REDUCING HIV SEXUAL RISK BEHAVIORS AMONG RUNAWAY ADOLESCENTS
REDUCING HIV SEXUAL RISK BEHAVIORS AMONG RUNAWAY ADOLESCENTS
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DOI：
10.1001/jama.266.9.1237
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发表时间：
1991-09-04
影响因子：
120.7
通讯作者：
DAVIES, M
中科院分区：
文献类型：
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作者：
ROTHERAMBORUS, MJ;KOOPMAN, C;DAVIES, M
Objective. - 在一项预防人类免疫缺陷病毒（HIV）感染和获得性免疫缺陷综合症（AIDS）的强化计划中，对离家出走者性风险行为的减少进行了评估。- 在一项非随机对照试验中，将一个住宅庇护所的78名离家出走者接受了多达30次艾滋病毒/艾滋病干预治疗，并与一个非干预庇护所的67名离家出走者在基线和3个月和6个月时进行了性行为评估。- 逃亡者是从纽约仅有的两个公共资助的收容所招募的。- 离家出走者年龄在11至18岁之间，64%为女性，主要是黑人或西班牙裔。- 干预措施涉及有关艾滋病毒/艾滋病的一般知识、应对技能、获得保健和其他资源的机会，以及个人对安全性行为的障碍。- 持续使用安全套，高风险性行为模式，以及在3个月的时间框架内禁欲进行了评估。- 随着干预次数的增加，离家出走者报告的持续使用安全套的情况显著增加（3个月时，唯一R2 = 0.06，P <0.05; 6个月时，唯一R2 = 0.09，P <0.05），他们报告的高风险性行为模式显著减少（3个月时，唯一R2 = .03，P =.06; 6个月时，唯一R2 = .04，P < .05）。禁欲没有改变。结论。- 艾滋病毒/艾滋病强化方案所显示的有效性突出表明，必须扩大目前大多数艾滋病毒/艾滋病预防方案的范围。
Objective. - Reductions in runaways' sexual risk behaviors were evaluated in response to an intensive program to prevent human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS).Design. - In a nonrandomized control trial, sexual risk behaviors among 78 runaways at one residential shelter who received up to 30 HIV/AIDS intervention sessions were compared with 67 runaways at a nonintervention shelter with sexual behaviors assessed at baseline and 3 and 6 months.Setting. - Runaways were recruited from the only two publicly funded shelters in New York, NY.Participants. - The runaways were aged 11 to 18 years, 64% female, and predominantly black or Hispanic.Intervention. - The intervention addressed general knowledge about HIV/AIDS, coping skills, access to health care and other resources, and individual barriers to safer sex.Main Outcome Measures. - Consistent condom use, a high-risk pattern of sexual behavior, and sexual abstinence over a 3-month time frame were assessed.Main Results. - As the number of intervention sessions increased, runaways' reports of consistent condom use increased significantly (at 3 months, unique R2 = .06, P < .05; at 6 months, unique R2 = .09, P < .05), and their reports of engaging in a high-risk pattern of sexual behavior decreased significantly (at 3 months, unique R2 = .03, P =.06; at 6 months, unique R2 = .04, P < .05). Abstinence did not change.Conclusions. - The demonstrated effectiveness of the intensive HIV/AIDS program highlights the importance of enlarging the scope of most current HIV/AIDS prevention programs.