Influence of partner participation on sexual risk behavior reduction among HIV-positive Zambian women
Influence of partner participation on sexual risk behavior reduction among HIV-positive Zambian women
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DOI：
10.1093/jurban/jti111
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发表时间：
2005-09-01
影响因子：
6.6
通讯作者：
Chitalu, N
中科院分区：
文献类型：
--
作者：
Jones, DL;Ross, D;Chitalu, N
撒哈拉以南非洲的性风险行为干预主要集中在个人和夫妇咨询。这种认知行为的群体干预是从美国城市背景下适应城市赞比亚。初步数据分析评估了艾滋病毒阳性赞比亚妇女的性风险行为的影响，合作伙伴的参与。女性参与者（n=180）参加了四个小组干预会议，并接受性行为技能培训和男用和女用避孕套;男性伴侣（n=152）被随机分配到高或低强度的性别一致的小组干预会议。在基线、6个月和12个月时评估性风险行为、策略、态度和知识。在基线时，19%的男性报告在性行为前使用酒精，10%报告使用酒精来科普，消极应对与性风险行为相关。相比之下，1%的妇女报告在性行为前饮酒，15%的妇女将饮酒作为艾滋病毒应对策略。48%的女性和74%的男性报告持续使用屏障。干预后，女性高强度参与者报告更高的安全套使用率（F=5.68，P= 0.02），更积极的安全套态度，更安全的性行为意图，更少的酒精使用。这些调查结果突出表明了男性伴侣在实施有效的减少风险干预措施方面的影响。
Sexual risk behavior interventions in sub-Saharan Africa focus predominantly on individual and couples counseling. This cognitive-behavioral group intervention was adapted from an urban US context to urban Zambia. Preliminary data analyses assessed the influence of partner participation on sexual risk behavior among HIV-positive Zambian women. Female participants (n=180) attended four group intervention sessions and received sexual behavior skill training and male and female condoms; male partners (n=152) were randomly assigned to high- or low-intensity gender-concordant group intervention sessions. Sexual risk behavior, strategies, attitudes, and knowledge were assessed at baseline, 6, and 12 months. At baseline, 19% of males reported using alcohol before sex, 10% reported using alcohol to cope, and negative coping was associated with sexual risk behavior. In contrast, 1% of women reported using alcohol before sex, and 15% used alcohol as an HIV-coping strategy. Consistent barrier use was reported by 48% of women and 74% of men. After intervention, female high intensity participants reported higher rates of condom use (F=5.68, P=.02), more positive condom attitudes, safer sex intentions, and less alcohol use. These findings highlight the influence of male partners in implementation of effective risk reduction interventions.