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Health Education Research Advance Access originally published online on July 23, 2007
Health Education Research 2008 23(2):287-297; doi:10.1093/her/cym033
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Promotion of safe sex: evaluation of a community-level intervention programme in gay bars, saunas and sex shops

Gaston Godin1,*, Hermine Naccache2, Francoise Cote3, Robert Leclerc4, Mario Frechette5 and Michel Alary6

1 Canada Research Chair on Behavior and Health, Faculty of Nursing, Paul-Comtois Building, Room 4106, Laval University, Québec, G1K 7P4, Canada
2 Research Group on Behavior in the Field of Health, Faculty of Nursing, Laval University, Québec, G1K 7P4, Canada
3 Faculty of Nursing, Laval University, Québec, G1K 7P4, Canada
4 MIELS-Québec (Aids Community Group), Québec, G1R 1T5, Canada
5 MIELS-Québec, Québec, G1R 1T5, Canada
6 National Researcher of the ‘Fond Québécois de Recherche en Santé’, Unité de Recherche en Santé des Populations, Hôpital Saint-Sacrement du CHA, 1050 Chemin Ste-Foy, Québec, G1S 4L8, Canada

* Correspondence to: G. Godin. E-mail: gaston.godin{at}fsi.ulaval.ca

This study was an evaluation of a safe sex promotion programme in gay bars, saunas and sex shops in Québec City. The impact of the intervention on safe sex was assessed by means of an interrupted sequential pre-interventions and post-interventions quasi-experimental design with independent samples. At each measurement time, ~320 individuals were recruited in gay bars and saunas and were invited to complete a self-administered questionnaire. The intervention had a significant impact on safe sex mainly among the 18–29 age group (relative risk = 0.71; 95% confidence interval [CI95%] = 0.55–0.92), even after controlling for the effect of gay venue frequentation. Thus, the effect size of the intervention corresponds to a significant reduction of 29% in risky unprotected anal sex among this age group. Implementation of a theory-based community-level intervention has a positive impact on reducing unsafe sex practices, particularly among the 18–29 age group. However, if the preventive activities are not maintained on a regular basis, there is recrudescence in unsafe sex practices.

Received on December 22, 2005; accepted on May 14, 2007


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