Is Intervention For The Social Environment Of People At...

The most recent evidence concludes young men who have sex with men (YMSM) â€Å"aged 13 to 24 accounted for an estimated 92% of new HIV diagnoses among all men in their age group and 27% of new diagnoses among all gay and bisexual men† (Centers for Disease Control and Prevention, 2016, para. 3). Thus, suggests intervention for the YMSM population is vital to reversing this negative trend. Early recognition of this trend caught the attention of Dr. Kegeles and Dr. Hays from the Center for AIDS Prevention Studies, at the University of California, San Francisco. Together they developed an â€Å"HIV prevention methodology that reformed the social environment of people at risk for HIV/AIDS, as well as focused on individual and interpersonal-level issues†¦show more content†¦Social and Behavioral Risk Factors Meetings are held at a minimum of every two weeks, yet most host more. These meetings are designed to address the social and behavioral risk factors associated with HIV vulnerability. The factors focused on during these meetings include: †¢ Individual factors – invulnerability, complacency, lack of fear of HIV, and a reluctance to discuss HIV with sexual partners. †¢ Interpersonal factors – little to no skill talking to partners about safe sex, reluctance to insist, lack of experience leads to inaccurate assumptions about the HIV status of others, and lack of self-esteem. †¢ Cultural factors – conflicts between one’s sexual orientation and cultural norms, outside pressures, which decrease one’s ability to consistently engage in safe sex, discomfort maneuvering mainstream gay communities, fear of testing, and lack of prevention services. †¢ Community/structural factors – social scenes/environments that are non-conducive to safe sex (alcohol, drugs, casual hook-ups, Internet/applications (Craigslist, Grindr, Men4SexNow, etc.). †¢ Biomedical factors – having sex with someone who is HIV-positive, lack of knowledge about viral loads and its significance (low viral load less infectious than a high viral load), extreme risk when having sex with someone newly infected (intentional or unintentional), and the importance of testing because it aids in protecting community health (Mpowerment Project, 2016). 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