Effects on sexual risk Behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings
Effects on sexual risk Behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings
复制标题
DOI：
10.2105/ajph.2003.020271
复制
发表时间：
2007-06-01
影响因子：
12.7
通讯作者：
O'Leary, Ann
中科院分区：
文献类型：
--
作者：
Jemmott, Loretta Sweet;Jemmott, John B., III;O'Leary, Ann
目标.我们测试了非洲裔美国妇女在初级保健环境中的艾滋病毒/性传播疾病（STD）风险降低干预措施的有效性。在一项随机对照试验中，在新泽西州纽瓦克市中心妇女健康诊所招募的564名非洲裔美国妇女被分配到20分钟一对一的艾滋病毒/性病行为技能建设干预，200分钟的小组艾滋病毒/性病行为技能建设干预，20分钟一对一的艾滋病毒/性病信息干预，200分钟的小组艾滋病毒/性病信息干预，健康干预200分钟对照组。主要结果是自我报告的性行为在过去的3个月，次要结果是性病的发病率。在12个月的随访中，技能建设干预组的参与者报告的无保护性交比信息干预组的参与者少（Cohen's d [d] = 0.23，P= 0.02），报告了比信息干预参与者更大比例的保护性性交（d=0.21，P= 0.05）和对照组参与者（d=0.24，P= 0.03），并且与对照组参与者相比，STID检测阳性的可能性更小（d=0.20，P= 0.03）。这项研究表明，简短的单次会议，一对一或小组的技能建设干预措施，可能会减少艾滋病毒/性病的风险行为和性病发病率在市中心的非洲裔美国妇女在初级保健设置。
Objectives. We tested the efficacy of brief HIV/sexually transmitted disease (STD) risk-reduction interventions for African American women in primary care settings.Methods. In a randomized controlled trial, 564 African American women recruited at a Newark, NJ, inner-city women's health clinic were assigned to a 20minute one-on-one HIV/STD behavioral skill-building intervention, 200-minute group HIV/STID behavioral skill-building intervention, 20-minute one-on-one HIV/ STD information intervention, 200-minute group HIV/STD information intervention, or 200-minute health intervention control group. Primary outcomes were selfreported sexual behaviors in the previous 3 months; secondary outcome was STD incidence.Results. At 12-month follow-up, participants in the skill-building interventions reported less unprotected sexual intercourse than did participants in the information interventions (Cohen's d [d] = 0.23, P=.02), reported a greater proportion of protected sexual intercourse than did information intervention participants (d=0.21, P=,05) and control participants d=0.24, P=.03), and were less likely to test positive for an STID than were control participants (d=0.20, P=.03).Conclusions. This study suggests that brief single-session, one-on-one or group skill-building interventions may reduce HIV/STD risk behaviors and STD morbidity among inner-city African American women in primary care settings.