An information-motivation-behavioral skills (IMB) model-based HIV prevention intervention for truck drivers in India
An information-motivation-behavioral skills (IMB) model-based HIV prevention intervention for truck drivers in India
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DOI：
10.1016/j.socscimed.2006.11.011
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发表时间：
2007-04-01
影响因子：
5.4
通讯作者：
Fisher, Jeffrey D.
中科院分区：
文献类型：
--
作者：
Cornman, Deborah H.;Schmiege, Sarah J.;Fisher, Jeffrey D.
印度的艾滋病毒/艾滋病发病率急剧上升，卡车司机被视为艾滋病毒传播的关键来源，因为他们与多个伴侣发生无保护性行为的比例很高。在一项随机试验中，将基于信息-动机-行为技能（IMB）模型的干预与仅信息控制条件进行了比较。IMB结构进行了评估，250名男性卡车司机实施干预之前和之后，性行为和安全套使用行为进行了评估约10个月后。干预措施包括一个单次小组研讨会，5个互动活动，旨在解决艾滋病毒预防相关的IMB结构，并鼓励使用安全套。调查结果显示，对干预措施的有效性的支持有好有坏。IMB的干预对婚姻伴侣使用安全套的态度、规范、行为技能和意图有影响，但对非婚姻伴侣的结构没有影响。有一些证据表明，更多的避孕套使用与婚姻和非婚姻伴侣在行为随访的参与者在IMB条件，和避孕套使用与婚姻伴侣的影响介导的IMB结构的变化。这些发现为印度艾滋病毒预防的理论方法的有效性提供了初步证据。(c)2006爱思唯尔有限公司保留所有权利。
The incidence of HIV/AIDS in India is increasing drastically, and truck drivers are seen as critical sources of HIV transmission due to their high rates of unprotected sex with multiple partners. An intervention based on the Information-Motivation-Behavioral Skills (IMB) model was compared to an information-only control condition in a randomized trial. IMB constructs were assessed among 250 male truck drivers immediately prior to and following implementation of the intervention, and sexual and condom use behaviors were assessed approximately 10 months later. The intervention consisted of a single-session group workshop with 5 interactive activities designed to address HIV prevention-related IMB constructs and to motivate condom use. Findings showed mixed support for the effectiveness of the intervention. There was an effect of the IMB intervention on attitudes, norms, behavioral skills, and intentions specific to condom use with marital partners, but no effects on constructs related to non-marital partners. There was some evidence of greater condom use with marital and non-marital partners at behavioral follow-up for participants in the IMB condition, and effects on condom use with marital partners were mediated by changes in IMB constructs. These findings provide initial evidence for the effectiveness of theoretically-based approaches to HIV prevention in India. (c) 2006 Elsevier Ltd. All rights reserved.