Weeks Margaret R, Dickson-Gomez Julia, Mosack Katie E, Convey Mark, Martinez Maria, Clair Scott
Institute for Community Research 2 Hartford Square West, Suite 100 Hartford, CT 06106 860-278-2044 x229 860-278-2141 (fax)
J Drug Issues. 2006 Jul 1;36(3):541-570. doi: 10.1177/002204260603600303.
Efforts have expanded to create AIDS prevention programs for drug users that consider the social context and interpersonal relationships within which risky practices take place. The Risk Avoidance Partnership (RAP) project is designed to train active drug users as "Peer/Public Health Advocates" (PHAs) to bring a structured, peer-led intervention into the sites where they and their drug-using social networks use illicit drugs. The RAP Peer Health Advocacy training curriculum and peer-led intervention promote harm reduction among drug users and support drug-user organization to reduce infectious disease and other harm in the context of injection drug use, crack cocaine use, and sexual activity. Initial findings suggest that RAP PHAs perceive a significant positive role change in themselves while conducting health advocacy work, and willingly and successfully carry the peer-led intervention into locations of high-risk drug activity to deliver it to their peers even in the absence of project staff support.
为吸毒者制定艾滋病预防项目的努力已经扩大，这些项目考虑到了危险行为发生的社会背景和人际关系。风险规避伙伴关系（RAP）项目旨在培训活跃的吸毒者成为“同伴/公共卫生倡导者”（PHA），以便将一种结构化的、由同伴主导的干预措施引入他们及其吸毒社交网络使用非法药物的场所。RAP同伴健康倡导培训课程和同伴主导的干预措施促进吸毒者减少伤害，并支持吸毒者组织在注射吸毒（使用快克可卡因）和性活动的背景下减少传染病及其他伤害。初步研究结果表明，RAP的PHA在开展健康倡导工作时，认为自己发生了显著的积极角色转变，并且即使在没有项目工作人员支持的情况下，也愿意并成功地将同伴主导的干预措施带到高风险毒品活动场所，传递给他们的同伴。
