Community planning, HIV prevention, and a needs assessment for men who have sex with men: the South Beach Health Survey

Sex Transm Dis. 2005 May;32(5):321-7. doi: 10.1097/01.olq.0000159211.40719.2b.


Objective: The objective of this study was to plan for a series of culturally competent and sexually appropriate public health interventions for a highly mobile population of men who have sex with men (MSM).

Goal: The goal of this study was to conduct a comprehensive needs assessment.

Study: A cross-sectional survey with a multistage probability sample of unmarried adult MSM living in households was conducted.

Results: A total of 918 residential units were screened, 154 eligible men were identified, and 140 mostly white (56%) and Hispanic (34%) MSM (median=33.5 years old) were enrolled (90.9% response rate). Almost half (47%) reported engaging in unprotected anal intercourse in the previous 12 months. Drug use was common. Almost one third (31.0%) tested positive for the HIV antibody. Estimated annual incidence of HIV infection was 10.0%.

Conclusions: Population-based HIV antibody testing revealed a remarkably high annual incidence of HIV infection. A community-based organization was transformed to implement a social marketing campaign and provide other disease prevention services for MSM.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Community Health Services*
  • Cross-Sectional Studies
  • Florida / epidemiology
  • HIV Infections / epidemiology*
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • Health Planning
  • Health Promotion
  • Homosexuality, Male*
  • Humans
  • Male
  • Needs Assessment*
  • Prevalence