Sikkema Kathleen J, Meade Christina S, Doughty-Berry Jhan D, Zimmerman Susan O, Kloos Bret, Snow David L
Division of Prevention and Community Research and The Consultation Center, Department of Psychiatry, Yale University, 389 Whitney Ave, New Haven, CT 06511, USA.
J Prev Interv Community. 2007;33(1-2):121-35. doi: 10.1300/J005v33n01_10.
Individuals with severe mental illness (SMI) are at risk for HIV/AIDS. Despite the availability of supportive community programs for those with SMI, there have been no published evaluations of community-level HIV prevention trials among this population. A pilot intervention trial was conducted to determine the feasibility of such an intervention in supportive housing programs (SHPs). A multi-component community-level trial was implemented in two SHPs with a total of 28 residents. Participants completed assessments at three time points: prior to the intervention (baseline), following skills training (post-assessment), and following the 4-month community intervention (follow- up). Results demonstrated significant improvements in psychosocial risk factors at both post- and follow-up assessments, with indications of sexual behavior change at follow-up. The community-level intervention appeared to reduce the risk of HIV among persons with SMI living in SHPs, and supports the importance of conducting larger scale intervention trials.
患有严重精神疾病（SMI）的个体面临感染艾滋病毒/艾滋病的风险。尽管有为患有严重精神疾病者提供支持性社区项目，但尚未有已发表的关于该人群社区层面艾滋病毒预防试验的评估。开展了一项试点干预试验，以确定这种干预在支持性住房项目（SHP）中的可行性。在两个共有28名居民的支持性住房项目中实施了一项多成分社区层面试验。参与者在三个时间点完成评估：干预前（基线）、技能培训后（后评估）以及4个月社区干预后（随访）。结果表明，在后评估和随访评估中，心理社会风险因素均有显著改善，随访时有性行为改变的迹象。社区层面的干预似乎降低了居住在支持性住房项目中的患有严重精神疾病者感染艾滋病毒的风险，并支持开展更大规模干预试验的重要性。
