Health Education Research Advance Access published online on November 23, 2005
Health Education Research, doi:10.1093/her/cyh071
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1 Public and Environmental Health Research Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
* To whom correspondence should be addressed. Human immunodeficiency virus (HIV) prevention delivered in gay venues in US cities has been found to be effective in reducing HIV transmission in the 1990s but effects might not be generalizable to different times and settings. Doubts have been raised about: outreach's ability to address skills and explore personal behaviour; big-city commercial gay venues being appropriate sites for outreach because of gossip and social surveillance; and acceptability of outreach by professionals rather than ‘popular opinion formers’. We evaluated coverage, feasibility, acceptability and perceived impact of venue-based HIV prevention outreach by professionals in London, employing observation, surveys and interviews with venue-users, and focus groups/semi-structured interviews with workers. We found high coverage especially among target groups. Addressing negotiation skills and personal behaviour was feasible but required worker motivation and skill. Social surveillance rarely impeded work. Gay men generally found outreach acceptable and useful, and professionals were not regarded negatively. Impact on knowledge was commonly reported; impacts on negotiation skills and reflection on personal behaviour were more common among men experiencing longer contacts. In conclusion, professional HIV prevention outreach in gay venues in large cities is a feasible and acceptable intervention with significant potential impacts. Workers need to be well briefed and trained to maximize impact.
Received February 17, 2005
Accepted November 1, 2005
Original article
HIV prevention outreach in commercial gay venues in large cities: evaluation findings from London
Chris Bonell 1 *,
V. Strange 2,
E. Allen 3,
and
E. Barnett-Page 4
2 Social Science Research Unit, Institute of Education, University of London, London WC1H 0NR, UK
3 Department of Primary Care and Population Sciences, Centre for Sexual Health and HIV Research, University College London, London WC1E 6AU, UK
4 Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield AL10 9AB, UK
Chris Bonell, E-mail: chris.bonell{at}lshtm.ac.uk
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