Reducing high risk behaviors among street living youth: Outcomes of an integrated prevention intervention
Reducing high risk behaviors among street living youth: Outcomes of an integrated prevention intervention
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DOI：
10.1016/j.childyouth.2014.05.015
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发表时间：
2014-08-01
影响因子：
3.3
通讯作者：
Letcher, Amber
中科院分区：
文献类型：
--
作者：
Carmona, Jasmin;Slesnick, Natasha;Letcher, Amber
在街头生活的年轻人中减少人类免疫缺陷病毒（HIV）风险行为的研究工作显示出令人失望的结果，很少有研究报告减少了风险行为。目前的研究测试了综合艾滋病毒预防干预措施的影响，以及变化的预测因素，对于年龄在14岁至20岁之间的青少年（N = 270），通过一个下降中心接受物质使用治疗。在基线、基线后3个月、6个月和12个月评估安全套使用、艾滋病毒知识、性伴侣数量和与总体艾滋病毒风险指数相关的行为。研究结果表明，艾滋病毒预防与药物使用治疗相结合，与增加安全套的使用和减少性伴侣。然而，对避孕套使用的影响是短暂的，并在基线后12个月消失。较高的治疗出勤率和基线物质使用预测增加避孕套的使用。虽然总体艾滋病毒风险指数没有显著变化，但抑郁症状的增加与指数评分的增加以及更多的性伴侣有关。未来的研究应确定成功的干预是否需要加强减少风险的行为，而青年仍然无家可归。(C)2014爱思唯尔有限公司版权所有。
Research efforts to reduce human immunodeficiency virus (HIV) risk behavior among street living youth have shown disappointing outcomes, with few studies reporting reduced risk behaviors. The current study tested the impact of an integrated HIV prevention intervention, and predictors of change, for youth (N = 270) between ages 14 and 20 years receiving substance use treatment through a drop-in center. Condom use, HIV knowledge, number of sexual partners and behaviors associated with an overall HIV risk index were assessed at baseline, 3, 6 and 12 months post-baseline. Findings suggest that HIV prevention integrated with substance use treatment is associated with increased condom use and reduced sex partners. However, the effects on condom use were short lived and dissipated by 12 months post-baseline. Higher treatment attendance and baseline substance use predicted increased condom use. Although no significant change was observed in the overall HIV risk index, increases in depressive symptoms were associated with increases in the index score, as well as more sexual partners. Future research should determine whether successful intervention requires reinforcement of risk reduction behaviors while youth remain homeless. (C) 2014 Elsevier Ltd. All rights reserved.