Sexually transmitted infection/HIV risk reduction interventions in clinical practice settings
Sexually transmitted infection/HIV risk reduction interventions in clinical practice settings
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DOI：
10.1111/j.1552-6909.2008.00221.x
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发表时间：
2008-03-01
影响因子：
1.8
通讯作者：
O'Leary, Ann
中科院分区：
文献类型：
--
作者：
Jemmott, Loretta Sweet;Jemmott, John B.;O'Leary, Ann
非裔美国妇女，特别是那些生活在市中心地区的妇女，经历了包括艾滋病毒在内的不成比例的高感染率。由于目前还没有针对艾滋病毒和大多数性传播感染的预防性疫苗，预防工作必须把重点放在降低行为风险上。因此，需要对非裔美国妇女采取有文化针对性的干预措施，以减少她们感染包括艾滋病毒在内的性传播疾病的几率。与市中心的非裔美国女性进行干预的一个地方是初级保健环境。初级保健环境有可能惠及广泛的妇女，包括那些可能不主动寻求性传播感染/艾滋病毒预防服务的妇女。然而，为了在临床环境中可行，性传播感染/减少艾滋病毒风险干预措施必须简短并易于调整，以便在不同的实践环境中与不同的客户一起使用。到目前为止，几乎没有为初级保健环境中的非裔美国妇女设计的简明性传播感染/艾滋病毒预防干预措施。只有一个，“姐姐对姐姐：尊重你自己！保护你自己！因为你值得这样做！”干预措施在减少性危险行为和性传播感染发病率方面已显示出有效性。这篇文章描述了这种20分钟，一对一护士领导的非裔美国妇女干预，并讨论了在初级保健和其他临床环境中实施的考虑因素。
African American women, particularly those who live in inner-city areas, experience disproportionately high rates of sexually transmitted infections including HIV. As there are currently no preventive vaccines for HIV and most sexually transmitted infections, prevention efforts must focus on behavioral risk reduction. Thus, culturally tailored interventions for African American women are needed to reduce their incidence of sexually transmitted infections including HIV. One place to intervene with inner-city African American women is in primary care settings. Primary care settings have the potential to reach a wide range of women, including those who may not proactively seek sexually transmitted infection/HIV prevention services. However, in order to be feasible for use in clinical settings, sexually transmitted infection/HIV risk reduction interventions must be brief and easily adapted for use with diverse clients in varied practice environments. To date, few brief sexually transmitted infection/HIV prevention interventions have been designed for use with African American women in primary care settings. Only one of these, the "Sister to Sister: Respect Yourself! Protect Yourself! Because You Are Worth It!" intervention, has demonstrated effectiveness in reducing sexual risk behaviors and sexually transmitted infection incidence. This article describes this 20-minute, one-on-one nurse-led intervention for African American women and discusses considerations for its implementation in primary care and other clinical settings.