Katzman Joanna, Gulati Harnik, Higa Darrel H, Welch Quinten, Wood Robert W
HIV/AIDS Program, Public Health-Seattle & King County, Seattle, Washington 98104, USA.
J Public Health Manag Pract. 2007 May-Jun;13(3):244-51. doi: 10.1097/01.PHH.0000267682.77787.3a.
In response to increasing rates of sexually transmitted diseases (STDs) among men who have sex with men (MSM) in Seattle & King County, a task force including community members, HIV/AIDS professionals, and health department staff authored "A Community Manifesto: A New Response to HIV and STDs." The manifesto emphasized both personal and collective responsibility for gay and bisexual men to stop the spread of STDs.
The manifesto was published in local media over a 15-month period. We conducted a survey (via Web, mail-in, and street intercept), focus groups, and a community forum to evaluate the impact of the manifesto among Seattle & King County MSM.
Most respondents supported the manifesto and reported that it made them think about their sexual behaviors; more than 25 percent reported changing sexual behavior as a result of the manifesto, but the document generated several controversies.
Publicly declaring values associated with sexual behavior and attempting to establish and reinforce sexual norms within MSM communities can cause controversy; however, such efforts may increase awareness, dialogue, and behavior change at a community level and be important for increasing awareness and behaviors that demonstrate collective care and responsibility among MSM.
为应对西雅图及金县男男性行为者（MSM）中性传播疾病（STD）发病率不断上升的情况，一个由社区成员、艾滋病毒/艾滋病专业人员和卫生部门工作人员组成的特别工作组撰写了《社区宣言：对艾滋病毒和性传播疾病的新应对措施》。该宣言强调了男同性恋者和双性恋者在阻止性传播疾病传播方面的个人和集体责任。
该宣言在15个月的时间里在当地媒体上发表。我们通过网络、邮寄和街头拦截进行了一项调查，并开展了焦点小组讨论和社区论坛，以评估该宣言对西雅图及金县男男性行为者的影响。
大多数受访者支持该宣言，并表示宣言促使他们思考自己的性行为；超过25%的受访者称因宣言而改变了性行为，但该文件引发了一些争议。
公开宣扬与性行为相关的价值观，并试图在男男性行为者社区内建立和强化性规范可能会引发争议；然而，此类努力可能会提高社区层面的意识、促进对话并改变行为，对于提高男男性行为者中体现集体关怀和责任的意识及行为很重要。
