Wolitski Richard J
Prevention Research Branch, Division of HIV and AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Am J Public Health. 2006 Oct;96(10):1854-61. doi: 10.2105/AJPH.2004.056044.
We compared the effects of an enhanced multisession intervention with a single-session intervention on the sexual risk behavior of young men released from prison.
Young men, aged 18 to 29 years, were recruited from US prisons in 4 states and systematically assigned to the prerelease single-session intervention or the pre- and postrelease enhanced intervention. Both interventions addressed HIV, hepatitis, and other sexually transmitted infections; the enhanced intervention also addressed community reentry needs (e.g., housing, employment). Assessment data were collected before intervention, and 1, 12, and 24 weeks after release.
A total of 522 men were included in intent-to-treat analyses. Follow-up rates ranged from 76% to 87%. Unprotected vaginal or anal sex during the 90 days before incarceration was reported by 86% of men in the enhanced intervention and 89% in the single-session intervention (OR=0.78; 95% CI=0.46, 1.32). At 24 weeks, 68% of men assigned to the enhanced intervention reported unprotected vaginal or anal sex compared with 78% of those assigned to the single-session intervention (OR=0.40; 95% CI=0.18, 0.88).
Project START demonstrated the efficacy of a sexual risk-reduction intervention that bridges incarceration and community reentry.
我们比较了强化多阶段干预与单阶段干预对出狱年轻男性性风险行为的影响。
从美国4个州的监狱招募年龄在18至29岁之间的年轻男性，并将他们系统地分配到释放前单阶段干预组或释放前及释放后强化干预组。两种干预均涉及艾滋病毒、肝炎及其他性传播感染；强化干预还涉及重新融入社区的需求（如住房、就业）。在干预前、释放后1周、12周和24周收集评估数据。
共有522名男性纳入意向性分析。随访率在76%至87%之间。强化干预组中86%的男性报告在入狱前90天内有过无保护的阴道或肛交，单阶段干预组为89%（比值比=0.78；95%置信区间=0.46，1.32）。在24周时，强化干预组中68%的男性报告有过无保护的阴道或肛交，而单阶段干预组为78%（比值比=0.40；95%置信区间=0.18，0.88）。
START项目证明了一种跨越监禁和重新融入社区阶段的降低性风险干预措施的有效性。
