Development of an HIV Risk Reduction Intervention for Older Seropositive African American Men
Development of an HIV Risk Reduction Intervention for Older Seropositive African American Men
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DOI：
10.1089/apc.2008.0276
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发表时间：
2009-08-01
影响因子：
4.9
通讯作者：
Ratcliffe, Sara
中科院分区：
文献类型：
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作者：
Coleman, Christopher Lance;Jemmott, Loretta;Ratcliffe, Sara
这项研究的目的是评估减少HIV风险干预的可行性和可接受性，以增加老年HIV阳性的非裔美国男性男男性行为(MSM)的一致性避孕套的使用。在基线、干预后即刻和干预后3个月重复测量以收集数据。干预的发展分四个阶段进行：焦点小组、问卷试点测试、修改干预和实施干预。60名HIV阳性的非裔美国MSM被随机分为HIV风险组和健康组。每个条件包括四个120分钟的课程，在四周的时间里，使用互动方法在类似课堂的环境中进行。主要结果是在每次肛交中都一致使用避孕套。在未经调整的分析中，降低风险组的男性持续使用避孕套的可能性是对照组的两倍(优势比[OR]=2.04；95%可信区间[CI]0.48-8.77；p=0.336)，尽管这并未达到统计学意义。所有报告在基线时一致使用避孕套的参与者报告在3个月时一致使用避孕套，这对样本做出了完美的预测。在基线未报告持续使用安全套的男性中，降低风险组的男性在3个月后报告持续使用避孕套的可能性是健康组的5倍(OR=5.1895%CI0.97-27.78；p=0.054)。研究结果表明，艾滋病毒风险降低条件可能会增加50岁及以上艾滋病毒阳性非裔美国MSM的安全套使用率。
The purpose of this study was to assess the feasibility and acceptability of an HIV risk reduction intervention to increase consistent condom use in a sample of older HIV-positive African American men who have sex with men (MSM). Repeated measures were used at baseline, immediate postintervention, and 3 months postintervention to collect data. The development of the intervention was implemented in four phases: focus groups, pilot testing of the questionnaire, modifying the intervention, and executing the intervention. Sixty HIV-positive African American MSM were randomized to either an HIV risk condition or a health condition. Each condition consisted of four 120-minute sessions delivered over a 4-week period in a classroom-like setting using interactive approaches. The primary outcome was consistent condom use during every instance of anal intercourse. In un-adjusted analyses, men in the risk reduction group were twice as likely to use condoms consistently (odds ratio [OR] = 2.04; 95% confidence interval [CI] 0.48-8.77; p = 0.336), although this did not reach statistical significance. All participants reporting consistent condom use at baseline reported consistent use at 3 months giving perfect prediction for the sample. Among men not reporting consistent condom use at baseline, those in the risk reduction group were 5 times more likely to report consistent condom use at 3 months than were those in the health condition (OR = 5.18; 95% CI 0.97-27.78; p = 0.054). The findings suggest that an HIV risk-reduction condition may increase consistent condom use among HIV-positive African American MSM 50 years and older.