Wingood Gina M, DiClemente Ralph J, Harrington Kathy F, Lang Delia L, Davies Susan L, Hook Edward W, Oh M Kim, Hardin James W
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, the Emory Center for AIDS Research, Emory University, Atlanta, GA, USA.
Am J Public Health. 2006 Jun;96(6):1085-90. doi: 10.2105/AJPH.2004.053595. Epub 2006 May 2.
We examined the efficacy of an HIV prevention intervention among African American female adolescents reporting a history of gender-based violence.
In this analysis of a subgroup of participants involved in a randomized controlled trial, consistent condom use, psychosocial mediators associated with HIV-preventive behaviors, and presence of sexually transmitted diseases were assessed at 6- and 12-month follow-ups. The intervention emphasized ethnic and gender pride, HIV knowledge, condom attitudes, healthy relationships, communication, and condom use skills.
Relative to the comparison condition, participants randomized to the intervention reported using condoms more consistently, had fewer episodes of unprotected vaginal sex, engaged in a greater proportion of protected intercourse acts, were more likely to have used a condom during their most recent intercourse, were less likely to have a new sexual partner, were less likely to have a sexually transmitted disease, and demonstrated more proficient condom skills.
Given the substantial prevalence of gender-based violence among female adolescents and the associations observed between gender-based violence, HIV risk, and HIV infection, it is essential that HIV interventions involving young women address partner violence.
我们研究了针对有基于性别的暴力史的非裔美国女性青少年进行的一项艾滋病毒预防干预措施的效果。
在对参与一项随机对照试验的参与者亚组进行的该分析中，在6个月和12个月的随访时评估了持续使用避孕套情况、与艾滋病毒预防行为相关的心理社会调节因素以及性传播疾病的存在情况。该干预措施强调种族和性别自豪感、艾滋病毒知识、对避孕套的态度、健康关系、沟通以及使用避孕套的技巧。
相对于对照条件，被随机分配到干预组的参与者报告更持续地使用避孕套，无保护阴道性行为的次数更少，进行的有保护性交行为比例更高，在最近一次性交时更有可能使用避孕套，更不可能有新的性伴侣，更不可能患有性传播疾病，并且表现出更熟练的避孕套使用技巧。
鉴于女性青少年中基于性别的暴力相当普遍，以及观察到基于性别的暴力、艾滋病毒风险和艾滋病毒感染之间的关联，涉及年轻女性的艾滋病毒干预措施必须解决伴侣暴力问题。
