Kelly J A
Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee 53226, USA.
AIDS. 2000 Sep;14 Suppl 2:S34-9.
This article describes and reviews the findings of several well-designed and controlled outcome trials of HIV prevention interventions that have been undertaken with men who have sex with men. The interventions reviewed have been of two types: face-to-face group or workshop interventions and community-level programs undertaken in gay communities. Both have shown robust effectiveness in promoting risk reduction behavior change among gay men and young people at risk for contracting HIV infection. Conclusions can now be reached about the benefits of these types of interventions. However, there remains an urgent need to develop and tailor HIV prevention approaches that can promote the maintenance of behavior change; to reach community segments that remain vulnerable, especially young and minority men who have sex with men; and to address the changing context of the epidemic.
本文描述并回顾了多项针对男男性行为者开展的设计完善且控制良好的艾滋病预防干预措施的结果试验。所回顾的干预措施有两种类型：面对面小组或工作坊干预措施，以及在同性恋社区开展的社区层面项目。两者在促进男同性恋者及有感染艾滋病风险的年轻人减少危险行为改变方面均显示出强大的有效性。现在可以得出关于这些类型干预措施益处的结论。然而，仍迫切需要制定并调整艾滋病预防方法，以促进行为改变的维持；覆盖仍然易受影响的社区群体，尤其是年轻的男男性行为者和少数族裔男男性行为者；并应对不断变化的疫情形势。
