Evaluation of a socio-cultural intervention to reduce unprotected sex for HIV among African American/Black women.
Evaluation of a socio-cultural intervention to reduce unprotected sex for HIV among African American/Black women.
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DOI：
10.1007/s10461-015-1004-3
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发表时间：
2015-10
影响因子：
4.4
通讯作者：
Snow D
中科院分区：
文献类型：
--
作者：
Boekeloo B;Geiger T;Wang M;Ishman N;Quinton S;Allen G;Ali B;Snow D
非裔美国人/黑人(黑人)妇女感染艾滋病毒的比例高于其他妇女。在黑人妇女的不同样本(n=205)中，评估了一种艾滋病毒预防干预措施，该干预措施结合了之前两个以证据为基础的艾滋病毒干预计划：“应对工作和家庭压力”和“嘻哈2预防药物滥用和艾滋病毒”。研究参与者在10个招募地点被非随机分配到干预组或对照组，然后在基线、即时后测和6个月随访时进行调查。总体估计方程模型显示，对照组参与者在测试后立即报告的无保护性行为较少，而干预组参与者在6个月随访时报告的无保护性行为较少。尽管对照组中报告的无保护措施性行为最初有所下降，但这项研究表明，为应对黑人女性的社会文化压力和提高她们的应对能力而量身定做的艾滋病毒风险降低干预措施可能会减少她们6个月后无保护措施的性行为。
African American/Black (Black) women suffer disproportionately to other women from HIV. An HIV prevention intervention combining two previous evidenced-based HIV intervention programs; “Coping with Work and Family Stress” and “Hip Hop 2 Prevent Substance Abuse and HIV”, was evaluated in a diverse sample of Black women (n=205). Study participants at 10 recruitment sites were assigned non-randomly to either the intervention or comparison group and then surveyed at baseline, immediate posttest, and 6-month follow-up. General Estimating Equation modeling revealed that participants in the comparison group reported less unprotected sex at immediate post-test and the intervention group less unprotected sex at 6-month follow-up. Despite the initial drop in reported unprotected sex in the comparison group, this study suggests that an HIV risk reduction intervention tailored to address Black women’s socio-cultural stress and enhance their coping may reduce their unprotected sex at 6-months.