Madray H, van Hulst Y
University of Connecticut, Storrs, USA.
J Drug Educ. 2000;30(2):205-11. doi: 10.2190/1DWM-D9WA-22R1-70Q0.
This study examines the effects of peer groups and education on risk behavior for HIV among injection drug users (IDUs). The sample consisted of 682 participants in the Eastern Connecticut Health Outreach project, which compares traditional and peer-driven outreach interventions for IDUs. Participants are educated about safer injecting, subsequently administered a risk-reduction knowledge test, and given an extensive interview. Logistic regression shows that education alone is not a significant factor in reducing risky behavior in IDUs among the behaviors studied. A significant interaction was found between peer support for safer use and personal saliency of peer attitudes for both syringe and water sharing. Neither peer attitudes nor education affected cooker sharing. These results suggest that while education may be an important component in any intervention, it is not alone sufficient to reduce risky behavior. Our findings suggest that peer-directed interventions may be useful in reducing some forms of risk behavior among IDUs.
本研究考察了同伴群体和教育对注射吸毒者（IDU）感染艾滋病毒风险行为的影响。样本包括东康涅狄格州健康外展项目的682名参与者，该项目比较了针对注射吸毒者的传统外展干预措施和同伴驱动的外展干预措施。参与者接受了关于更安全注射的教育，随后进行了降低风险知识测试，并接受了一次深入访谈。逻辑回归表明，在所研究的行为中，仅教育并非降低注射吸毒者危险行为的重要因素。在同伴对更安全使用的支持与同伴对注射器和水共享态度的个人显著性之间发现了显著的相互作用。同伴态度和教育均未影响炊具共享。这些结果表明，虽然教育可能是任何干预措施的重要组成部分，但仅靠教育不足以降低危险行为。我们的研究结果表明，同伴导向的干预措施可能有助于减少注射吸毒者中的某些形式的风险行为。
