS Community Demonstration Project (Community PROMISE), Mpowerment, Small Group Lecture Plus Skills Training, and Behavioral Self-Management and Assertion Skills.

Keywords:   HIV infection, behavioral interventions, diffusion, community-based organizations, Popular Opinion Leader, interventions, Mpowerment, sexual behaviors, gay men

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