Correlates of nonparticipation in an HIV prevention program for MSM

Correlates of nonparticipation in an HIV prevention program for MSM
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DOI:
10.1521/aeap.2006.18.4.348
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发表时间:
2006-08-01
影响因子:
1.8
通讯作者:
Kalichman, Seth C.
Kalichman, Seth C.
中科院分区:
医学4区
文献类型:
--
作者:
Orellana, E. Roberto;Picciano, Joseph F.;Kalichman, Seth C.

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向高危个人提供艾滋病毒预防服务仍然具有挑战性。我们评估了被发现有资格参与一项简短的、电话传递的HIV预防试验的高危、性行为活跃的MSM不参与的相关因素,该试验旨在评估激励增强疗法(The Sex Check)的有效性。评估了两种级别的不参与:有资格参加的参与者与没有完成基线/入学面试的参与者,以及完成了基线/入学面试的登记参与者与没有参加任何咨询会议的参与者。未登记的人更年轻,受教育程度较低,更隐秘,更有可能报告与注射吸毒的伴侣发生性关系。没有参加咨询会议的登记参与者(S)受教育程度较低,报告称在性行为期间使用酒精和药物较多,并使用注射毒品。需要创新的方法来减少让高风险、性行为活跃的男男性接触者参与降低风险咨询的障碍。
Providing HIV prevention services to high-risk individuals remains challenging. We assessed factors associated with nonparticipation among high-risk, sexually active MSM found eligible to participate in a brief, telephone-delivered HIV prevention trial designed to evaluate the efficacy of motivational enhancement therapy (the Sex Check). Two levels of nonparticipation are evaluated: eligible participants who did versus those who did not complete their baseline/enrollment interview, and enrolled participants who did versus those who did not attend any of their counseling sessions. Nonenrollers were younger, less educated, more closeted, and were more likely to report sex with an injection drug using partner. Enrolled participants who did not engage in their counseling session(s) were less educated, reported greater use of alcohol and drugs during sex and use of injection drugs. Innovative methods to reduce barriers to engaging high-risk, sexually active MSM in risk reduction counseling are needed.