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动员男性成为伙伴:一项旨在增强尼日利亚男性双重保护的干预措施的结果

Mobilizing men as partners: the results of an intervention to increase dual protection among Nigerian men.

作者信息

Exner Theresa M, Mantell J E, Adeokun L A, Udoh I A, Ladipo O A, Delano G E, Faleye J, Akinpelu K

机构信息

HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, NYSPI Unit 15, New York, NY 10032, USA.

出版信息

Health Educ Res. 2009 Oct;24(5):846-54. doi: 10.1093/her/cyp021. Epub 2009 Apr 9.

Abstract

This quasi-experimental, proof-of-concept study evaluated the effects of an intervention designed to help Nigerian men decrease risk for HIV/sexually transmitted infections and unintended pregnancy. The intervention was delivered in groups during two 5-hour workshops, with a monthly 2-hour check-in session. A comparison condition consisted of a group-based half-day didactic workshop. Based on recruitment area, 149 men were assigned to the intervention and 132 to the comparison. Men were evaluated at baseline and 3-month post-intervention. At follow-up, men assigned to the intervention were almost four times more likely than comparison men to report condom use at last intercourse (P < 0.001) and to report fewer unprotected vaginal sex occasions, greater self-efficacy for negotiation, a more egalitarian power dynamic in their primary relationship, more positive expectations for condom use and greater intention for future consistent condom use (all P values < 0.05). Findings suggest that this intervention is both feasible and effective.

摘要

这项准实验性概念验证研究评估了一项旨在帮助尼日利亚男性降低感染艾滋病毒/性传播感染以及意外怀孕风险的干预措施的效果。该干预措施在两个5小时的工作坊中以小组形式进行,并每月安排一次2小时的跟进会议。对照条件为一个半天的小组讲授式工作坊。根据招募地区,149名男性被分配到干预组,132名被分配到对照组。在基线和干预后3个月对男性进行评估。随访时,分配到干预组的男性在最后一次性交时报告使用避孕套的可能性几乎是对照组男性的四倍(P < 0.001),且报告的无保护阴道性交次数更少、协商自我效能更高、在主要关系中的权力动态更平等、对使用避孕套的期望更积极以及未来持续使用避孕套的意愿更强(所有P值 < 0.05)。研究结果表明,该干预措施既可行又有效。

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