Short-Term Impact Evaluation of a Social Marketing Campaign to Prevent Syphilis Among Men Who Have Sex With Men

Darrow, William W.; Biersteker, Susan

doi:10.2105/ajph.2006.109413

Cited by 30 publications

(17 citation statements)

References 22 publications

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“…This supports the results of a previous systematic review addressing mass media and HIV testing in various populations [19]. However, the campaigns identified were not found to be effective in increasing STI testing uptake (OR = 0.94, 95% CI = 0.68 to 1.28) and, in only including RCTs and other controlled research designs, it identified only three studies [20-22], none of which explicitly utilised theoretical frameworks.…”

Section: Introductionsupporting

confidence: 79%

Exposure and impact of a mass media campaign targeting sexual health amongst Scottish men who have sex with men: an outcome evaluation

2013

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BackgroundThis paper explores the exposure and impact of a Scottish mass media campaign: Make Your Position Clear. It ran from October 2009 to July 2010, targeted gay men and other men who have sex with men (MSM), and had two key aims: to promote regular sexual health and HIV testing every 6 months, and to promote the use of appropriate condoms and water-based lubricant with each episode of anal intercourse.MethodsA cross-sectional survey (anonymous and self-report) was conducted 10 months after the campaign was launched (July 2010). Men were recruited from commercial venues. Outcome measures included use of lubricant, testing for sexually transmitted infections and HIV, and intentions to seek HIV testing within the following six months. Linear-by-linear chi-square analysis and binary logistic regressions were conducted to explore the associations between the outcome measures and campaign exposure.ResultsThe total sample was 822 men (62.6% response rate). Men self-identifying as HIV positive were excluded from the analysis (n = 38). Binary logistic analysis indicated that those with mid or high campaign exposure were more likely to have been tested for HIV in the previous six months when adjusted for age, area of residence and use of the “gay scene” (AOR = 1.96, 95% CI = 1.26 to 3.06, p = .003), but were not more likely to be tested for STIs (AOR = 1.37, 95% CI = 0.88 to 2.16, p = .167). When adjusted for previous HIV testing, those with mid or high campaign exposure were not more likely to indicate intention to be tested for HIV in the following six months (AOR = 1.30, 95% CI = 0.73 to 2.32, p = .367). Those with no campaign exposure were less likely than those with low exposure to have used appropriate lubricant with anal sex partners in the previous year (AOR = 0.42, 95% CI = 0.23 to 0.77, p = .005).ConclusionsThe campaign had demonstrable reach. The analysis showed partial support for the role of mass media campaigns in improving sexual health outcomes. This suggests that a role for mass media campaigns remains within combination HIV prevention.

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Section: Introductionsupporting

confidence: 79%

Exposure and impact of a mass media campaign targeting sexual health amongst Scottish men who have sex with men: an outcome evaluation

2013

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“…52 A large syphilis outbreak occurred among MSM in southern California in 2000, where the proportion of all reported syphilis cases occurring in MSM increased from 26% to 51% within 1 year. Behavioural risks included anonymous sex, frequenting bathhouses, meeting partners on the Internet, intimate contact with sex workers, condomless sex and using crystal methamphetamine 53 (which decreases inhibitions, increases sexual pleasure and increases the likelihood of engaging in condomless sex).…”

Section: The Fall and Subsequent Rise In Syphilis Among Msmmentioning

confidence: 99%

Evolution of the syphilis epidemic among men who have sex with men

Solomon¹,

Mayer²

2015

Sex. Health

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Syphilis has existed for millenni, but its epidemiology was only recently linked to men who have sex with men (MSM) after the introduction of penicillin in the 1940s; the syphilis epidemic became concentrated within the MSM community in subsequent decades. The HIV/AIDS epidemic in the 1980s led to a surge of new syphilis cases and revealed the potentiation between HIV and syphilis, as evidenced by a shift in the natural history of neurosyphilis. In response, MSM revolutionised their sexual behaviour by implementing community-driven seroadaptive strategies to stem HIV transmission. The Centers for Disease Control in the US called for the elimination of syphilis in the late 1990s since the rates had fallen sharply but this effort was overtaken by a resurgence of global outbreaks among MSM in the 2000s, many of which were linked to methamphetamine use and sexual networking websites. Syphilis remains highly prevalent today, especially among MSM and individuals infected with HIV, and it continues to present a significant public health conundrum. Innovative syphilis prevention strategies are warranted. MSM engaging in high-risk behaviour such as condomless anal receptive intercourse, sex with multiple partners or recreational drug use should be routinely screened for syphilis infection; they should also be counselled about the limits of seroadaptive behaviours and HIV pre-exposure prophylaxis as they relate to syphilis transmission.

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“…Although there are investigations and research conducted in the area of HPV vaccination (Walsh, Rudd, Moeykens, & Moloney 1993;Darrow & Biersteker, 2008;Swart, Panday, Reddy, Bergstrom, & De Vries, 2006;Thackeray & Brown, 2005;Thackeray & Neiger, 2002), little information exists on how the public sector has disseminated knowledge and awareness to create effectiveness in the uptake of the vaccine.…”

Section: Background To the Studymentioning

confidence: 99%

Health Belief Model: Evaluating Marketing Promotion in a Public Vaccination Program

D’Souza

Zyngier

Robinson

et al. 2011

Journal of Nonprofit & Public Sector Marketing

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National health objectives are driven to increase participation rates. Individual health decisions are determined by attitudes, behavior, lifestyles, and government policies. This research, therefore, examined not just the development and delivery of a message targeting individual voluntary behavior change, but the intention of changes in social structures that will facilitate individuals reaching their potential; thus the purpose of this article is to shed light on the uptake of the human papillomavirus (HPV) immunization using the health belief model (HBM). Research was conducted with the use of focus groups by drawing on the framework of the HBM. This research approach is conceptual by nature, based on the virtue of marketing promotion and on HBM literature. Though offering the vaccine free to the general public provides additional evidence to certain groups on the intention to act or uptake of the vaccine, awareness levels were found to be poor despite increased efforts by the government trying to promote this vaccine. There was evidence that social capital and trust can produce effective communication message strategies that reinforce social bonds. This article provides an interesting basis for further investigation; however, as implausible as it seems the article also contributes to the concept of perceived benefits and of self-efficacy.

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Short-Term Impact Evaluation of a Social Marketing Campaign to Prevent Syphilis Among Men Who Have Sex With Men

Abstract: None of the campaign objectives were fully met. The interventions were insufficient to produce a significant impact among men who have sex with men in south Florida.

Cited by 30 publications

References 22 publications

Exposure and impact of a mass media campaign targeting sexual health amongst Scottish men who have sex with men: an outcome evaluation

Exposure and impact of a mass media campaign targeting sexual health amongst Scottish men who have sex with men: an outcome evaluation

Evolution of the syphilis epidemic among men who have sex with men

Health Belief Model: Evaluating Marketing Promotion in a Public Vaccination Program

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