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Sexually Transmitted Infections 2002;78(Supplement 1 ):i176-i182; doi:10.1136/sti.78.suppl_1.i176
Copyright © 2002 by the BMJ Publishing Group Ltd.
Sex Transm Inf 2002;78:i176-i182
© 2002 Sexually Transmitted Infections

SYMPOSIUM

From community to clients: the professionalisation of HIV prevention among gay men and its implications for intervention selection

D Wohlfeiler

Correspondence to:
Correspondence to:
Dan Wohlfeiler, University of California, San Francisco, 1947 Center Street, Suite 201, Berkeley, California 94704, USA;
dwohlfei{at}dhs.ca.gov

Forces at work are described which encourage professionalisation and a reliance on one on one HIV prevention interventions among gay men. Community involvement is intrinsically linked to epidemic phases; when the threat diminishes, so does the community's ability to sustain community level interventions. The area of structural and environmental interventions, which can reinforce safe behaviour when community interest in collective action wanes, provides a potential complementary solution for prevention workers, researchers, and funders alike.

Keywords: HIV; public health; health policy


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