title: A community level syphilis prevention programme: outcome data from a controlled trial.
abstract: OBJECTIVE
  This study investigated the impact of a small media campaign to reduce syphilis through testing, treatment, and condom use in two urban predominantly African-American communities with high syphilis rates.
  
  
  METHODS
  Data were collected from intervention and comparison zip codes using cross sectional street intercept interviews at baseline and 2 years later (n = 1630) following a small media syphilis prevention campaign with role model story posters, billboards, and other merchandise. Community businesses and a community based organisation served as partners, distributing condoms and small media.
  
  
  RESULTS
  Comparing intervention with comparison zip codes, there were significant increases in condom use in last sexual act, and some aspects of knowledge of syphilis. However, there was significant cross contamination of media impact, with respondents in the comparison zip code seeing an average of two media items compared with three in the intervention zip code. Media exposure was associated with significant increases in knowledge of syphilis, testing, and condom use.
  
  
  CONCLUSIONS
  Targeted community based small media interventions using community partners for distribution are effective in increasing syphilis knowledge, testing, and condom use.
authors.affiliation: WHO Center for Health Promotion and Prevention Research, School of Public Health, University of Texas, PO Box 20036, Houston, TX 77225, USA. mross@sph.uth.tmc.edu
authors.forename: M W
authors.initials: MW
authors.lastname: Ross
authors.forename: N S
authors.initials: NS
authors.lastname: Chatterjee
authors.forename: L
authors.initials: L
authors.lastname: Leonard
mesh_terms: D001741:Black or African American; D017280:Condoms / Q000706:statistics & numerical data / Q000600:supply & distribution; D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008402:Mass Media; D011204:Poverty Areas; D012725:Sexual Behavior; D013587:Syphilis / Q000517:prevention & control*; D013781:Texas; D016896:Treatment Outcome; D014504:Urban Health