Morisky Donald E, Ang Alfonso, Coly Astou, Tiglao Teodora V
UCLA School of Public Health, University of California, Los Angeles, CA 90095-1772, USA.
Health Promot Int. 2004 Mar;19(1):69-76. doi: 10.1093/heapro/dah109.
A 3-year, longitudinal, quasi-experimental study using participatory action research (PAR) was conducted to determine the feasibility and efficiency of an expanded sexually transmitted infection (STI) HIV/AIDS prevention program among diverse high-risk male heterosexual populations in the southern Philippines. A total of 3389 participants ( approximately 200 males from each of 18 study groups) were recruited, and 221 were trained as peer counselors to develop educational materials and reinforce safe sexual practices among their peers. Condom usage (36.10% to 38.70% to 46.31%), attitudes towards condoms (21.67% to 24.55% to 25.15%) and knowledge about HIV/STI transmission (41.87% to 42.19% to 33.31%) increased significantly from baseline to post-test and 6-month follow up, respectively (p < 0.01). Furthermore, the reported STI incidence decreased significantly (7.4% to 4.6% to 2.4%, respectively). Changes differed significantly between the intervention and control group at post-test and follow up (p < 0.01). These findings illustrate the appropriateness of using PAR methodology in promoting and sustaining positive behavior change.
开展了一项为期3年的纵向准实验研究，采用参与式行动研究（PAR）来确定在菲律宾南部不同的高危男性异性恋人群中扩大性传播感染（STI）艾滋病毒/艾滋病预防项目的可行性和效率。总共招募了3389名参与者（18个研究组每组约200名男性），并培训了221名同伴咨询师，以编写教育材料并在同伴中强化安全性行为。从基线到测试后及6个月随访，避孕套使用率（分别从36.10%提高到38.70%再到46.31%）、对避孕套的态度（分别从21.67%提高到24.55%再到25.15%）以及对艾滋病毒/性传播感染传播的知识（分别从41.87%提高到42.19%再到33.31%）均显著增加（p<0.01）。此外，报告的性传播感染发病率显著下降（分别从7.4%降至4.6%再降至2.4%）。在测试后和随访时，干预组和对照组之间的变化存在显著差异（p<0.01）。这些发现表明采用参与式行动研究方法在促进和维持积极行为改变方面的适用性。
