HIV检测与咨询6个月后强化咨询环节的效果：一项随机对照试验（RESPECT-2）

Efficacy of a booster counseling session 6 months after HIV testing and counseling: a randomized, controlled trial (RESPECT-2).

作者信息

Metcalf Carol A, Malotte C Kevin, Douglas John M, Paul Sindy M, Dillon Beth A, Cross Helene, Brookes Lesley C, Deaugustine Nettie, Lindsey Catherine A, Byers Robert H, Peterman Thomas A

机构信息

Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.

出版信息

Sex Transm Dis. 2005 Feb;32(2):123-9. doi: 10.1097/01.olq.0000151420.92624.c0.

DOI:10.1097/01.olq.0000151420.92624.c0

PMID:15668620

Abstract

BACKGROUND

HIV counseling prevents sexually transmitted diseases (STDs), with most of the benefit accumulating in the first 6 months.

STUDY

The authors conducted a multicenter, randomized, controlled trial of a 20-minute additional (booster) counseling session 6 months after HIV counseling compared with no additional counseling for prevention of STDs (gonorrhea, chlamydia, trichomoniasis). Participants were 15- to 39-year-old STD clinic patients in Denver, Long Beach, and Newark.

RESULTS

Booster counseling was completed by 1120 (67.8%) of 1653 assigned to receive it. An incident STD during the 6 to 12 months after initial counseling (and within the 6 months after scheduled booster counseling) was detected in 141 of 1653 (8.5%) participants in the booster counseling group and 144 of 1644 (8.8%) in the no-booster group (relative risk, 0.97; 95% confidence interval, 0.78-1.22). Three months after booster counseling, sexual risk behaviors were reported less frequently by the booster group than the no-booster group.

CONCLUSIONS

Booster counseling 6 months after HIV testing and counseling reduced reported sexual risk behavior but did not prevent STDs.

摘要

背景

HIV咨询可预防性传播疾病（STD），大部分益处集中在前6个月。

研究

作者进行了一项多中心、随机、对照试验，对比了HIV咨询6个月后额外增加20分钟（强化）咨询与不进行额外咨询对预防性传播疾病（淋病、衣原体感染、滴虫病）的效果。参与者为丹佛、长滩和纽瓦克15至39岁的性病门诊患者。

结果

分配接受强化咨询的1653人中，1120人（67.8%）完成了强化咨询。强化咨询组1653名参与者中有141人（8.5%）在初次咨询后6至12个月（以及预定强化咨询后6个月内）出现了新发STD，无强化咨询组1644人中有144人（8.8%）出现新发STD（相对风险，0.97；95%置信区间，0.78 - 1.22）。强化咨询3个月后,强化咨询组报告的性风险行为比无强化咨询组少。