Crosby Richard, DiClemente Ralph J, Charnigo Richard, Snow Gregory, Troutman Adewale
Department of Health Behavior, University of Kentucky, Lexington, KY 40506-0003, USA.
Am J Public Health. 2009 Apr;99 Suppl 1(Suppl 1):S96-103. doi: 10.2105/AJPH.2007.123893. Epub 2009 Feb 12.
We evaluated the efficacy of a brief, clinic-based, safer sex program administered by a lay health adviser for young heterosexual African American men newly diagnosed with a sexually transmitted disease (STD).
Subsequent to STD diagnosis, eligible men (N = 266; aged 18-29 years) were randomized to either a personalized, single-session intervention (delivered by a lay health adviser) or standard of care. We conducted behavioral assessments at baseline and 3 months postintervention (retention was 74.1%). We also conducted a 6-month clinic record review.
Compared to men randomized to the control condition, those receiving the intervention were significantly less likely to acquire subsequent STDs (50.4% vs 31.9%; P = .002) and more likely to report using condoms during last sexual intercourse (72.4% vs 53.9%; P = .008). They also reported fewer sexual partners (mean 2.06 vs 4.15; P < .001) and fewer acts of unprotected sex (mean 12.3 vs 29.4; P = .045). Based on a 9-point rating scale, men in the intervention group had higher proficiency scores for condom application skills (mean difference = 3.17; P < .001).
A brief clinic-based intervention delivered by a lay health adviser may be an efficacious strategy to reduce incident STDs among young heterosexual African American men.
我们评估了由非专业健康顾问在诊所开展的简短安全性行为项目，对新诊断出性传播疾病（STD）的年轻异性恋非裔美国男性的效果。
在诊断出STD后，符合条件的男性（N = 266；年龄18 - 29岁）被随机分为个性化单节干预组（由非专业健康顾问实施）或标准护理组。我们在基线和干预后3个月进行了行为评估（保留率为74.1%）。我们还对6个月的诊所记录进行了审查。
与随机分配到对照组的男性相比，接受干预的男性感染后续STD的可能性显著降低（50.4%对31.9%；P = 0.002），并且更有可能报告在最近一次性交时使用了避孕套（72.4%对53.9%；P = 0.008）。他们还报告性伴侣更少（平均2.06对4.15；P < 0.001）以及无保护性行为的次数更少（平均12.3对29.4；P = 0.045）。基于9分制评分量表，干预组男性在避孕套使用技能方面的熟练得分更高（平均差异 = 3.17；P < 0.001）。
由非专业健康顾问在诊所开展的简短干预可能是减少年轻异性恋非裔美国男性STD感染率的有效策略。
