Mola O D, Mercer M A, Asghar R J, Gimbel-Sherr K H, Gimbel-Sherr S, Micek M A, Gloyd S S
Ministry of Health, Beira, Mozambique.
Trop Med Int Health. 2006 Feb;11(2):176-81. doi: 10.1111/j.1365-3156.2005.01548.x.
OBJECTIVE: To evaluate the efficacy of voluntary counselling and testing (VCT) for HIV/AIDS in changing risky sexual behaviour in central Mozambique. METHOD: Longitudinal cohort study of men and women aged at least 18 years from October 2002 to June 2003. We interviewed 622 participants in VCT groups and 598 in non-VCT groups. The interviews occurred before counselling and 4 and 6 months afterwards. RESULTS: Reported use of condoms while having sex with a friends/prostitute increased over each time period in the VCT group and between baseline and first visit in the non-VCT group. Both men and women in the VCT group increased their condom use over time, but the women in the non-VCT group did not. Reported always/sometimes use of condoms for both literate and illiterate subjects was higher and rose over time in the VCT group. CONCLUSION: People who undergo voluntary counselling and testing fro HIV/AIDS change their behaviour, presumably as a result of their counselling.
目的：评估在莫桑比克中部开展的艾滋病毒/艾滋病自愿咨询检测（VCT）在改变危险行为方面的效果。 方法：2002年10月至2003年6月对至少18岁的男性和女性进行纵向队列研究。我们对622名接受自愿咨询检测的参与者和598名未接受自愿咨询检测的参与者进行了访谈。访谈在咨询前以及咨询后4个月和6个月进行。 结果：在自愿咨询检测组中，报告在与朋友/妓女发生性行为时使用避孕套的情况在每个时间段都有所增加，在未接受自愿咨询检测组中，从基线到首次访视期间也有所增加。自愿咨询检测组中的男性和女性随着时间推移使用避孕套的情况都有所增加，但未接受自愿咨询检测组中的女性没有。在自愿咨询检测组中，有文化和没文化的受试者报告总是/有时使用避孕套的比例更高，且随时间上升。 结论：接受艾滋病毒/艾滋病自愿咨询检测的人会改变其行为，推测这是咨询的结果。
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