The efficacy of an HIV risk reduction intervention for Hispanic women.

The efficacy of an HIV risk reduction intervention for Hispanic women.
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DOI:
10.1007/s10461-011-0052-6
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发表时间:
2012-07
期刊:
影响因子:
4.4
通讯作者:
Cianelli, Rosina
Cianelli, Rosina
中科院分区:
医学2区
文献类型:
--
作者:
Peragallo, Nilda;Gonzalez-Guarda, Rosa M.;McCabe, Brian E.;Cianelli, Rosina

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需要针对西班牙裔妇女的文化特定的艾滋病毒风险降低干预措施。SEPA(Salud/Health,Educación/Education,Promoción/Promotion,y/ and Autocuidado/Self-care)是针对西班牙裔妇女的一项具有文化针对性和理论基础的团体干预措施。国家安全政策局的干预措施包括五次会议,涉及性传播感染和艾滋病毒预防;沟通、安全套谈判和安全套使用;以及暴力预防。一项随机试验测试了SEPA的有效性,其中548名成年美国西班牙裔女性(SEPA n = 274;延迟干预对照n = 274)在基线和基线后3个月、6个月和12个月完成了结构化访谈。意向治疗分析表明,SEPA减少了衣原体阳性尿液样本;改善了安全套的使用,减少了药物滥用和IPV;改善了与伴侣的沟通,改善了艾滋病毒相关知识,改善了使用安全套的意愿,减少了使用安全套的障碍,并提高了社区预防态度。针对特定文化的干预措施有望预防美国西班牙裔妇女感染艾滋病毒。SEPA的有效性应在翻译社区试验中进行测试。
Culturally-specific HIV risk reduction interventions for Hispanic women are needed. SEPA (Salud/Health, Educación/Education, Promoción/Promotion, y/ and Autocuidado/Self-care) is a culturally-specific and theoretically-based group intervention for Hispanic women. The SEPA intervention consists of five sessions covering STI and HIV prevention; communication, condom negotiation and condom use; and violence prevention. A randomized trial tested the efficacy of SEPA with 548 adult U.S. Hispanic women (SEPA n = 274; delayed intervention control n = 274) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Intent-to-treat analyses indicated that SEPA decreased positive urine samples for Chlamydia; improved condom use, decreased substance abuse and IPV; improved communication with partner, improved HIV-related knowledge, improved intentions to use condoms, decreased barriers to condom use, and increased community prevention attitudes. Culturally-specific interventions have promise for preventing HIV for Hispanic women in the U.S. The effectiveness of SEPA should be tested in a translational community trial.
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