Effectiveness of HIV/STD sexual risk reduction groups for women in substance abuse treatment programs: results of NIDA Clinical Trials Network Trial.
Effectiveness of HIV/STD sexual risk reduction groups for women in substance abuse treatment programs: results of NIDA Clinical Trials Network Trial.
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DOI：
10.1097/qai.0b013e31817efb6e
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发表时间：
2008-08-15
期刊：
影响因子：
--
通讯作者：
Nunes EV
中科院分区：
文献类型：
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作者：
Tross S;Campbell AN;Cohen LR;Calsyn D;Pavlicova M;Miele GM;Hu MC;Haynes L;Nugent N;Gan W;Hatch-Maillette M;Mandler R;McLaughlin P;El-Bassel N;Crits-Christoph P;Nunes EV
由于吸毒妇女是艾滋病患者中增长最快的群体，因此对她们进行减少性风险的干预是一项公共卫生要务。测试社区药物治疗中妇女艾滋病毒/性病安全性行为技能建设小组的有效性。SSB与标准HIV/STD教育（HE）的随机试验;基线、3个月和6个月的评估NIDA临床试验网络中12个美沙酮或心理社会治疗项目招募的女性。在过去6个月内与男性伴侣发生过≥ 1次无保护阴道或肛交（USO）的515名女性被随机分组。在SSB，五个90分钟的小组使用解决问题和技能排练，以提高艾滋病毒/性传播疾病的风险意识，安全套的使用和合作伙伴的谈判技巧。在卫生保健方面，一个60分钟的小组涉及艾滋病毒/性传播疾病、检测、治疗和预防信息。采取后续行动的普遍服务义务数目。SSB和HE之间随时间推移的平均USO存在显著差异（F=67.2，p<.0001）。在3个月时，在两种条件下均观察到显著减少。在6个月时，SSB维持下降，HE恢复到基线水平（p<0.0377）。SSB中的妇女的普遍服务义务比高等教育中的妇女少29%。技能建设干预措施可以持续降低社区戒毒妇女的性风险。
Since drug-involved women are among the fastest growing groups with AIDS, sexual risk reduction intervention for them is a public health imperative. Test effectiveness of HIV/STD safer sex skills building (SSB) groups for women in community drug treatment. Randomized trial of SSB versus standard HIV/STD Education (HE); assessments at baseline, 3- and 6- months Women recruited from 12 methadone or psychosocial treatment programs in NIDA’s Clinical Trials Network. 515 women with ≥ one unprotected vaginal or anal sex occasion (USO) with a male partner in the past 6 months were randomized. In SSB, five 90-minute groups used problem-solving and skills rehearsal to increase HIV/STD risk awareness, condom use and partner negotiation skills. In HE, one 60-minute group covered HIV/STD disease, testing, treatment, and prevention information. Number of USOs at follow up. A significant difference in mean USOs was obtained between SSB and HE over time (F=67.2, p<.0001). At 3 months, significant decrements were observed in both conditions. At 6 months SSB maintained the decrease, HE returned to baseline (p<.0377). Women in SSB had 29% fewer USOs than those in HE. Skills building interventions can produce ongoing sexual risk reduction in women in community drug treatment.