Self-monitoring of behaviour as a risk reduction strategy for persons living with HIV
Self-monitoring of behaviour as a risk reduction strategy for persons living with HIV
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DOI：
10.1080/09540120600971117
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发表时间：
2007-07-01
影响因子：
1.7
通讯作者：
Reddy, V.
中科院分区：
文献类型：
--
作者：
Lightfoot, M.;Rotheram-Borus, M. J.;Reddy, V.
为了减少艾滋病毒感染者（PLH）的艾滋病毒相关传播行为，已经设计和评估了一些有效的干预措施。然而，这些干预措施的实施成本相对较高，无论是时间还是资源。鉴于卫生服务提供者和社区机构在提供这些干预措施方面面临的挑战，需要替代方案。一种可能的干预措施是允许感染者自我监测其艾滋病毒传播风险行为。先前的研究表明，自我监测艾滋病毒风险相关行为可能是一种有用的降低风险策略。本文探讨了重复风险评估对行为自我监控的影响，作为减少性和药物使用风险行为的干预策略。从社区诊所、健康管理机构和卫生部门招募的365名PLH随时间完成了自我评估。自我监测的加强导致与艾滋病毒阴性或血清状态未知的性伴侣的受保护性行为增加，并改变了有利于降低风险的态度。自我监测是一种成本相对较低且易于实施的策略，可降低 PLH 与 HIV 相关的传播风险。
To reduce the HIV-related transmission behaviours of persons living with HIV (PLH), a few efficacious interventions have been designed and evaluated. However, these interventions were delivered at relatively high cost, both in terms of time and resources. Given the challenges for health providers and community agencies in delivering these interventions, alternatives are needed. One possible intervention is allowing PLH to self-monitor their HIV transmission risk behaviour. Previous research suggests that self-monitoring of HIV-risk related behaviours may be a useful risk reduction strategy. This paper examines the impact of repeated risk assessments for behavioural self-monitoring as an intervention strategy for reducing sexual and substance use risk behaviours. A total of 365 PLH, recruited from community clinics, health management organizations, and health departments, completed self-assessments over time. Increased self-monitoring resulted in increases in protected sex with sexual partners of HIV-negative or unknown serostatus, and changes in attitudes conducive to reducing risk. Self-monitoring is a relatively low cost and easily implementable strategy for reducing the HIV-related transmission risk of PLH.