Fenaughty Andrea M, Namyniuk Lorraine
Division of Public Health, Alaska Department of Health and Social Services, 3601 C Street, Ste 540, Anchorage, Alaska, 99503, USA.
Qual Health Res. 2004 Jan;14(1):23-38. doi: 10.1177/1049732303259803.
Women drug users are at significant risk of sexually transmitted HIV; however, interventions aimed at increasing condom use by this population have been relatively ineffective. The authors conducted a series of focus groups with 17 current and former drug-using women to identify (a) reasons for using versus not using condoms, (b) intervention strategies they believed would be most effective at increasing condom use, and (c) previous ineffective intervention strategies. Risk of HIV, sexually transmitted diseases, and pregnancy was the main reason given for using condoms. Many factors were identified that limited condom use, including lack of availability, substance use, and cost. Participants enthusiastically endorsed condom availability and AIDS awareness interventions, and suggested that no intervention was a waste of money. The authors discuss the limitations of the suggested interventions and recommend additional research to evaluate the efficacy of these strategies.
女性吸毒者感染性传播艾滋病毒的风险很大；然而，旨在增加这一人群使用避孕套的干预措施相对无效。作者对17名目前和曾经吸毒的女性进行了一系列焦点小组访谈，以确定：(a) 使用与不使用避孕套的原因；(b) 她们认为最能有效增加避孕套使用的干预策略；(c) 以前无效的干预策略。感染艾滋病毒、性传播疾病和怀孕的风险是使用避孕套的主要原因。确定了许多限制避孕套使用的因素，包括难以获得、药物使用和成本。参与者积极支持提供避孕套和提高艾滋病意识的干预措施，并表示没有干预措施就是浪费钱。作者讨论了所建议干预措施的局限性，并建议进行更多研究以评估这些策略的有效性。
