Cao Dingcai, Marsh Jeanne C, Shin Hee-Choon
Department of Health Studies, University of Chicago, Illinois, USA.
Am J Drug Alcohol Abuse. 2008;34(6):730-40. doi: 10.1080/00952990802311209.
The objective of the study was to evaluate the capacity of HIV prevention programs offered in substance abuse treatment to reduce HIV-related risk behavior for women and men and for Black, Latino, and White groups.
Prospective data was collected at intake, discharage, and 12 months post-treatment from 1992 to 1997 for the National Treatment Improvement Evaluation Study with a sample consisting of 3,142 clients from 59 service delivery units: 972 females, 1,870 males, 1,812 Blacks, 486 Latinos, and 844 Whites.
Study findings show that receipt of HIV prevention programming as part of substance abuse treatment services resulted in reductions in HIV-related risk behavior for the sample overall and for women as well as men. However, although Blacks received more prevention services than Latinos and Whites, the significant positive effect of HIV services on reduced HIVrisk behavior held only for Whites.
Racial/ethnic disparities exist in the capacity for HIV prevention programming offered as part of substance abuse treatment to reduce HIV-risk behavior. The findings highlight the need for the development of culturally competent service delivery strategies to enhance the impact of these services for all groups.
本研究的目的是评估在药物滥用治疗中提供的艾滋病病毒预防项目降低男性和女性以及黑人、拉丁裔和白人组中与艾滋病病毒相关的危险行为的能力。
在1992年至1997年期间，为国家治疗改进评估研究在入组时、出院时和治疗后12个月收集前瞻性数据，样本包括来自59个服务提供单位的3142名客户：972名女性、1870名男性、1812名黑人、486名拉丁裔和844名白人。
研究结果表明，作为药物滥用治疗服务的一部分接受艾滋病病毒预防项目，使整个样本以及男性和女性与艾滋病病毒相关的危险行为有所减少。然而，尽管黑人比拉丁裔和白人接受了更多的预防服务，但艾滋病病毒预防服务对降低艾滋病病毒危险行为的显著积极影响仅在白人中存在。
作为药物滥用治疗一部分提供的艾滋病病毒预防项目在降低艾滋病病毒危险行为的能力方面存在种族/族裔差异。研究结果强调需要制定具有文化能力的服务提供策略，以增强这些服务对所有群体的影响。
