Reducing HIV Risks Among Active Injection Drug and Crack Users: The Safety Counts Program

Reducing HIV Risks Among Active Injection Drug and Crack Users: The Safety Counts Program
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DOI:
10.1007/s10461-009-9606-2
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发表时间:
2010-06-01
期刊:
影响因子:
4.4
通讯作者:
Weiss, Robert E.
Weiss, Robert E.
中科院分区:
医学2区
文献类型:
--
作者:
Rotheram-Borus, Mary Jane;Rhodes, Fen;Weiss, Robert E.

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安全计数的有效性,CDC扩散干预,进行了重新分析。在一个准实验,交叉设计,注射毒品使用者(IDU)和裂纹用户在两个街区被分配到附近接受个人自愿艾滋病毒咨询和检测或安全计数和78%的重新评估在5-9个月。安全计数计划中的吸毒者报告说,危险性行为、快克和硬性毒品使用以及危险毒品注射的减少幅度更大。参加的安全计数会议越多,危险行为的减少就越多。不同的分析决策会导致对同一干预措施的非常不同的结果。安全计数是一个有效的干预IDU和裂纹用户。干预结果的分析决策与干预效果的评估高度相关。
The efficacy of Safety Counts, a CDC-diffused intervention, was reanalyzed. In a quasi experimental, cross-over design, injection drug users (IDU) and crack users in two neighborhoods were assigned by neighborhood to receive individual Voluntary HIV Counseling and Testing or Safety Counts and 78% were reassessed at 5-9 months. Drug users in the Safety Counts program reported significantly greater reductions in risky sex, crack and hard drug use, and risky drug injection. The more sessions of Safety Counts attended, the greater were the reductions in risky acts. Different analytic decisions result in very different findings for the same intervention. Safety Counts is an effective intervention for IDU and crack users. Analytic decision of intervention outcomes is highly related to evaluations of an intervention's efficacy.