一项旨在降低安哥拉士兵感染艾滋病毒风险的预防干预措施的评估。
Evaluation of a prevention intervention to reduce HIV Risk among Angolan soldiers.
作者信息
Bing Eric G, Cheng Karen G, Ortiz Daniel J, Ovalle-Bahamón Ricardo E, Ernesto Francisco, Weiss Robert E, Boyer Cherrie B
机构信息
Drew CARES, Institute for Community Health Research, Department of Psychiatry and Human Behavior, Charles Drew University of Medicine and Science, 1731 East 120th Street, Building N, Los Angeles, CA 90059, USA.
出版信息
AIDS Behav. 2008 May;12(3):384-95. doi: 10.1007/s10461-008-9368-2. Epub 2008 Mar 7.
We developed and evaluated a military-focused HIV prevention intervention to enhance HIV risk-reduction knowledge, motivation, and behaviors among Angolan soldiers. Twelve bases were randomly assigned to HIV prevention or control conditions, yielding 568 participants. HIV prevention participants received training in preventing HIV (4.5 days) and malaria (0.5 days). Control participants received the reverse. Monthly booster sessions were available after each intervention. We assessed participants at baseline, 3 and 6 months after the training. HIV prevention participants reported greater condom use and less unprotected anal sex at 3 months, as well as greater HIV-related knowledge and perceived vulnerability at 3 and 6 months. Within-group analyses showed HIV prevention participants increased condom use, reduced unprotected vaginal sex, and reduced numbers of partners at both follow-ups, while control participants improved on some outcomes at 3 months only. A military-focused HIV prevention intervention may increase HIV-related knowledge, motivation, and risk reduction among African soldiers.
我们开发并评估了一项以军事为重点的艾滋病毒预防干预措施，以增强安哥拉士兵对降低艾滋病毒风险的认识、动机和行为。12个基地被随机分配到艾滋病毒预防或对照条件下，共有568名参与者。艾滋病毒预防组的参与者接受了预防艾滋病毒（4.5天）和疟疾（0.5天）的培训。对照组参与者接受的培训顺序相反。每次干预后每月都有强化课程。我们在基线、培训后3个月和6个月对参与者进行了评估。艾滋病毒预防组的参与者在3个月时报告使用避孕套的情况增加，无保护肛交的情况减少，在3个月和6个月时与艾滋病毒相关的知识和感知易感性也更高。组内分析显示，艾滋病毒预防组的参与者在两次随访中都增加了避孕套的使用，减少了无保护阴道性行为，并减少了性伴侣数量，而对照组参与者仅在3个月时某些结果有所改善。一项以军事为重点的艾滋病毒预防干预措施可能会增加非洲士兵与艾滋病毒相关的知识、动机并降低风险。
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