AEGiS-07IAC: Using theoretical frameworks to evaluate HIV prevention programs.

7th International AIDS Conference


Florence, Italy — June 16-21, 1991

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Using theoretical frameworks to evaluate HIV prevention programs.

Int Conf AIDS 1991 Jun 16-21; 7:36 (abstract no. W.D.51)
Cohen M; INSERM U21 & U263, Paris France

OBJECTIVE: To suggest which types of HIV prevention programs are effective at different stages of the HIV epidemic.

METHOD: Epidemiology, meta- and content analysis are used; HIV incidence patterns are based on Hepatitis B cohorts from San Francisco (SF) and Amsterdam (AM). Theoretical frameworks were derived from a meta-analysis of studies among homosexual men where sexual behavior was the outcome variable. HIV prevention programs were catalogued by framework and located within the stages of the epidemic.

RESULTS: Two patterns of HIV epidemic (Figure 1) are identified. Psychosocial and structural factors related to change to safer sex and a decline in HIV infection are clustered into four frameworks (Figure 2), and similarities and differences between SF and AM are highlighted. TABULAR DATA, SEE ABSTRACT VOLUME.

DISCUSSION AND CONCLUSIONS: Early community based involvement is efficacious. Attitudes about condoms and awareness of serostatus are likely to be related to safer sex in the early and mid vs later stages of the epidemic. Misperceptions contribute to continued unsafe sex. Programs promoting partner and peer pressure are related to safer sexual behavior. Structural and legal constraints may be efficacious in initial stages. Theoretical frameworks permit the classifications of interventions over stages of the epidemic and suggest plausible explanation for different incidence patterns.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Safe Sex, HIV Infections, Condoms, Homosexuality, Incidence, Hepatitis B, Disease Outbreaks, San Francisco, Human, Male, prevention & control, ICA7KWDaegis,acquiredimmunodeficiencysyndrome,safesex,hivinfections,condoms,homosexuality,incidence,hepatitisb,diseaseoutbreaks,sanfrancisco,human,male,prevention&control,ica7
910616
WD51

Copyright © 1991 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.