PROMOTING SAFER SEX/HIGH RISK REPEAT HIV TESTERS

描述（改编自申请人的摘要：尽管超过十年 尽管预防措施不足，许多人仍然从事高危性行为。 基于 来自旧金山弗朗西斯科的匿名艾滋病毒抗体检测点数据， 这一群体是与男性发生性关系且不使用注射毒品的男性。 这些 男性可能是"高风险重复测试者"， 匿名测试计划 该应用程序将评估新的 咨询干预-在测试现场应用-专门设计， 帮助这些人改变行为 模仿澳大利亚人的作品 心理学家罗恩黄金，干预的重点是"自我辩护"： 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/或汇编一个 "性日记"，其中个人识别和记录自我辩护， 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， 通过这样做，减少他们无保护措施的性行为的频率。 UCSF艾滋病 与旧金山公共卫生部合作的卫生项目， 加州大学旧金山分校艾滋病预防研究中心，提出了一个前瞻性的 这项干预措施的随机研究。 这项研究将包括四个小组 在114名男性（N = 456）中，他们之前至少进行了两次测试，并承认 在过去一年内无保护的肛门插入或接受性性交。 第一组将接受常规的考前和考后咨询， 组 第2组将接受新的干预措施，包括 额外的咨询课程和布置的"性日记"作业。 组 第三组将只接受额外的辅导，第四组将 只收"性日记"作业 数据将在 基线，6个月和12个月，将包括性行为史，酒精 和药物使用，性病的存在，以及对安全套使用的态度。 这 设计应实现研究的四个目标：1）描述类型和 高危人群中危险行为的流行率; 2）描述 这些人在进行无保护的肛交时所采用的认知过程 3）应用认知行为干预来解决 性交时的具体思维过程;以及4）降低风险 在干预组中减少了25%。 如果成功， 干预措施将纳入艾滋病毒检测方案， 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.