Evaluation of an HIV prevention intervention adapted for Black men who have sex with men
Evaluation of an HIV prevention intervention adapted for Black men who have sex with men
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DOI：
10.2105/ajph.2007.120337
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发表时间：
2008-06-01
影响因子：
12.7
通讯作者：
Johnson, Wayne D.
中科院分区：
文献类型：
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作者：
Jones, Kenneth T.;Gray, Phyllis;Johnson, Wayne D.
目标。我们评估了适用于黑人男男性行为者(MSM)的HIV行为干预的有效性。我们对北卡罗来纳州3个城市的黑人男男性接触者进行了一系列横断面调查，1次基线测量，然后开始干预，3次跟踪测量。我们观察到，在4个月(减少23.8%，n=287)和8个月(减少24.7%，n=299)时，无保护的接受性肛交显著减少，在12个月(n=268)时，无保护的插入式肛交(35.2%)、无保护的接受性肛交(44.1%)和任何无保护的肛交(31.8%)显著减少。此外，在12个月时，无保护接受性肛交的平均伴侣数量减少了40.5%。无保护插入式肛交平均减少53.0%，无保护接受性肛交平均减少56.8%。报告经常使用安全套进行插入式和接受性肛交的受访者比例分别增加了23.0%和30.3%。采用先前证实的针对其他MSM的干预措施，可以显著减少黑人MSM的艾滋病毒危险行为。
Objectives. We assessed the efficacy of an HIV behavioral intervention adapted for Black men who have sex with men (MSM).Methods. We conducted serial cross-sectional surveys, 1 baseline measurement followed by initiation of an intervention and 3 follow-up measurements, among Black MSM in 3 North Carolina cities over 1 year.Results. We observed significant decreases in unprotected receptive anal intercourse at 4 months (by 23.8%, n = 287) and 8 months (by 24.7%, n = 299), and in unprotected insertive anal intercourse (by 35.2%), unprotected receptive anal intercourse (by 44.1%), and any unprotected anal intercourse (by 31.8%) at 12 months (n=268). Additionally, at 12 months, the mean number of partners for unprotected receptive anal intercourse decreased by 40.5%. The mean number of episodes decreased by 53.0% for unprotected insertive anal intercourse, and by 56.8% for unprotected receptive anal intercourse. The percentage of respondents reporting always using condoms for insertive and receptive anal intercourse increased by 23.0% and 30.3%, respectively.Conclusions. Adapting previously proven interventions designed for other MSM can significantly reduce HIV risk behaviors of Black MSM.