PROMOTING SAFER SEX/HIGH RISK REPEAT HIV TESTERS

描述(改编自申请者摘要：尽管十多年了 在预防方面，许多人仍然从事高危性行为。基座 来自旧金山的匿名HIV抗体检测网站数据最大 该群体是指与男性发生性关系且不使用注射毒品的男性。这些 男性很可能是“高风险重复测试者”，并且可以通过 匿名测试程序。此应用程序将评估一个新的 咨询干预-应用于考试现场-专门设计用于 帮助这些人改变他们的行为。仿照澳大利亚人的作品 心理学家罗恩·戈尔德表示，干预的重点是“自我辩解”： 特定的思想、态度或信仰，允许个人 从事高风险活动。干预包括咨询 会议--旨在揭示这些理由--和/或汇编一份 “性爱日记”，其中个人识别并记录自我辩解。 每一次无保护的性交。通过将这些想法带入 意识，个人有机会修改或消除它们，以及 在这样做的过程中，减少他们无保护的性行为频率。加州大学旧金山分校的艾滋病 与旧金山公共卫生部合作的健康项目 加州大学旧金山分校艾滋病预防研究中心提出了一项 这项干预的随机研究。这项研究将包括四个小组 在114名男性(N=456)中，他们之前至少测试过两次，并承认 过去一年内无保护的肛门插入性或接受性交。 第一组将接受常规的测试前和测试后咨询，其他所有组也将接受 组。第2组将接受新的干预，包括 额外的咨询课程和布置的“性生活日记”作业。集团化 第三组将只接受额外的咨询课程，第四组将 只接受布置的“性爱日记”作业。数据将在以下位置收集 基线，6个月和12个月，将包括性行为史，酒精 以及药物使用、性传播疾病的存在以及对避孕套使用的态度。这 设计应达到研究的四个目标：1)描述类型和 危险行为在高危人群中的流行率；2)描述 这些男性在进行无保护的肛门时使用的认知过程 性交；3)运用认知-行为干预 性交时的具体思维过程；以及4)减少风险 干预组的行为减少了25%。如果成功，则 干预措施将被纳入艾滋病毒高危检测方案 重复测试。

DESCRIPTION (Adapted from Applicant's Abstract: Despite more than a decade of prevention, many people still engage in high-risk sexual behavior. Based on anonymous HIV antibody test site data from San Francisco, the largest group is men who have sex with men and do not use injection drugs. These men are likely to be "high-risk repeat testers", and are accessible through the anonymous testing program. This application will assess a new counseling intervention-applied at the test site-designed specifically to help these men modify their behavior. Modeled after the work of Australian psychologist Ron Gold, the intervention focuses on "self-justifications": specific thoughts, attitudes, or beliefs that "allow" an individual to engage in high-risk activities. The intervention includes a counseling session-aimed at uncovering these justifications-and/or the compilation of a "sex diary", in which individuals identify and record self-justification on each occasion of unprotected intercourse. By bringing these thoughts into awareness, individuals have the opportunity to modify or eliminate them, and in so doing, reduce their frequency of unprotected sex. The UCSF AIDS Health Project in collaboration with the SF Department of Public Health and the UCSF Center for AIDS Prevention Studies, proposes a prospective randomized study of this intervention. The study will comprise four groups of 114 men (N=456) who have tested at least twice before and who admit to unprotected anal insertive or receptive intercourse within the past year. Group 1 will receive usual pre-and post-test counseling, as will all other groups. Group 2 will receive the new intervention, consisting of both the additional counseling session and the assigned "sex-diary" homework. Group 3 will receive the additional counseling session only, and Group 4 will receive the assigned "sex-diary" homework only. Data will be collected at baseline, 6 and 12 months and will include sexual behavior history, alcohol and drug use, presence of STDs, and attitudes towards condom use. This design should achieve the study's four goals: 1) to describe the types and prevalence of risk behaviors in a high-risk population; 2) to describe the cognitive precesses these men employ when they engage in unprotected anal intercourse; 3) to apply a cognitive-behavioral intervention to address specific thought processes at the time of intercourse; and 4) to reduce risk behavior by 25 percent in the intervention groups. If successful, the intervention will be incorporated into an HIV testing protocol for high risk repeat testers.