Substance use, sexual risk, and violence: HIV prevention intervention with sex workers in Pretoria
Substance use, sexual risk, and violence: HIV prevention intervention with sex workers in Pretoria
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DOI：
10.1007/s10461-005-9036-8
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发表时间：
2006-03-01
影响因子：
4.4
通讯作者：
Morojele, NK
中科院分区：
文献类型：
--
作者：
Wechsberg, WM;Luseno, WK;Morojele, NK
本文介绍了在美国设计并在南非进行调整和实施的艾滋病毒预防干预措施。通过实验设计，93 名报告近期吸毒和性交易的女性被随机分配到修改后的标准 HIV 干预组或以女性为中心的 HIV 预防干预组。八十名女性完成了为期一个月的后续访谈。参与者报告基线时性风险和暴力发生率很高。随访结果显示，报告无保护性行为以及每天使用酒精和可卡因的女性比例有所下降。接受以女性为中心的干预措施的女性每日饮酒和可卡因的使用量减少更多。尽管暴力仍然是一个问题，但在后续的以女性为中心的参与者中，报告称受害频率低于接受标准干预的女性。这项研究证明了实施跨文化行为艾滋病毒预防干预措施的可行性，并支持未来研究妇女背景问题和有针对性的干预措施的有效性的必要性。
This paper describes an HIV prevention intervention designed in the US that was adapted and implemented in South Africa. Using an experimental design, 93 women who reported recent substance use and sex trading were randomly assigned to a modified Standard HIV intervention or to a Woman-Focused HIV prevention intervention. Eighty women completed the one-month follow-up interview. Participants reported high rates of sexual risk and violence at baseline. At follow-up, findings showed decreases in the proportion of women reporting unprotected sex and the daily use of alcohol and cocaine. Daily alcohol and cocaine use decreased more for women receiving the Woman-Focused intervention. Although violence continued to be a problem, at follow-up Woman-Focused participants reported being victimized less often than women receiving the Standard intervention. This study demonstrates the feasibility of implementing cross-cultural behavioral HIV prevention interventions, and supports the need for future studies of women's contextual issues and the effectiveness of targeted interventions.