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M94A2078.TXT
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1994-10-24
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Document 2078
DOCN M94A2078
TI Tackling unsafe sex in gay community education.
DT 9412
AU Bartos MR; Victorian AIDS Council/Gay Men's Health Centre, Melbourne,;
Australia.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):386 (abstract no. PD0152). Unique
Identifier : AIDSLINE ICA10/94370497
AB The extent of behaviour change by gay men in the first decade of the
HIV/AIDS epidemic in many countries has been remarkable. Gay community
education has successfully promoted the message of safe or safer sex,
including condom use for anal intercourse. In part by virtue of this
success, the reasons for the continued practise of unprotected anal
intercourse by gay men have not been tackled effectively in education
campaigns. This paper examines some recent proposals for community based
HIV prevention education campaigns in Australia directed at gay and
other homosexually active men. Two types of strategy are
considered--those that deal with risk assessments, and those that seek
to intervene in the construction of meaning and desire in sex. Education
strategies are needed to engage with the complex and sophisticated
judgements that gay and other homosexually active men are making in
relation to sex. These risk assessments include those in the context of
relationships, and assumptions about who is and who is not likely to
have HIV. Strategies which tackle the deep seated desires for
unprotected anal intercourse are also considered, as collective cultural
interventions, where public health's traditional measures of successful
outcomes may have to be suspended for a while. These proposals for HIV
prevention education are placed in the context of debates around the
nature of sexual decision making and health promotion. A model of HIV
prevention as cultural intervention in collectively based, meaning laden
patterns of sexuality is developed.
DE Condoms *Health Education Health Promotion *Homosexuality Human HIV
Infections/*PREVENTION & CONTROL/TRANSMISSION Knowledge, Attitudes,
Practice Male Risk Factors *Sex Behavior Sex Education Victoria
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).