Adding the female condom to HIV prevention interventions for women with severe mental illness: a pilot test.

Adding the female condom to HIV prevention interventions for women with severe mental illness: a pilot test.
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DOI:
10.1007/s10597-010-9302-8
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发表时间:
2011-04
影响因子:
2.7
通讯作者:
Hoffer M
Hoffer M
中科院分区:
医学4区
文献类型:
--
作者:
Collins PY;von Unger H;Putnins S;Crawford N;Dutt R;Hoffer M

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我们通过向患有严重精神疾病的城市妇女引入女性发起的方法,评估了针对减少性危险行为的针对性别的干预措施的有效性。 79 名女性接受了 10 次艾滋病毒预防干预或控制干预。主要结局是无保护的口交、肛交或阴道性交,使用阴道发作当量(VEE)评分来表示。还评估了女用避孕套的知识和使用情况。与对照组相比,接受艾滋病毒预防干预的女性在 3 个月的随访中 VEE 评分降低了三倍,但差异并不显着。与对照组相比,这些女性在 3 个月的随访中更有可能了解女用避孕套、插入避孕套并与性伴侣一起使用,以及在 6 个月时插入避孕套。对于一部分患有 SMI 的女性来说,女用安全套可能是对艾滋病毒综合预防计划的有用补充。
We evaluated the efficacy of a gender-specific intervention to reduce sexual risk behaviors by introducing female-initiated methods to urban women with severe mental illness. Seventy-nine women received 10 sessions of an HIV prevention intervention or a control intervention. The primary outcome was unprotected oral, anal, or vaginal intercourse, expressed using the Vaginal Episode Equivalent (VEE) score. Knowledge and use of the female condom were also assessed. Women in the HIV prevention intervention showed a three-fold reduction in the VEE score at the 3-month follow-up compared to the control group, but the difference was not significant. These women were significantly more likely to know about female condoms, have inserted one and used it with a sexual partner at the 3-month follow-up and to have inserted it at 6 months compared to controls. The female condom may be a useful addition, for a subset of women with SMI, to comprehensive HIV prevention programs.
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