Contents

• WORKSHOP COMMITTEE ON THE SOCIAL AND BEHAVIORAL SCIENCE BASE FOR HIV/AIDS PREVENTION AND INTERVENTION
• Summary
• Introduction
• PART I. Understanding the Epidemic
• PART II. Learning from Lives: Individuals Within a Social Context
  • MARK'S STORY: A YOUNG GAY MALE IN SAN FRANCISCO
  • JANICE'S STORY—FROM “THE HEART OF THE MATTER”
  • ACÉPHIE: A YOUNG WOMAN FROM HAITI
  • COMMERCIAL SEX WORKERS IN THAILAND
• PART III. Understanding High-Risk Communities
  • THE CONCEPT OF COMMUNITY
• PART IV. Making a Difference: Controlling the Epidemic Through Social Intervention
  • SOCIAL NETWORKS
  • LARGE-SCALE SOCIAL CONTEXTUAL INFLUENCES ON THE SPREAD OF HIV
  • MODELS UNDERLYING PREVENTIVE INTERVENTION
• PART V. Intermediate Technologies in Medically Based Prevention Trials
  • TRIAL DESIGN
  • RECRUITMENT
  • INFORMED CONSENT
  • ADHERENCE TO PROTOCOLS
  • OUTCOMES
  • EXAMPLES
• PART VI. Evaluating Results
  • CLASSICAL DESIGNS
  • QUASI-EXPERIMENTAL DESIGNS
  • ALTERNATIVE STANDARDS AND METHODOLOGIES
  • SPECIFIC RESEARCH NEEDS
• Highlights and Themes
• References
• APPENDIX A. Workshop Agenda
• APPENDIX B. Workshop Participants
• APPENDIX C. Background Papers

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.