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HIV, Sex, and Social Change: Applying ESID Principles to HIV Prevention Research

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American Journal of Community Psychology

Abstract

The HIV epidemic has been the most significant public health crisis of the last 2 decades. Although Experimental Social Innovation and Dissemination (ESID) principles have been used by many HIV prevention researchers, the clearest application is the series of model-building and replication experiments conducted by Kelly and colleagues. The model mobilized, trained, and engaged key opinion leaders to serve as behavior change and safe-sex endorsers in their social networks. This paper illustrates how ESID principles were used to develop, test, and disseminate an innovative social model and discusses the challenges of applying ESID methodology in the midst of a public health emergency.

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REFERENCES

  • Alcabes, P., Beniowski, M., Zygadlo, M., Bosek, Widowski, G., & Grund, J. (1998). A simple method for process evaluation of needle-and syringe-exchange programs: Results of pilot testing in Poland, 1997. 23178. Paper presented at the 12th World AIDS Conference.

  • Aral, S. O., & Wasserheit, J. N. (1995). Interactions among HIV, other sexually transmitted diseases, socioeconomic status, and poverty in women. In A. O'Leary & L. S. Jemmott (Eds.), Women at risk: Issues in the primary prevention of AIDS (pp. 13-41). New York: Plenum.

    Google Scholar 

  • Auerbach, J. D., Wypijewska, C., & Brodie, H. K. H. (1994). AIDS and behavior. Washington, DC: National Academy Press.

    Google Scholar 

  • Catania, J. A., Coates, T. J., Stall, R., Kegeles, S. M., Capell, F., Henne, J., et al. (1991). Changes in condom use among homosexual men in San Francisco. Health Psychology, 10, 190-199.

    Google Scholar 

  • Centers for Disease Control and Prevention. (1990). HIV/AIDS surveillance report. Atlanta, GA: Author.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2001). HIV/AIDS surveillance report. (Vol. 13(2) Atlanta, GA: Author.

  • Coyle, S. L., Boruch, R. F., & Turner, C. F. (Eds.). (1991). Evaluating AIDS prevention programs. Washington, DC: National Academy Press.

    Google Scholar 

  • Des Jarlais, D., & Friedman, S. (1992). AIDS and legal access to sterile drug injection equipment. Annals of the American Academy of Political and Social Sciences, 521, 42-65.

    Google Scholar 

  • Des Jarlais, D., Friedman, S., & Ward, T. (1993). Harm reduction: A public health response to the AIDS epidemic among injecting drug users. Annual Review of Public Health, 14, 413-450.

    Google Scholar 

  • Fairweather, G. W. (1967). Methods for experimental social innovation. New York: Wiley.

    Google Scholar 

  • Fairweather, G. W., & Tornatzky, L. G. (1977). Experimental methods for social policy research. New York: Pergamon.

    Google Scholar 

  • Fleming, D. W., Cochi, S. L., Steece, R. S., & Hull, H. F. (1987). Acquired immune deficiency syndrome in low incidence areas: How safe is unsafe sex? JAMA, 258, 785-787.

    Google Scholar 

  • Gayle, H. (1999, August). Plenary address. Presentation at the National HIV Prevention Conference, Atlanta, GA.

  • Hobfall, S. E., Jackson, A. P., Lavin, L., Britton, P. J., & Shepherd, J. B. (1994). Reducing inner city women's AIDS risk activities: A study of single, pregnant women. Health Psychology, 13, 397-403.

    Google Scholar 

  • Jemmott, J. B., III, Jemmott, L. S., Spear, H., Hewitt, N., & Cruz-Collins, M. (1992). Self-efficacy, hedonistic expectancies, and condom-use intentions among inner-city Black adolescent women: A social cognitive approach to AIDS risk behavior. Journal of Adolescent Health, 13

    Google Scholar 

  • Jones, C. C., Waskin, H., Gerety, B., Skipper, B. J., Hull, H. F., & Mertz, G. J. (1987). Persistence of high risk sexual activity among homosexual men in an area of low incidence of acquired immunodeficiency syndrome. Sexually Transmitted Diseases, 14(2), 79-82.

    Google Scholar 

  • Kelly, J. A., Murphy, D. A., Sikkema, K. J., McAuliffe, T. L., Roffman, R. A., Solomon, L. J., et al. (1997). Randomized, controlled, community-level HIV-prevention intervention for sexual-risk behavior among homosexual men in US cities. Lancet, 350, 1500-1505.

    Google Scholar 

  • Kelly, J. A., Murphy, D. A., Washington, C. D., Wilson, T. S., Koob, J. J., Davis, D. R., et al. (1994). The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. American Journal of Public Health, 84, 1918-1922.

    Google Scholar 

  • Kelly, J. A., Sikkema, K. J., Solomon, L. J., Heckman, T. G., Stevenson, L. Y., Norman, A. D., et al. (1995). Factors predicting continued high-risk behavior among gay men in small cities: Psychological, behavioral, and demographic characteristics related to unsafe sex. Journal of Consulting and Clinical Psychology, 63(1), 101-107.

    Google Scholar 

  • Kelly, J. A., St. Lawrence, J., Brasfield, T., Stevenson, Y., Diaz, Y., Hauth, A. C. (1990a) AIDS risk behavior patterns among men in small cities. American Journal of Public Health, 80, 416-418.

    Google Scholar 

  • Kelly, J. A., St. Lawrence, J. S., Diaz, Y. E., Stevenson, L. Y., Hauth, A. C., Brasfield, T. L., et al. (1991). HIV-risk behavior reduction following intervention with key opinion leaders of a population: An experimental analyses. American Journal of Public Health, 81(2), 168-171.

    Google Scholar 

  • Kelly, J. A., St. Lawrence, J. S., Hood, H. V., & Brasfield, T. L. (1989a). An objective test of AIDS risk behavior knowledge: Scale development, validation, and norms. Journal of Behavior Therapy and Experimental Psychiatry, 20, 227-234.

    Google Scholar 

  • Kelly, J. A., St. Lawrence, J. S., Hood, H. V., & Brasfield, T. L. (1989b). Behavioral interventions to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 57, 60-67.

    Google Scholar 

  • Kelly, J. A., St. Lawrence, J. S., Stevenson, L. Y., Hauth, A. C., Kalichman, S. C., Diaz, Y. E., et al. (1992). Community AIDS/HIV-risk reduction: The effects of endorsements by popular people in three cities. American Journal of Public Health, 82(11), 1483-1489.

    Google Scholar 

  • Martin, J. L. (1987). Reducing HIV sexual risk behaviors among runaway adolescents. JAMA, 226, 1237-1241.

    Google Scholar 

  • McKusick, L., Hortsman, W., & Coates, T. J. (1985). AIDS and sexual behavior reported by gay men in San Francisco. American Journal of Public Health 1995, 75, 493-496.

    Google Scholar 

  • McKusick, L., Wiley, J. A., Coates, T. J., Stall, R., Saika, G., Morin, S., et al. (1985). Reported changes in the sexual behavior of men at risk for AIDS, San Francisco 1982–1984. Public Health Reports, 100, 622-629.

    Google Scholar 

  • Miller, H. G., Turner, C. F., & Moses, L. E. (Eds.). (1990). AIDS the second decade. Washington, DC: National Academy Press.

    Google Scholar 

  • National Center for Health and Statistics. (2001). National Vital Statistics Report, 49(11). Hyattsville, MD: Author.

  • Nyamathi, A. M., Flaskerud, J., Bennett, C., Leake, B., & Lewis, C. (1994). Evaluation of two AIDS education programs for impoverished women. AIDS Education and Prevention, 6, 296-309.

    Google Scholar 

  • Rogers, E. M. (1983). Diffusion of innovations (3rd Ed.). New York: Free Press

    Google Scholar 

  • Rotheram-Borus, M. J., Koopman, C., & Haignere, C. (1992). Reducing HIV sexual risk behavior among runaway adolescents. JAMA, 266, 1237-1241.

    Google Scholar 

  • Ryan White Comprehensive AIDS Resource Emergency Act of 1990 Public Law # 104–146.

  • Sikkema, K. J., Heckman, T. G., Kelly, J. A., Anderson, E. S., Winett, R. A., Solomon, L. J., et al. (1996). Prevalence and predictors of HIV-risk behavior among women living in low-income, inner-city housing developments. American Journal of Public Health, 86, 1123-1128.

    Google Scholar 

  • St. Lawrence, J. S., Brasfield, T., Jefferson, K., Alleyne, E., & O' Brannon, R. A., III (1995). Cognitive behavioral intervention to reduce African-American adolescent's risk for HIV infection. Journal of Consulting and Clinical Psychology, 63, 221

    Google Scholar 

  • St. Lawrence, J. S., Hood, H. V., Brasfield, T. L., & Kelly, J. A. (1989). Risk knowledge and risk behaviors among gay men in high versus low-AIDS prevalence areas. Public Health Reports, 104, 391-395.

    Google Scholar 

  • Stoto, M. A., Almario, D. A., & McCormick, M. C. (1999). Reducing the odds. Washington, DC: National Academy Press.

    Google Scholar 

  • Valleroy, L. A., MacKeller, D. A., Karon, J. M., Rosen, D., McFarland, W., Shehan, D. A., et al. (2000). HIV prevalence and associated risks in young men who have sex with men. JAMA, 284(2), 198-204.

    Google Scholar 

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Correspondence to M. Isabel Fernández.

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Fernández, M.I., Bowen, G.S., Gay, C.L. et al. HIV, Sex, and Social Change: Applying ESID Principles to HIV Prevention Research. Am J Community Psychol 32, 333–344 (2003). https://doi.org/10.1023/B:AJCP.0000004752.42987.a1

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  • DOI: https://doi.org/10.1023/B:AJCP.0000004752.42987.a1

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