MacMaster Samuel A, Rasch Randolph F R, Kinzly Mark L, Cooper R Lyle, Adams Susan M
College of Social Work, University of Tennessee, Nashville, TN 37210, USA.
Health Soc Work. 2009 Nov;34(4):283-91. doi: 10.1093/hsw/34.4.283.
Significant health disparities in the rates of HIV infection primarily affect African American women. Although research has demonstrated that for some individuals HIV is connected to preventable high-risk behaviors related to substance use, a further examination of how these risks are perceived by the individuals involved in these activities is warranted. This study presents the results of 11 focus groups with 89 African American women who use crack cocaine in which respondents shared their perceptions of HIV risk behaviors. The results of this study suggest that women crack cocaine users in Nashville,Tennessee, are not injecting the drug. There appeared to be high levels of perceived sexual risks associated with the use of crack cocaine by some users; however, this was not universal, as many active users have internalized HIV prevention messages. The results of this study are significant in that further understanding of the means by which individuals experience their risk behaviors will enable more effective targeting of potential interventions to reduce the spread of HIV.
艾滋病毒感染率方面存在的显著健康差异主要影响非裔美国女性。尽管研究表明，对一些人来说，艾滋病毒与与药物使用相关的可预防的高风险行为有关，但有必要进一步研究参与这些活动的人如何看待这些风险。本研究展示了针对89名使用快克可卡因的非裔美国女性开展的11个焦点小组的结果，受访者在小组中分享了她们对艾滋病毒风险行为的看法。这项研究的结果表明，田纳西州纳什维尔市使用快克可卡因的女性并不注射这种毒品。一些使用者认为使用快克可卡因存在较高的性风险；然而，情况并非普遍如此，因为许多活跃使用者已将艾滋病毒预防信息内化。这项研究的结果意义重大，因为进一步了解个人体验其风险行为的方式将有助于更有效地针对潜在干预措施，以减少艾滋病毒的传播。
