Changing drug users' risk environments: peer health advocates as multi-level community change agents.
Changing drug users' risk environments: peer health advocates as multi-level community change agents.
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DOI：
10.1007/s10464-009-9234-z
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发表时间：
2009-06
影响因子：
3.1
通讯作者：
Robles, Eduardo
中科院分区：
文献类型：
--
作者：
Weeks, Margaret R.;Convey, Mark;Dickson-Gomez, Julia;Li, Jianghong;Radda, Kim;Martinez, Maria;Robles, Eduardo
同伴提供的、以社会为导向的艾滋病毒预防干预设计越来越受欢迎，用于解决更广泛的健康风险背景，而不仅仅是关注个人因素。此类干预措施有可能影响多个社会层面的风险和变化，包括个人、网络和社区层面，并反映随着时间的推移跨社会层面互动的社会生态原则。这种多层次效应产生的迭代和反馈动态增加了那些接受过同伴干预培训的人发起持续健康改善的可能性。在康涅狄格州哈特福德与海洛因和可卡因/快克吸毒者开展的风险规避伙伴关系 (RAP) 例证了这种干预设计，并说明了吸毒者在个人层面、社交网络层面和更大社区层面上减少风险和伤害的多层次影响。从生态和多层次干预的角度讨论了 RAP 计划对设计有效预防计划和分析长期变化以减少高危人群中艾滋病毒传播的影响。
Peer delivered, social oriented HIV prevention intervention designs are increasingly popular for addressing broader contexts of health risk beyond a focus on individual factors. Such interventions have the potential to affect multiple social levels of risk and change, including at the individual, network, and community levels, and reflect social ecological principles of interaction across social levels over time. The iterative and feedback dynamic generated by this multi-level effect increases the likelihood for sustained health improvement initiated by those trained to deliver the peer intervention. The Risk Avoidance Partnership (RAP), conducted with heroin and cocaine/crack users in Hartford, Connecticut, exemplified this intervention design and illustrated the multi-level effect on drug users' risk and harm reduction at the individual level, the social network level, and the larger community level. Implications of the RAP program for designing effective prevention programs and for analyzing long-term change to reduce HIV transmission among high-risk groups are discussed from this ecological and multi-level intervention perspective.
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影响因子：
1.7
作者：
Dickson-Gómez, J;Weeks, MR;Radda, K
通讯作者：
Radda, K
影响因子：
3.4
作者：
GRACE, VM
通讯作者：
GRACE, VM
影响因子：
1.8
作者：
Jana, S;Basu, I;Newman, PA
通讯作者：
Newman, PA
影响因子：
4.4
作者：
GRANOVETTER, MS
通讯作者：
GRANOVETTER, MS
影响因子：
2
作者：
Dickson-Gomez, J;Weeks, M;Convey, M
通讯作者：
Convey, M