Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV
Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV
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DOI：
10.2105/ajph.2007.121186
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发表时间：
2009-06-01
影响因子：
12.7
通讯作者：
Johnson, Mallory
中科院分区：
文献类型：
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作者：
Rotheram-Boris, Mary Jane;Desmond, Katherine;Johnson, Mallory
目标。我们检验了健康生活计划在减少危险的性行为和药物使用方面的功效，这些人感染了艾滋病毒，在37个月的时间里，他们被安置在边缘（即无家可归）。我们之前对936名感染艾滋病毒的成年人进行了随机对照试验。在这项研究中，3个干预模块分为5个阶段，每个阶段针对不同的目标：减少危险的性行为和药物使用，提高生活质量，坚持健康的行为。在基线和5、10、15、20和25个月时对参与者进行访谈；746人完成4项或以上评估。在这项研究中，我们分析了35%（767人中的270人）被认为是边缘住房的参与者的性行为和药物使用结果。在边缘住房的参与者中，干预组在无保护的危险性行为、HIV阴性或血清状态未知的性伴侣数量、酒精或大麻使用以及硬性药物使用方面的减少明显大于对照组。密集的、以技能为重点的干预方案可以改善居住环境不佳的艾滋病毒感染者的生活。[J] .公共卫生，2009;99:1100-1107。doi: 10.2105 / AJPH.2007.121186)
Objectives. We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period).Methods. We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n=270 of 767) of participants who were considered marginally housed.Results. Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group.Conclusions. Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection. (Am J Public Health. 2009;99:1100-1107. doi:10.2105/AJPH.2007.121186)