title: Community planning, HIV prevention, and a needs assessment for men who have sex with men: the South Beach Health Survey.
abstract: 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).
  
  
  OBJECTIVE
  The goal of this study was to conduct a comprehensive needs assessment.
  
  
  METHODS
  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.
authors.affiliation: Department of Public Health, College of Health and Urban Affairs, Florida International University, Miami, Florida 33181-3600, USA.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Webster
authors.forename: William W
authors.initials: WW
authors.lastname: Darrow
authors.forename: Jay P
authors.initials: JP
authors.lastname: Paul
authors.forename: Randall A
authors.initials: RA
authors.lastname: Roark
authors.forename: Richard A
authors.initials: RA
authors.lastname: Taylor
authors.forename: Robert R
authors.initials: RR
authors.lastname: Stempel
mesh_terms: D000293:Adolescent; D000328:Adult; D003153:Community Health Services; D003430:Cross-Sectional Studies; D005431:Florida / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology* / Q000208:ethnology / Q000517:prevention & control*; D006285:Health Planning; D006293:Health Promotion; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D020380:Needs Assessment; D015995:Prevalence