Randomized clinical trial of brief risk reduction counseling for sexually transmitted infection clinic patients in Cape Town, South Africa.
Randomized clinical trial of brief risk reduction counseling for sexually transmitted infection clinic patients in Cape Town, South Africa.
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DOI：
10.2105/ajph.2011.300236
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发表时间：
2011-09-01
影响因子：
12.7
通讯作者：
Simbayi, Leickness C
中科院分区：
文献类型：
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作者：
Kalichman, Seth C;Cain, Demetria;Simbayi, Leickness C
目的：我们研究了在南非开普敦接受性传播感染 (STI) 服务的患者中，旨在减少艾滋病毒危险行为和性传播感染 (STI) 的简短咨询干预的效果。方法：在随机分为 60 分钟的风险降低咨询课程或 20 分钟的艾滋病毒-性传播感染教育课程后，患者完成了计算机化的性行为评估。超过 85% 的参与者在 12 个月的随访中得以保留。 结果：与对照组成员相比，接受降低风险咨询的参与者的性传播感染事件减少了 24%，无保护的阴道和肛交次数显着减少。主持人分析显示，重度饮酒者的寿命比轻度饮酒者的寿命更短。结果不受性别影响。结论：为性传播感染诊所患者提供简短的单次艾滋病毒预防咨询有可能减少艾滋病毒感染。应加强对酗酒者的咨询，要获得持续的结果，就需要预防复发的技术。向艾滋病毒感染风险最高的人群传播有效、简短和可行的行为干预措施仍应是公共卫生的优先事项。
OBJECTIVES: We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa.METHODS: After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV-STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were retained at the 12-month follow-up.RESULTS: There were 24% fewer incident STIs and significant reductions in unprotected vaginal and anal intercourse among participants who received risk reduction counseling relative to members of the control condition. Moderator analyses showed shorter lived outcomes for heavy alcohol drinkers than for lighter drinkers. The results were not moderated by gender.CONCLUSIONS: Brief single-session HIV prevention counseling delivered to STI clinic patients has the potential to reduce HIV infections. Counseling should be enhanced for heavier drinkers, and sustained outcomes will require relapse prevention techniques. Disseminating effective, brief, and feasible behavioral interventions to those at highest risk for HIV infection should remain a public health priority.