Interventions delivered in clinical settings are effective in reducing risk of HIV transmission among people living with HIV: results from the Health Resources and Services Administration (HRSA)'s Special Projects of National Significance initiative.
Interventions delivered in clinical settings are effective in reducing risk of HIV transmission among people living with HIV: results from the Health Resources and Services Administration (HRSA)'s Special Projects of National Significance initiative.
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DOI：
10.1007/s10461-010-9679-y
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发表时间：
2010-06
影响因子：
4.4
通讯作者：
Morin, Stephen F.
中科院分区：
文献类型：
--
作者：
Myers, Janet J.;Shade, Starley B.;Rose, Carol Dawson;Koester, Kimberly;Maiorana, Andre;Malitz, Faye E.;Bie, Jennifer;Kang-Dufour, Mi-Suk;Morin, Stephen F.
关键词：
为了支持扩大艾滋病毒感染者的预防服务，美国卫生资源和服务管理局（HRSA）发起了一项为期5年的倡议，以测试在临床环境中提供的干预措施是否有效降低艾滋病毒感染者之间的艾滋病毒传播风险。在13个示范点，患者被随机分配到四种情况中的一种。所有干预措施都与3,556名参与研究的患者中与未感染艾滋病毒或身份不明的人进行无保护阴道和/或肛交的次数减少有关。与标准护理相比，被分配接受医疗保健提供者干预的患者在参与12个月后报告风险显着降低。从健康教育者、社会工作者或非专业艾滋病毒感染者那里接受预防服务的患者在6个月时报告风险显著降低，但在12个月时则没有。虽然诊所可以选择有效的模式来为感染艾滋病毒的患者实施预防方案，但医疗提供者提供的方法相对稳健。
To support expanded prevention services for people living with HIV, the US Health Resources and Services Administration (HRSA) sponsored a 5-year initiative to test whether interventions delivered in clinical settings were effective in reducing HIV transmission risk among HIV-infected patients. Across 13 demonstration sites, patients were randomized to one of four conditions. All interventions were associated with reduced unprotected vaginal and/or anal intercourse with persons of HIV-uninfected or unknown status among the 3,556 participating patients. Compared to the standard of care, patients assigned to receive interventions from medical care providers reported a significant decrease in risk after 12 months of participation. Patients receiving prevention services from health educators, social workers or paraprofessional HIV-infected peers reported significant reduction in risk at 6 months, but not at 12 months. While clinics have a choice of effective models for implementing prevention programs for their HIV-infected patients, medical provider-delivered methods are comparatively robust.
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影响因子：
3.7
作者：
Gilbert, Paul;Ciccarone, Daniel;Gansky, Stuart A.;Bangsberg, David R.;Clanon, Kathleen;McPhee, Stephen J.;Calderon, Sophia H.;Bogetz, Alyssa;Gerbert, Barbara
通讯作者：
Gerbert, Barbara
DOI：
10.1080/09540120600971117
发表时间：
2007-07-01
影响因子：
1.7
作者：
Lightfoot, M.;Rotheram-Borus, M. J.;Reddy, V.
通讯作者：
Reddy, V.
影响因子：
4.4
作者：
Koester, Kimberly A.;Maiorana, Andre;Morin, Stephen
通讯作者：
Morin, Stephen
影响因子：
2.3
作者：
Lightfoot, Marguerita;Rotheram-Borus, Mary Jane;Tevendale, Heather
通讯作者：
Tevendale, Heather
影响因子：
4.4
作者：
Malitz, Faye E.;Eldred, Lois
通讯作者：
Eldred, Lois