@article{074971f6ac7149908e11568eefc7e2cf,
title = "HIV prevention in developed countries",
abstract = "HIV prevention in developed countries is marked by impressive successes and dismal failures. The successes point the way to what works; the failures highlight obstacles that must be overcome. Successes include important behavioural changes among gay and bisexual men, antiviral use to prevent vertical transmission, and securing the safety of the blood supply. New strategies are needed to reach the residual of individuals continuing with unsafe practices (a special hazard in high-prevalence areas); to reach young people who are beginning to engage in sexual relations and injection drug use; and to overcome political opposition to prevention strategies.",
author = "Coates, {Thomas J.} and Peter Aggleton and Felix Gutzwiller and Jarlais, {Don Des} and Masahiro Kihara and Susan Kippax and Martin Schechter and {Van De Hoek}, {J. Anneke R.}",
note = "Funding Information: Preparation of this paper was supported in part by NIMH Centre grant no MH42459 and by a grant from Henry J Kaiser Family Foundation entitled “HIV Prevention: Looking Back, Looking Ahead”. Funding Information: Canada provides an example of a concerted national effort to continue to stem the tide of HIV among groups most vulnerable to epidemic outbreaks. The Men's Survey: The Canadian Survey of Gay and Bisexual Men and HIV Infection, was undertaken with Canadian government support to understand the knowledge, attitudes, and behaviour of Canadian men who had sex with men. (A companion survey, Between Men, was funded by the Minist{\`e}re de la Sante et des Services Sociaux of Qu{\'e}bec and completed in Quebec.) A total of 4803 men were surveyed simultaneously in 35 cities across Canada. The model was one of participatory research which emphasised community involvement, feedback, and action planning. Volunteers from community-based AIDS organisations asked men in gay bars, in bathhouses, and at community dances to fill out questionnaires on their sexual behaviour and lifestyle. The research results were published for public consumption in a pocket-sized volume entitled Doing It in the 90s (Baiser en 90). 47 Subsequently, a series of regional working conferences and a national working conference were organised to give educators and public health workers an opportunity to discuss the implications of the study findings for the next generation of HIV prevention programmes in the community. The results of these conferences were published in a separate volume entitled Gaily Forward: Implication of Men's Survey (Allons-y gaiement: Repercusssions du Sandage Au Masculin). 48 This provided a framework for HIV prevention for gay and bisexual men, which is a national demonstration project to revitalise HIV prevention efforts to be completed under the auspices of the Canadian AIDS Society with the financial assistance of Health Canada (and some provincial health ministries). The project will use the results of the survey and the workshops to design, implement, and evaluate a national strategy to reduce the transmission of HIV among men who have sex with men in Canada. ",
year = "1996",
month = oct,
day = "26",
doi = "10.1016/S0140-6736(96)02307-0",
language = "English (US)",
volume = "348",
pages = "1143--1148",
journal = "Lancet",
issn = "0140-6736",
publisher = "Elsevier B.V.",
number = "9035",
}