CONDOMS FOR MEN, NOT WOMEN - RESULTS OF BRIEF PROMOTION PROGRAMS
CONDOMS FOR MEN, NOT WOMEN - RESULTS OF BRIEF PROMOTION PROGRAMS
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DOI：
10.1097/00007435-199209000-00002
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发表时间：
1992-09-01
影响因子：
3.1
通讯作者：
HAHN, G
中科院分区：
文献类型：
--
作者：
COHEN, DA;DENT, C;HAHN, G
三种不同的短期干预方案，以促进安全套的使用进行了测试，在患者在市中心的性传播疾病（STD）诊所。第一个项目是“安全套使用技巧”，重点是教授如何使用安全套的机械方面。第二个是“社会影响”，强调如何与性伴侣协商使用避孕套。第三，“分发”，为患者提供无限数量的免费避孕套，可在当地社区企业中检索。在903名接受干预计划后对其医疗记录进行审查的受试者中，12.6%的女性和19.9%的男性发现了持续不安全性行为的证据，这些证据由随后对新性病的治疗记录在案。与男性对照组相比，男性研究患者记录的随后的STD再感染较少。安全套技术组的相对危险度（RR）和95%可信区间（CI）分别为0.48和0.28、0.81;社会影响组的RR和95%可信区间分别为0.65和0.40、1.04;与对照组相比，女性患者的性传播疾病发病率没有下降;事实上，在接受社会影响干预计划的女性中，性传播疾病的风险有增加的趋势。这项研究表明，简短的避孕套推广计划可以有效的男性性病患者，必须谨慎地向妇女推广避孕套与高风险获得性病。需要进一步研究在这些妇女中促进安全性行为的方案。
Three different brief intervention programs to promote condom use were tested among patients in inner-city sexually transmitted disease (STD) clinics. The first, "Condom Skills," focused on teaching mechanical aspects of how to use a condom. The second, "Social Influences," emphasized how to negotiate condom use with one's sexual partner. The third, "Distribution," provided patients with an unlimited number of free condoms, retrievable al local community businesses. Of the 903 subjects whose medical records were reviewed after exposure to the intervention programs, evidence of continued unsafe sexual behavior, documented by subsequent treatment for a new STD, was found for 12.6% of the women and 19.9% of the men. When compared with male control subjects, male study patients had fewer documented subsequent STD reinfections. The relative risk (RR) and 95% confidence interval (CI) values were 0.48 and 0.28, 0.81 for the condom skills group; 0.65 and 0.40, 1.04 for the social influences group; and 0.85 and 0.56, 1.29 for the distribution group. There was no decrease in the incidence of STDs among female patients compared with control subjects; indeed, there was a trend toward increased risk of STDs among women exposed to the Social Influences intervention program. This study demonstrates that brief condom promotion programs can be effective for male STD patients, and that caution must be exercised in promoting condoms to women with a high risk of acquiring STDs. Further research on programs promoting safer sex among these women is needed.