HIV和同性恋浴池：在美国城市中的公共卫生应对课件.pptVIP

HIV Gay Bathhouses: Public Health Responses in US CitiesHIV和同性恋浴池：在美国城市中的公共卫生应对 Beijing Qingdao April 2009 Collaborators 合作者 UCSF Center for AIDS Prevention Studies 加州大学旧金山分校艾滋病预防研究中心 Diane Binson William J. Woods Venues Team Who Goes? What Goes on at Bathhouses?谁去以及去浴池做什么？ Club-goers vs. non-club-goers 去俱乐部者vs不去俱乐部者 Behavior at the bathhouse 在浴池的行为 Men who report high levels of risk behavior are more likely to go to sex clubs bathhouses 报告有高危险行为的人更可能去性俱乐部和浴池 As such, its an ideal place to reach high-risk men with HIV prevention 正如这样，去浴池和俱乐部进行艾滋病干预是接触高危人群的理想场所 Bathhouses attract high risk men, but most men there are not having high risk sex 浴池吸引高危险的人，但多数人在浴池没有高危险的性行为 What policies have been tried?什么措施已经被尝试过？ In many places - do nothing 在许多地方－没有做过任何尝试 Some have tried novel approaches(e.g., Sydney) 一些地方尝试过新的方法（如悉尼） We looked at US cities 我们看一下美国的一些城市中开展的例子 What’s been done in USA?在美国做过什么？ Closing bathhouses sex clubs 关闭浴池和性俱乐部 Structural Regulations (public/private space) 成文的一些规定（公共/私人空间） Provide prevention 提供预防(condoms/information/screening)安全套、信息、筛查 Closing the Baths关闭浴池 In 1980s, several cities tried closing:San Francisco, New York, Los Angeles, Atlanta 80年代，几个城市尝试关闭浴池：旧金山，纽约，洛杉矶，亚特兰大 Today all have sex clubs/bathhouses 现在，所有地方都有性俱乐部/浴池 Most people surprised they still exist 多数人吃惊他们仍然存在 Some PH officials still want them closed 一些公共卫生官员仍然希望这些地方关闭 Prevention Programs预防项目 Summary总结 Thank You!! Our Publications Binson D, Woods WJ, Pollack L, Paul L, Stall R, and Catania JA. Differential HIV Risk in Bathhouses and Public Cruising Areas. American Journal of Public Health. 2001;91:1482-1486. Woods WJ, Binson D, Pollack L, Wohlfeiler D, Stall R, Catania J. Public policy regulating private public space in gay bathhouses. JAIDS, 2003;32:417-423. Woods WJ, Binson D. (Eds.) Gay Bathhouses and Public Health Policy. New York: Haworth Press, Inc., 2003. Binson D, Blea L, Cotten PD, Kant J, Woods WJ. Building an HIV/STI prevention program in a g