Reducing risky relationships: a multisite randomized trial of a prison-based intervention for reducing HIV sexual risk behaviors among women with a history of drug use.
Reducing risky relationships: a multisite randomized trial of a prison-based intervention for reducing HIV sexual risk behaviors among women with a history of drug use.
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DOI：
10.1080/09540121.2013.878779
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发表时间：
2014
期刊：
影响因子：
1.7
通讯作者：
Leukefeld CG
中科院分区：
文献类型：
--
作者：
Knudsen HK;Staton-Tindall M;Oser CB;Havens JR;Leukefeld CG
参与刑事司法系统的妇女，特别是那些有吸毒史的妇女，感染艾滋病毒的风险较高，但很少有针对被监禁妇女的艾滋病毒预防干预措施。借鉴关系模型，减少 HIV 风险关系 (RRR-HIV) 干预措施在多中心随机临床试验中得到开发和评估。被监禁在四个州惩教机构内的入狱前每周吸毒的妇女 (n=444) 被随机分配到：(1) RRR-HIV 干预，包括一段 HIV 教育视频、五次小组课程和一次释放后加强课程，或 (2) 包括 HIV 教育视频的对照条件。 RRR-HIV 干预结合了有关亲密关系的七个“思维误区”的教学和互动内容，这些误区可能导致做出危险性行为的决定。数据是在女性仍被监禁期间以及出狱后约 90 天由训练有素的访谈员收集的。 90 天随访时无保护性行为的负二项回归模型表明，一旦根据研究地点调整了分析，RRR-HIV 参与者报告的无保护性行为少于对照条件下的女性。未来的研究应该考察 RRR-HIV 干预措施对降低风险的影响的可持续性。需要进行实施研究，以确定由惩教人员或同伴（而不是研究人员）提供这种干预措施是否会产生类似的减少无保护性行为的效果。
Women involved in the criminal justice system, particularly those with a history of drug use, are at elevated risk of HIV infection, yet few HIV prevention interventions have been tailored for delivery to incarcerated women. Drawing on the Relational Model, the Reducing Risky Relationships for HIV (RRR-HIV) intervention was developed and evaluated in a multi-site randomized clinical trial. Women with weekly drug use prior to incarceration (n=444) who were incarcerated within correctional institutions in four states were randomized to: (1) the RRR-HIV intervention consisting of an HIV educational video, five group sessions and one post-release booster session, or (2) a control condition consisting of the HIV educational video. The RRR-HIV intervention combined didactic and interactive content regarding seven “thinking myths” about intimate relationships that may result in decisions to engage in risky sexual behaviors. Data were collected while women were still incarcerated and approximately 90 days following release from prison by trained interviewers. A negative binomial regression model of unprotected sexual behaviors at the 90-day follow-up indicated that RRR-HIV participants reported fewer unprotected sexual behaviors than women in the control condition once the analysis was adjusted for study site. Future studies should examine the sustainability of the RRR-HIV intervention's effect on risk reduction. Implementation research is needed to determine whether delivery of this intervention by correctional staff or peers, rather than research staff, yields similar reductions in unprotected sexual behaviors.
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影响因子：
3.2
作者：
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通讯作者：
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