HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis.

Kelly, Jeffrey A.; Lawrence, Janet S. St.; Diaz, Y E; Stevenson, Lois; Hauth, A C; Brasfield, Ted L.; Kalichman, Seth C.; Smith, James E.; Andrew, Megan

doi:10.2105/ajph.81.2.168

Cited by 646 publications

(411 citation statements)

References 7 publications

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“…24 Kelly and colleagues trained key opinion leaders in gay bars to interact with patrons and provide safe sex education, and found that after the intervention, condom usage increased 16% and unprotected anal sex decreased (36.9% vs. 27.5%). 25 Despite the success of interventions in LGBT bars and nightclubs to reduce HIV/ AIDS, a focus on bars to promote tobacco cessation has been largely unexplored. 26 The findings of this study complement other studies that suggest LGBT specific smoking cessation interventions may be optimal to address tobacco use among this group.…”

Section: Discussionmentioning

confidence: 99%

Social Branding to Decrease Lesbian, Gay, Bisexual, and Transgender Young Adult Smoking

Fallin

Neilands

Jordan³

et al. 2015

NICTOB

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Introduction: Lesbian, gay, bisexual, and transgender (LGBT) individuals are more likely to smoke than the general population. This study evaluated a Social Branding intervention, CRUSH, which included an aspirational brand, social events, and targeted media to discourage smoking among LGBT young adults in Las Vegas, NV. Methods: Cross-sectional surveys (N = 2,395) were collected in Las Vegas LGBT bars at 2 time points 1 year apart. Multivariate logistic regressions examined associations between campaign exposure, message understanding, and current (past 30 days) smoking, controlling for demographics. Results:LGBT individuals were significantly more likely to report current (past 30 day) smoking than heterosexual/straight, gender-conforming participants. Overall, 53% of respondents reported exposure to CRUSH; of those exposed, 60% liked the campaign, 60.3% reported they would attend a CRUSH event on a night when they usually went somewhere else, and 86.3% correctly identified that the campaign was about "partying fresh and smokefree. " Current smoking was reported by 47% of respondents at Time 1 and 39.6% at Time 2. There were significant interactions between time and campaign exposure and campaign exposure and understanding the message. Among those who understood the CRUSH smokefree message, the highest level of campaign exposure was significantly associated with 37%-48% lower odds for current smoking. Conclusions: While longitudinal studies would better assess the impact of this intervention, CRUSH shows promise to reduce tobacco use among LGBT bar patrons.

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Section: Discussionmentioning

confidence: 99%

Social Branding to Decrease Lesbian, Gay, Bisexual, and Transgender Young Adult Smoking

Fallin

Neilands

Jordan³

et al. 2015

NICTOB

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“…Diffusion theory posits that behavioral change is achieved when information and ideas, such as new risk-reducing methods in the case of HIV prevention, is disseminated by opinion leaders through their personal and social networks (Sivaram et al, 2004). Kelly and colleagues have shown that systematically identified, recruited, and trained POLs make a positive impact on sexual behavior change in populations of men attending gay bars in the United States (Kelly et al, 1991;Kelly et al, 1992;Kelly et al, 1997). In the POL model, ethnographic techniques are employed to systematically identify popular and socially influential members of the target population.…”

mentioning

confidence: 99%

Diffusion of Positive AIDS Care Messages Among Service Providers in China

Li¹,

Cao²,

Wu³

et al. 2007

AIDS Education and Prevention

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There is great potential in adapting the popular opinion leader (POL) intervention model to address HIV-related stigma and quality of care among service providers in China. Using a representative sample of 1,101 service providers in China, this study provides preliminary descriptions of POL provider characteristics. Multiple regression analyses revealed that diffusion of positive AIDS care messages among service providers in China was associated with factors such as gender, ethnicity, medical education, level of care, personal contact with people living with HIV/AIDS, and HIVrelated training. Those who were more knowledgeable about HIV and those with a lower level of discriminatory attitude at work were more likely to diffuse the positive messages to co-workers and friends. Reported characteristics of a potential provider opinion leader in China will inform the design and implementation of future intervention programs.China's first AIDS case was identified in 1995. Since then the number of reported annual HIV infections in China has increased steadily, reaching an estimated 650,000 infections by the end of

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“…28,29 The popular opinion leader approach uses ethnographic research to identify particularly well liked and influential individuals within the community to receive training in how to deliver effective behavioural change messages to friends during everyday conversations. 30 Lesbian families of choice, by contrast, play a more private role in which intimate, caring relationships are central; as such, intervention approaches based on the natural helper or lay health advisor model could be particularly effective in making use of participants' desire to support and protect fellow family members from negative sexual health outcomes. [31][32][33][34] Many interventions based on the natural helper approach actively seek to identify those individuals known by their communities for their caring natures who will share important health information spontaneously as part of their regular interactions within the community.…”

Section: Discussionmentioning

confidence: 99%

Families of choice and noncollegiate sororities and fraternities among lesbian and bisexual African-American women in a southern community: implications for sexual and reproductive health research

et al. 2014

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Abstract. Background: Self-identified lesbian and bisexual African-American women living in the southern United States are a relatively hidden subpopulation within the lesbian, gay, bisexual and transgender (LGBT) community. Existing research suggests that African-American lesbian and bisexual women are at high risk for sexually transmissible infections (STIs), but the sexual and reproductive health needs of this population are just beginning to be understood. Methods: We conducted four focus groups and five individual interviews with 24 lesbian and bisexual African-American women living in the Jackson, Mississippi, metropolitan area, recruited through the local STI clinic and through word of mouth. We aimed to characterise the role of two types of social organisations (lesbian families and noncollegiate lesbian sororities and fraternities) among the local LGBT community, and their influence on the sexual health of their members. Results: Both types of social organisations serve positive functions for their members. Lesbian families provide support and stability; this appears beneficial for younger individuals, who may lack support from biological families. Lesbian sororities and fraternities are visible due to their emphasis on community service, and offer a strong sense of solidarity and belonging. In both organisation types, discussions about sex were common, although members acknowledged a lack of information regarding safer sex among lesbian and bisexual women. Conclusions: Existing social organisations within the LGBT community, such as lesbian families and lesbian sororities and fraternities, should be incorporated into community-based popular opinion leader or lay heath advisor interventions in an effort to meet the sexual and reproductive health needs of marginalised populations.Additional keywords: focus group discussion, marginalised populations, Mississippi, support, United States, women who have sex with women.

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HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis.

Cited by 646 publications

References 7 publications

Social Branding to Decrease Lesbian, Gay, Bisexual, and Transgender Young Adult Smoking

Social Branding to Decrease Lesbian, Gay, Bisexual, and Transgender Young Adult Smoking

Diffusion of Positive AIDS Care Messages Among Service Providers in China

Families of choice and noncollegiate sororities and fraternities among lesbian and bisexual African-American women in a southern community: implications for sexual and reproductive health research

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