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《Chinese Journal of AIDS & STD》 2008-04
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BCC oriented model being challenged as a strategy of sustaining safe sex among MSM

WANG Shu-guang(Center for Program Development in Health Sociology,Sichuan Academy of Social Sciences,Chengdu,Sichuan 610072,China)  
Objective To examine effect of intervention strategies on developing sustainable safe sex practice among MSM.Methods A total of 420 participants were divided into three non-clinical trial groups,i.e.BCC-based condom facilitation(BCC-CF)group,sub-culture-based socio-facilitation(SBC-SF)group and the control group,to assess the sustaining effect of different models of intervention by stepwise cross-sectional follow-up survey.Results The survey of 410 MSM who had homo-sex partners in the past 6 months indicated that the rate of consistent condom use in anal intercourse with casual partners as a key indicator significantly increased in the BCC-CF(62.0%,P0.0001) and SBC-SF(47.4%,P0.0001)groups after 5 month intervention.However,findings from 2nd post-test in twelve months and 3rd post-test in twenty-four months after the intervention indicated that the rates of condom use were declined significantly(5%——9.3%,P0.01)in the BCC-CF group,while the rates increased in a sustainable way(7.6%-9.4%,P0.01)in the SBC-SF group.Conclusions The model of BCC-CF with peer education which is widely used has been challenged,and it is suggested that only by combining with the model of SBC-SF will the behavioral change be meaningful,and so the SBC-SF model which is more effective and sustainable should be further explored.
【Fund】: 澳大利亚Newcastle Keats基金会资助(项目编号05763a)
【CateGory Index】: R183
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