Jemmott Loretta Sweet, Jemmott John B, Hutchinson M Katherine, Cederbaum Julie A, O'Leary Ann
Center for Health Disparities Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
J Obstet Gynecol Neonatal Nurs. 2008 Mar-Apr;37(2):137-45. doi: 10.1111/j.1552-6909.2008.00221.x.
African American women, particularly those who live in inner-city areas, experience disproportionately high rates of sexually transmitted infections including HIV. As there are currently no preventive vaccines for HIV and most sexually transmitted infections, prevention efforts must focus on behavioral risk reduction. Thus, culturally tailored interventions for African American women are needed to reduce their incidence of sexually transmitted infections including HIV. One place to intervene with inner-city African American women is in primary care settings. Primary care settings have the potential to reach a wide range of women, including those who may not proactively seek sexually transmitted infection/HIV prevention services. However, in order to be feasible for use in clinical settings, sexually transmitted infection/HIV risk reduction interventions must be brief and easily adapted for use with diverse clients in varied practice environments. To date, few brief sexually transmitted infection/HIV prevention interventions have been designed for use with African American women in primary care settings. Only one of these, the "Sister to Sister: Respect Yourself! Protect Yourself! Because You Are Worth It!" intervention, has demonstrated effectiveness in reducing sexual risk behaviors and sexually transmitted infection incidence. This article describes this 20-minute, one-on-one nurse-led intervention for African American women and discusses considerations for its implementation in primary care and other clinical settings.
非裔美国女性，尤其是那些居住在市中心城区的女性，感染包括艾滋病毒在内的性传播感染的比例高得不成比例。由于目前尚无针对艾滋病毒和大多数性传播感染的预防性疫苗，预防工作必须侧重于降低行为风险。因此，需要针对非裔美国女性开展符合文化特点的干预措施，以降低她们感染包括艾滋病毒在内的性传播感染的发生率。对市中心城区的非裔美国女性进行干预的一个场所是初级保健机构。初级保健机构有潜力覆盖广泛的女性群体，包括那些可能不会主动寻求性传播感染/艾滋病毒预防服务的女性。然而，为了在临床环境中可行，性传播感染/艾滋病毒风险降低干预措施必须简短且易于在不同的实践环境中适用于不同的客户。迄今为止，很少有简短的性传播感染/艾滋病毒预防干预措施是专门为在初级保健机构中与非裔美国女性一起使用而设计的。其中只有一项名为“姐妹互助：尊重自己！保护自己！因为你值得！”的干预措施，已证明在减少性风险行为和性传播感染发生率方面有效。本文介绍了这项由护士主导的、针对非裔美国女性的20分钟一对一干预措施，并讨论了在初级保健和其他临床环境中实施该措施的注意事项。
