HIV/AIDS-RELATED BEHAVIOR-CHANGE AMONG INJECTING DRUG-USERS IN DIFFERENT NATIONAL SETTINGS
HIV/AIDS-RELATED BEHAVIOR-CHANGE AMONG INJECTING DRUG-USERS IN DIFFERENT NATIONAL SETTINGS
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DOI：
10.1097/00002030-199506000-00013
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发表时间：
1995-06-01
期刊：
影响因子：
3.8
通讯作者：
TELLES, PR
中科院分区：
文献类型：
--
作者：
JARLAIS, DCD;FRIEDMAN, SR;TELLES, PR
目的：确定有效改变艾滋病行为的相关因素。设计：对IDU进行横断面调查，确定HIV状态。城市注射吸毒者中艾滋病毒血清流行趋势也用于验证行为改变的有效性。环境和参与者：从泰国曼谷（n=601）、苏格兰格拉斯哥（n=919）、美国纽约市（n=2539）和巴西里约热内卢里约热内卢（n=466）的吸毒治疗项目和推广工作中招募的受试者。结果：所有城市都有证据证明自我报告风险降低的有效性。采用单变量和多变量logistic回归分析来确定与自我报告的艾滋病行为改变相关的因素。对每个城市进行了单独的分析。在所有四个城市中，与吸毒的朋友谈论艾滋病与行为改变显著相关。与性伴侣谈论艾滋病、受教育程度、知道有人可能感染艾滋病毒但看起来仍然健康，以及之前接受过艾滋病毒检测，这些都与四个城市中三个城市的行为改变有显著关联。结论：尽管这些国家的环境存在很大差异，但有一些共同因素与有效降低风险有关。特别是，风险的减少似乎是通过社会过程而不是通过个人态度的改变来实现的。艾滋病预防项目需要明确地将社会进程纳入其工作。
Objectives: To identify factors associated with effective AIDS behavior changeDesign: Cross-sectional surveys of IDU, with determination of HIV status. Trends in city HIV seroprevalence among IDU also used to validate effectiveness of behavior change.Setting and participants: Subjects recruited from drug-use treatment programs and outreach efforts in Bangkok, Thailand (n=601), Glasgow, Scotland (n=919), New York City, USA (n=2539), and Rio de Janeiro, Brazil (n=466).Results: Evidence for the effectiveness of self-reported risk reduction was available for all cities. Univariate followed by multiple logistic regression analyses were used to identify factors associated with self-reported AIDS behavior change. Separate analyses were conducted for each city. Talking about AIDS with drug-using friends was significantly associated with behavior change in all four cities. Talking with sex partners about AIDS, educational level, knowing that someone can be HIV-infected and still look healthy, and having been tested previously for HIV were each significantly associated with behavior change in three of the four cities.Conclusions: Despite the substantial differences in these national settings, there were common factors associated with effective risk reduction. In particular, risk reduction appears to occur through social processes rather than through individual attitude change. HIV prevention programs need to explicitly incorporate social processes into their work.