Effectiveness of an evidence-based HIV prevention intervention when implemented by frontline providers.

Effectiveness of an evidence-based HIV prevention intervention when implemented by frontline providers.
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由一线提供者实施的循证艾滋病毒预防干预措施的有效性。

DOI:
10.1093/tbm/ibx041
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发表时间:
2018
影响因子:
3.6
通讯作者:
Tarima,Sergey
Tarima,Sergey
中科院分区:
医学3区
文献类型:
--
作者:
Owczarzak,Jill;Broaddus,Michelle;Tarima,Sergey

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仔细进行的随机试验已经确定,性行为改变干预可以显着降低干预参与者感染艾滋病毒的风险。在一线艾滋病毒预防服务提供者实施这些循证干预措施时,确定其有效性越来越重要,以实现最大的公共卫生影响。本研究旨在评估一线艾滋病预防服务提供者实施循证干预措施的有效性。我们评估了姐妹篇告知姐妹篇关于艾滋病的主题(SISTA),艾滋病毒预防干预异性恋非洲裔美国妇女,由四个艾滋病服务组织实施。在每个机构参加艾滋病毒咨询,检测和转诊(CTR)的妇女作为同期对照。测量指标包括自我报告的无保护阴道性交次数和过去90天内阴道性伴侣的数量。1,262名参与者在两种情况下完成了基线和随访评估(SISTA = 537 [57%]; CTR = 725 [62%])。在HIV阴性女性的完整样本中,CTR参与者的无保护性行为几率随着时间的推移下降了38%,而SISTA参与者的无保护性行为几率没有变化。只有那些在基线时有过性行为的参与者才有类似的结果。没有观察到假设的相互作用效应,表明SISTA参与者的性风险随着时间的推移而发生积极变化。
Carefully conducted randomized trials have established that sexual behavior change interventions can significantly reduce intervention participants’ risk of acquiring HIV. Establishing theeffectivenessof these evidence-based interventions when implemented by frontline HIV prevention service providers is increasingly important in order to achieve maximum public health impact. This study sought to assess the effectiveness of an evidence-based intervention when implemented by frontline HIV prevention service providers. We evaluated Sisters Informing Sisters on Topics about AIDS (SISTA), an HIV prevention intervention for heterosexual African American women, as implemented by four AIDS service organizations. Women enrolled in HIV counseling, testing, and referral (CTR) at each agency served as contemporaneous controls. Measures included self-reported number of occasions of unprotected vaginal intercourse and number of vaginal sex partners in the previous 90 days. 1,262 participants completed baseline and follow-up assessments across both conditions (SISTA = 537 [57%]; CTR = 725 [62%]). In the full sample of HIV-negative women, CTR participants’ odds of having had unprotected sex decreased over time by 38% while SISTA participants’ odds of having had unprotected sex did not change. Similar results were found among only those participants who had sex at baseline. Hypothesized interaction effects indicating positive changes in sexual risks over time for SISTA participants were not observed.
DOI: 10.1371/journal.pone.0126659
发表时间: 2015
期刊: PloS one
影响因子: 3.7
作者:
Nguyen VT;Nguyen HT;Nguyen QC;Duong PT;West G
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计划评估和监测系统:监测循证艾滋病毒预防计划流程和结果的关键数据来源。
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发表时间: 2006
期刊: AIDS education and prevention : official publication of the International Society for AIDS Education
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