A combined microfinance and training intervention can reduce HIV risk behaviour in young female participants
A combined microfinance and training intervention can reduce HIV risk behaviour in young female participants
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DOI：
10.1097/qad.0b013e328307a040
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发表时间：
2008-08-20
期刊：
影响因子：
3.8
通讯作者：
Porter, John D. H.
中科院分区：
文献类型：
--
作者：
Pronyk, Paul M.;Kim, Julia C.;Porter, John D. H.
目的：评估小额信贷和培训干预相结合对南非农村年轻女性参与者艾滋病毒风险行为的影响。设计：对来自整群随机试验、艾滋病小额信贷干预和性别平等研究的定量和定性数据进行二次分析。方法：8 个村庄配对并随机分配接受干预。在基线和 2 年后，对 14-35 岁女性参与者的艾滋病毒风险行为进行了评估。她们的回答与对照组村庄的同龄妇女和贫困群体进行了比较。干预效果是使用村级摘要调整后的风险比来计算的。研究期间收集的定性数据探讨了参与者对干预措施的反应，包括艾滋病毒风险行为。结果：与对照组相比，经过 2 年随访，年轻参与者的艾滋病毒相关沟通水平较高（调整后风险比 1.46，95% 置信区间 1.01-2.12），更有可能接受自愿咨询和检测（调整后风险比 1.64，95% 置信区间） 1.06-2.56），并且在最后一次与非配偶性伴侣发生无保护性行为的可能性较小（调整后的风险比 0.76, 95%，置信区间 0.60-0.96）。定性数据表明，人们更加接受有关艾滋病毒和性行为的家庭内部沟通。尽管妇女指出了与男性接受安全套相关的挑战，但参与干预措施带来的信心和技能的增强支持了将安全套引入性关系。结论：除了对经济福祉、妇女赋权和亲密伴侣暴力的影响之外，解决妇女经济和社会脆弱性的干预措施可能有助于减少艾滋病毒危险行为。 (C) 2008 年威科健康 |利平科特·威廉姆斯和威尔金斯。
Objective: To assess effects of a combined microfinance and training intervention oil HIV risk behavior among young female participants in rural South Africa.Design: Secondary analysis of quantitative and qualitative data from a cluster randomized trial, the Intervention with Microfinance for AIDS and Gender Equity study.Methods: Eight villages were pair-matched and randomly allocated to receive the intervention. At baseline and after 2 years, HIV risk behavior was assessed among female participants aged 14-35 years. Their responses were compared with women of the same age and poverty group from control villages. Intervention effects were calculated using adjusted risk ratios employing village level summaries. Qualitative data collected during the Study explored participants' responses to the intervention including HIV risk behavior.Results: After 2 years of follow-up when compared with controls, Young participants had higher levels of HIV-related communication (adjusted risk ratio 1.46, 95% confidence interval 1.01-2.12), were more likely to have accessed Voluntary Counseling and testing (adjusted risk ratio 1.64, 95% confidence interval 1.06-2.56), and less likely to have had unprotected sex at last intercourse with a nonspousal partner (adjusted risk ratio 0.76, 95%, confidence interval 0.60-0.96). Qualitative data suggest a greater acceptance of intrahousehold communication about HIV and sexuality. Although women noted challenges associated with acceptance of condoms by men, increased confidence and skills associated with participation in the intervention supported their introduction in sexual relationships.Conclusions: In addition to impacts on economic well being, women's empowerment and intimate partner violence, interventions addressing the economic and social vulnerability of women may contribute to reductions in HIV risk behavior. (C) 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins.