Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Atlanta, Georgia 30322, USA.
J Womens Health (Larchmt). 2010 Feb;19(2):219-27. doi: 10.1089/jwh.2008.1326.
We examined the efficacy of an HIV prevention intervention among African American adolescent females reporting at or above threshold depressive symptomatology.
In this analysis, a subgroup of participants (n = 245) reporting at or above threshold depressive symptoms involved in a randomized controlled trial were assessed at 6-month and 12-month follow-ups on condom use and psychosocial mediators associated with HIV prevention behaviors. The intervention emphasized HIV knowledge, condom attitudes, communication self-efficacy, and condom use skills.
Relative to the comparison condition, participants randomized to the intervention reported using condoms more consistently, engaged in a greater proportion of condom protected intercourse acts, had fewer episodes of unprotected vaginal sex, were more likely to use a condom at last sex, and had higher HIV knowledge, favorable attitudes toward condoms, condom use self-efficacy, and condom use skills.
Overall, the pattern of effects found strengthen our confidence in the efficacy of the HIV intervention assessed for a broad range of young women, including those with high levels of depressive symptoms. Although young women with high depressive symptoms benefited from this HIV intervention, future studies employing interventions that specifically address the affective needs of this population might be even more effective in terms of sexual risk reduction and amelioration of depressive symptoms.
我们研究了一种针对报告有阈上抑郁症状的非裔美国少女的艾滋病毒预防干预措施的效果。
在这项分析中，一项随机对照试验（n=245）中的亚组参与者报告有阈上抑郁症状，他们在 6 个月和 12 个月的随访中评估了与艾滋病毒预防行为相关的避孕套使用情况和心理社会中介因素。该干预措施强调艾滋病毒知识、避孕套态度、沟通自我效能和避孕套使用技能。
与对照组相比，随机分配到干预组的参与者报告说更一致地使用避孕套，进行了更大比例的避孕套保护性行为，无保护阴道性行为的次数减少，在最近一次性行为中更有可能使用避孕套，并且具有更高的艾滋病毒知识、对避孕套的有利态度、避孕套使用自我效能和避孕套使用技能。
总体而言，发现的效应模式增强了我们对广泛的年轻女性（包括那些有高水平抑郁症状的女性）评估的艾滋病毒干预措施的有效性的信心。尽管患有高抑郁症状的年轻女性从这种艾滋病毒干预措施中受益，但未来研究采用专门针对该人群情感需求的干预措施，在减少性风险和改善抑郁症状方面可能更有效。
