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Zunyou Wu, MD, PhD, Roger Detels, MD, MS, Jiapeng Zhang, MD, Virginia Li, PhD and Jianhua Li, MD

Zunyou Wu is with the National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China. Roger Detels and Virginia Li are with the School of Public Health, University of California, Los Angeles, Calif. At the time of this study, Jiapeng Zhang was with the School of Public Health, University of California, Los Angeles. Jianhua Li is with the Yunnan Anti-Epidemic Station, Yunnan Institute on Drug Abuse, Kunming, China.

Correspondence: Requests for reprints should be sent to Roger Detels, MD, MS, Professor of Epidemiology, University of California, Los Angeles, Box 951772, Los Angeles, CA 90095–1772 (e-mail: detels{at}ucla.edu).

Objectives. This study evaluated a community-based program in China to prevent initiation of drug use in young men.

Methods. Similar intervention and control areas were selected. Village leaders, teachers, and women and youth leaders were recruited to participate in the program. Community activities were organized and intervention activities in schools were implemented. Incidence of new drug users was estimated.

Results. There was a 2.7-fold greater reduction in drug use initiation in the intervention area (1.59% vs 0.60%). Reduction was highest among males aged 15 to 19, single men, illiterate men, and the Jingpo minority. HIV/AIDS knowledge and attitudes and recognition of drug problems were all significantly better in the intervention area.

Conclusions. Community-based intervention programs to prevent drug use can be successful in rural areas of China.

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