A Brief, Clinic-Based, Safer Sex Intervention for Heterosexual African American Men Newly Diagnosed With an STD: A Randomized Controlled Trial
A Brief, Clinic-Based, Safer Sex Intervention for Heterosexual African American Men Newly Diagnosed With an STD: A Randomized Controlled Trial
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DOI：
10.2105/ajph.2007.123893
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发表时间：
2009-01-01
影响因子：
12.7
通讯作者：
Troutman, Adewale
中科院分区：
文献类型：
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作者：
Crosby, Richard;DiClemente, Ralph J.;Troutman, Adewale
目标。我们评估了一个简短的、以临床为基础的、由外行健康顾问管理的、针对新诊断为性传播疾病（STD）的年轻异性恋非裔美国男性的安全性行为项目的有效性。在性病诊断后，符合条件的男性（N=266，年龄18-29岁）被随机分配到个性化的单次干预（由外行健康顾问提供）或标准护理。我们在基线和干预后3个月进行了行为评估（保留率为74.1%）。我们还进行了为期6个月的临床记录回顾。与随机分配到对照组的男性相比，接受干预的男性随后感染性病的可能性显著降低（50.4% vs 31.9%； P= 0.002），在最后一次性交中报告使用避孕套的可能性更高（72.4% vs 53.9%； P= 0.008）。他们的性伴侣也较少(平均2.06 vs 4.15； P
Objective. We evaluated the efficacy of a brief, clinic-based, safer sex program administered by a lay health adviser for young heterosexual African American men newly diagnosed with a sexually transmitted disease (STD).Methods. Subsequent to STD diagnosis, eligible men (N=266; aged 18-29 years) were randomized to either a personalized, single-session intervention (delivered by a lay health adviser) or standard of care. We conducted behavioral assessments at baseline and 3 months postintervention (retention was 74.1%). We also conducted a 6-month clinic record review.Results. Compared to men randomized to the control condition, those receiving the intervention were significantly less likely to acquire subsequent STDs (50.4% vs 31.9%; P=.002) and more likely to report using condoms during last sexual intercourse (72.4% vs 53.9%; P=.008). They also reported fewer sexual partners (mean 2.06 vs 4.15; P