The efficacy of brief group counseling in HIV risk reduction among homosexual Asian and Pacific Islander men
The efficacy of brief group counseling in HIV risk reduction among homosexual Asian and Pacific Islander men
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DOI：
10.1097/00002030-199601000-00012
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发表时间：
1996-01-01
期刊：
影响因子：
3.8
通讯作者：
Coates, TJ
中科院分区：
文献类型：
--
作者：
Choi, KH;Lew, S;Coates, TJ
目的：在美国，亚洲和太平洋岛民同性恋者（API）的艾滋病发病率比白色同性恋者的发病率高。从事不安全性行为的同性恋API男子人数正以惊人的速度增加。艾滋病毒的风险降低是迫切需要在这个population.Subjects和方法：我们开发和评估文化上适当的简短的团体咨询与329自我认定的同性恋API招募在旧金山弗朗西斯科1992年和1994年之间。参与者被随机分为一个单一的，3小时的技能培训组或等待名单控制组。干预包括四个部分：（1）积极的自我认同和社会支持的发展，（2）安全性行为教育，（3）色情安全性行为，（4）协商安全性行为。数据收集在基线和3个月后intervention.Results：显着减少性伴侣的数量，观察所有治疗对象，无论种族（P=0.003）。治疗使3个月随访时报告的伴侣数量减少了46% [95%置信区间（CI），28-77]。中国和菲律宾的男性进一步受益于干预：治疗对象从这两个种族减少了一半以上的无保护的肛门性交在随访时相比，他们的同行（比值比= 0.41; 95%CI，0.19-0.89; P=0.024）。结论：我们证明了简短的团体咨询在降低艾滋病毒感染风险的同性恋API。有大量API人口的城市应采用适合文化的技能培训，作为这一同性恋男性群体艾滋病毒预防战略的一部分。
Objectives: The incidence of AIDS is increasing at a higher rate among homosexual Asian and Pacific Islanders (API) than white homosexual men in the United States. The number of homosexual API men engaging in unsafe sex is increasing at an alarming rate. HIV risk reduction is urgently needed in this population.Subjects and methods: We developed and evaluated culturally appropriate brief group counseling with 329 self-identified homosexual API recruited in San Francisco between 1992 and 1994. Participants were randomized into a single, 3-h skills training group or a wait-list control group. The intervention consisted of four components: (1) development of positive self-identity and social support, (2) safer sex education, (3) eroticizing safer sex, and (4) negotiating safer sex. Data were collected at baseline and 3 months after the intervention.Results: Significant reductions in number of sexual partners were observed among all treatment subjects, regardless of ethnicity (P=0.003). Treatment decreased the number of partners reported at 3-month follow-up by 46% [95% confidence interval (CI), 28-77]. Chinese and Filipino men further benefited from the intervention: treatment subjects from these two ethnic groups reduced unprotected anal intercourse at follow-up by more than half when compared to their counterparts (odds ratio = 0.41; 95% CI, 0.19-0.89; P=0.024).Conclusions: We demonstrated the efficacy of brief group counseling in reducing HIV risk among homosexual API. Cities with significant API populations should adopt culturally tailored skills training as part of HIV prevention strategies for this group of homosexual men.