Responsible and safer places where men have sex with men.… Everywhere A European Methodological Model of HIV Prevention in Men who have Sex with Men (MSM): Everywhere RUBSI Nicosia, 28 th & 29 th Jan, 2010 The Everywhere Project is co-funded by the European Commission (Executive Agency for Health and Consumers)

Activities Done/ Processes engaged with  Translations  Leaflet  Condom Pack  Interviews Schedule  Participant Consent Form  Participant Information Sheet  Social Mediation Training Workbook  Excel Everywhere Protocol Template  Interviews  14 face to face interviews  Pilot : met up with five homosexual and five heterosexual individuals  Executive Summary

INTERVIEWS (1)  14 face to face interviews, between November 2009, in Cyprus  19 open-ended questions  Snowball and Non Probability Sampling technique  English and Greek documents  Informed consent  Age:20 to 51 and over  Nationalities  Greek-Cypriots (78.6 %, n=11)  Foreigner EU citizens ( 21.4 %, n= 3)  Venues and Business located in or related to gay circles  Cafeterias and Restaurants (42.9%, n=6)  Darkrooms and gay clubs (14.3%, n=2 )  Gay friendly hotels (14.3%, n=2)  Travel agency (7.1%, n=1)  Hair Salons (14.3%, n=2)  Catering and Organizing Events (7.1%, n=1)

INTERVIEWS (2)  Gender  Males ((64.3%, n=9)  Females (35.7%, n=5)  Sexual Orientation  Transvestite (7.1%, n=1)  Heterosexual (64.3%, n=9)  Lesbian (7.1%,n=1)  Gay (14.3%, n=2)  Bisexual (7.1%, n=1)  Occupation  Owner and Manager( 57.1%, n=8)  Employee, Receptionist (14.3%, n=2)  Manager(14.3%, n=2)  Supervision, Assistant Manager(14.3%, n=2)

INTERVIEWS (3)  No knowledge of any other projects similar to Everywhere  No actual involvement in any HIV/STI prevention schemes  No knowledge of places where MSM can get information  Vast majority reported that is very difficult to get information  All liked the idea of having HIV prevention for MSM in sex venues  Vast majority was positive with the idea of HIV prevention for MSM in non- sex venues  92.9 % (n=13): positive with the idea about HIV prevention and promotion in their business  71.4 % (n=10): no obstacles in doing HIV prevention in their business

INTERVIEWS (4)  78.6 %(n=11) would like to have free material for the HIV promotion  92.9% (n=13) would like to do sexual health promotion in their business but not only for MSM  57.1% (n=8) : exceptionally good idea to involve venues in sexual health promotion but not only for MSM  28.6% (n=4): will not benefit being awarded the Everywhere Seal; discrimination and unfair  63.9% (n=9): will have disadvantages being awarded the Everywhere Seal  49.7% (n=7): to overcome disadvantages suggested publicity of the Seal; be an award and not warning; having no criteria ;no need or utility of the award  78.6% (n=11): interested in being accredited with the Everywhere Seal of quality; 6 out of 11 not interested if is for MSM only and under specific conditions

Issues to focus on  78.1% (n=7) made negative comments and expressed negative feelings for the Everywhere Seal  Only 21.3% (n=3) said that Everywhere Seal is ‘good idea’; but should be for all people and placed in both heterosexual & non-heterosexual venues  According to the majority of the interviewees the Seal is:  Discriminatory act against straight and gay people  Suggests that HIV/AIDS is closely related to gay men  Unfair; treat gay in a special way by giving ‘extra attention and value to gay’  Wrong  Offensive  Unreasonable  Stupid idea

Issues to focus on  Seal will:  Stigmatize people and business  Harm gay people in Cyprus  Everywhere may be appropriate for other countries but not for Cyprus  They suggested:  Adjust Everywhere to Cypriot culture  Stop the project since it will harm gay people in Cyprus  Everywhere should be addressed to prevention of AIDS for all people  Everywhere campaign addressed only to MSM will be clear discrimination  Everywhere campaign must be focused on young people  Social constructs in Cyprus contribute to discrimination against gay people through the discrepancy between the people’s attitudes and behaviors

Future directions of research  A larger random sample size may identify further correlations  Future careful assessment of social constructs in different populations, particularly with respect to attitudes and behaviors, will be a critical next step in the development of effective culturally personalized health promotion interventions and development of strategies  Future research is required to study how inconsistent non LGBT individuals’ behaviors influence LGBT individuals’ cognitive processes and behavioral outcomes  The impact of Immigration in Cyprus  Ethnic minority MSM/Health promotion