HIV PREVENTION EDUCATION FOR LESBIANS AND BISEXUAL WOMEN - A CULTURALANALYSIS OF A COMMUNITY INTERVENTION

AIDS is increasing almost four times as fast among women, yet lesbians and bisexual women are among the least studied, least understood and most elusive populations affected by the AIDS epidemic. This paper rep orts the results of community-level HIV prevention research designed: (a) to examine the knowledge, perceptions, social contingencies and po litical constraints affecting the HIV risk taking of lesbians and bise xual women; and (b) to offer them context specific HIV prevention educ ation. The study was a peer educator-based intervention project situat ed in San Francisco's women's bars, dance clubs, and sex clubs to reac h socially and sexually active lesbians and bisexual women in natural settings. Between June 1992 and May 1993, ethnographic interviews were conducted with 626 women attending the bars and clubs; group presenta tions at these locales reached 1315 women. The structure of the interv ention was effective in prompting interest in HIV prevention informati on and intent to change behavior. The resultant cultural analysis deta ils risk behaviors lesbians and bisexual women participate in, myriad constraints they face in trying to enact safer behaviors, gaps in know ledge, difficulties comprehending the relevance of HIV prevention, and risk reduction strategies commonly employed.