Columbia University, New York, NY, USA.
Community Ment Health J. 2011 Apr;47(2):143-55. doi: 10.1007/s10597-010-9302-8. Epub 2010 Mar 25.
We evaluated the efficacy of a gender-specific intervention to reduce sexual risk behaviors by introducing female-initiated methods to urban women with severe mental illness. Seventy-nine women received 10 sessions of an HIV prevention intervention or a control intervention. The primary outcome was unprotected oral, anal, or vaginal intercourse, expressed using the Vaginal Episode Equivalent (VEE) score. Knowledge and use of the female condom were also assessed. Women in the HIV prevention intervention showed a three-fold reduction in the VEE score at the 3-month follow-up compared to the control group, but the difference was not significant. These women were significantly more likely to know about female condoms, have inserted one and used it with a sexual partner at the 3-month follow-up and to have inserted it at 6 months compared to controls. The female condom may be a useful addition, for a subset of women with SMI, to comprehensive HIV prevention programs.
我们评估了一种针对特定性别的干预措施的疗效，该措施通过向患有严重精神疾病的城市女性引入女性主导的方法来减少性风险行为。79 名女性接受了 10 节艾滋病毒预防干预或对照干预。主要结果是使用阴道等效物 (VEE) 评分表示的无保护的口腔、肛门或阴道性交。还评估了女性对女用避孕套的了解和使用情况。与对照组相比，在 3 个月的随访中，接受艾滋病毒预防干预的女性的 VEE 评分降低了三倍，但差异无统计学意义。与对照组相比，这些女性在 3 个月的随访中更有可能了解女用避孕套，插入过一个并与性伴侣一起使用，并且在 6 个月时插入过。对于某些患有 SMI 的女性来说，女用避孕套可能是综合艾滋病毒预防计划的一个有用补充。
