disempowerment, isolation, and disintegration may be postulated as the intervening psychological mechanisms explaining the reversion to unsafe sex.
A number of important conclusions, with implications for AIDS education, can be made from these findings. First, not all AIDS education is necessarily beneficial.27 It would appear that such education may have very serious negative consequences on behavior change.?28 Second, any campaign directed at the general public also has an impact on those identified as at higher risk. The possible implications of such education on homosexually active men, intravenous drug users, and prostitutes must be carefully considered.29 Third, the evidence of this study suggests that fear as an education strategy to motivate safer sex behavior is counterproductive, with the possibility having to be faced that such campaigns, however well intentioned and market-researched among the general population, may lead to increased unsafe sex in those at higher risk and so increase the spread of HIV. Fourth, the Australian experience highlights the need for all AIDS education to be adequately behaviorally researched and tested. Where that education is targeted at specific communities, the research needs to incorporate the possible effects of such interventions on other communities in contact with the interventions.