Mitchell Shannon Gwin, Edwards Lorece V, Mackenzie Sonja, Knowlton Amy R, Valverde Eduardo E, Arnsten Julia H, Santibanez Scott, Latka Mary H, Mizuno Yuko
Department of Health, Behavior and Society, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD 21201, USA.
J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S55-63. doi: 10.1097/QAI.0b013e3181576808.
HIV-positive injection drug users (IDUs) are at risk for transmitting HIV to their sex and injection partners, and compared with non-IDUs, they have poorer access to medical care and adherence to antiretroviral therapies. Social support has been linked with decreased injection and sexual risk behaviors and slower disease progression. In this qualitative process evaluation, we explored emotional support (ie, caring, empathy), informational support (ie, information, guidance, feedback), and appraisal support (ie, information for self-evaluation or understanding) received by participants in the Interventions for Seropositive Injectors-Research and Evaluation (INSPIRE) project, a multisite secondary prevention intervention for HIV-positive IDUs. Participants in the intervention and control conditions (N=40) described similar experiences in terms of type, source, and perceived benefits of social support received from the program. Emotional support was received from program staff, other participants, and elements of the intervention. Participants also mentioned social support received from the INSPIRE project in relation to changes they had made in their lives during and after their involvement in the intervention, such as changes in their drug use, sexual practices, and health care utilization.
感染艾滋病毒的注射吸毒者有将艾滋病毒传播给其性伴侣和注射伙伴的风险，而且与非注射吸毒者相比，他们获得医疗护理和坚持抗逆转录病毒疗法的情况较差。社会支持与减少注射和性风险行为以及减缓疾病进展有关。在这项定性过程评估中，我们探讨了参与“血清阳性注射者干预措施——研究与评估”（INSPIRE）项目的参与者所获得的情感支持（即关爱、同理心）、信息支持（即信息、指导、反馈）和评估支持（即用于自我评估或理解的信息），INSPIRE项目是一项针对感染艾滋病毒的注射吸毒者的多地点二级预防干预措施。干预组和对照组的参与者（N = 40）在从该项目获得的社会支持的类型、来源和感知益处方面描述了相似的经历。情感支持来自项目工作人员、其他参与者以及干预措施的一些要素。参与者还提到了在参与干预期间及之后他们生活中发生的变化方面从INSPIRE项目获得的社会支持，比如他们在吸毒、性行为和医疗保健利用方面的变化。
