The long-term outcome of a personal network-oriented HIV prevention intervention for injection drug users: The SAFE study
The long-term outcome of a personal network-oriented HIV prevention intervention for injection drug users: The SAFE study
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DOI：
10.1007/bf02512026
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发表时间：
1996-06-01
影响因子：
3.1
通讯作者：
Celentano, DD
中科院分区：
文献类型：
--
作者：
Latkin, CA;Mandell, W;Celentano, DD
社会影响过程已被发现影响许多药物和健康相关的行为。我们假设，通过使用网络导向的干预，它可能会利用社会影响力的过程，以减少人类免疫缺陷病毒（HIV）的危险行为。本研究采用实验研究设计，对注射毒品飙升网络进行心理教育艾滋病预防干预。参与者是从巴尔的摩的流行病学研究ALIVE研究中招募的。在本文中，我们研究了117注射吸毒者的自我报告的行为结果18个月后，基线采访艾滋病毒血清阴性的实验参与者报告显着减少频繁的针头共享和注射海洛因和可卡因比对照组。在HIV血清阴性参与者的多元逻辑回归模型中，分配到实验组与前6个月内针头诱捕和共用炊具的HIV相关行为之间存在显着负相关;对照组报告共用针头的可能性是实验组的2.8倍，报告共用炊具的可能性是2.7倍。18个月的随访结果表明，在注射吸毒者中，以网络为导向的干预措施可能是预防艾滋病毒的一种有希望的方法。
Social influence processes have been found to affect numerous drug and health-related behaviors. We postulated that by using a network-oriented intervention it may be possible to capitalize on social influence processes to reduce human immunodeficiency virus (HIV) risk behaviors. The present study used an experimental study design for delivering a psychoeducational acquired immunodeficiency syndrome (AIDS) preventive intervention to injection drug soaring networks. Participants were recruited from the ALIVE study, an epidemiological study in Baltimore. In the present paper we examine the self-reported behavioral outcomes of 117 injection drug users 18 months after the baseline interview HIV seronegative experimental participants reported significantly less frequent needle sharing and less injecting of heroin and cocaine than controls. In multiple logistic regression models of HIV seronegative participants, there was a significant negative association between assignment to the experimental group and the HIV-related behaviors of needle snaring and sharing of cookers in the prior 6 months; controls were 2.8 times more likely than experimentals to report needle sharing and were 2.7 times more likely to report sharing cookers. The results of this 18-month follow-up suggest that among injection drug users network-oriented interventions may be a promising approach to HIV prevention.