一项性传播感染/艾滋病行为干预措施对女性使用女用避孕套的影响。
Effect of an STD/HIV behavioral intervention on women's use of the female condom.
作者信息
Van Devanter Nancy, Gonzales Virginia, Merzel Cheryl, Parikh Nina S, Celantano David, Greenberg Judith
机构信息
Division of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 600 W. 168th St., 7th Floor, New York, NY 10032, USA.
出版信息
Am J Public Health. 2002 Jan;92(1):109-15. doi: 10.2105/ajph.92.1.109.
OBJECTIVES
This study assessed the effectiveness of a sexually transmitted disease (STD)/HIV behavior change intervention in increasing women's use of the female condom.
METHODS
A total of 604 women at high risk for STDs and HIV in New York City, Baltimore, Md, and Seattle, Wash, enrolled in a randomized controlled trial of a small-group, skills-training intervention that included information and skills training in the use of the female condom.
RESULTS
In a logistic regression, the strongest predictors of use were exposure to the intervention (odds ratio [OR] = 5.5; 95% confidence interval [CI] = 2.8, 10.7), intention to use the female condom in the future (OR = 4.5; 95% CI = 2.4, 8.5), having asked a partner to use a condom in the past 30 days (OR = 2.3; 95% CI = 1.3, 3.9), and confidence in asking a partner to use a condom (OR = 1.9; 95% CI = 1.1, 3.5).
CONCLUSIONS
Clinicians counseling women in the use of the female condom need to provide information, demonstrate its correct use with their clients, and provide an opportunity for their clients to practice skills themselves.
目的
本研究评估了一项性传播疾病（STD）/艾滋病病毒（HIV）行为改变干预措施在增加女性使用女用避孕套方面的效果。
方法
纽约市、马里兰州巴尔的摩市和华盛顿州西雅图市的604名有感染性传播疾病和艾滋病病毒高风险的女性参加了一项随机对照试验，该试验为小组技能培训干预，内容包括女用避孕套使用的信息和技能培训。
结果
在逻辑回归分析中，使用女用避孕套的最强预测因素为接受干预（比值比[OR]=5.5；95%置信区间[CI]=2.8,10.7）、未来使用女用避孕套的意愿（OR=4.5；95%CI=2.4,8.5）、在过去30天内要求伴侣使用避孕套（OR=2.3；95%CI=1.3,3.9）以及要求伴侣使用避孕套的信心（OR=1.9；95%CI=1.1,3.5）。
结论
为女性提供女用避孕套使用咨询的临床医生需要提供信息，向她们演示正确的使用方法，并为她们提供自行练习技能的机会。
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