Exner Theresa M, Mantell Joanne E, Hoffman Susie, Adams-Skinner Jessica, Stein Zena A, Leu Cheng-Shiun
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, NY, USA.
AIDS Care. 2011 Apr;23(4):467-75. doi: 10.1080/09540121.2010.516335.
High rates of unintended pregnancies and sexually transmitted infection (STI), including HIV, highlight the importance of promoting dual protection (DP) - i.e., methods that offer concurrent protection against unintended pregnancies and STI - during contraceptive counseling. Using a Phase II quasi-experimental design, this study compared an individualized, clinic-based, nurse-delivered intervention designed to increase DP against standard of care among 101 HIV negative women accessing contraceptive services in medically under-served areas of New York City. Participants were evaluated at baseline, post-counseling, and six months later. Findings indicated that the intervention has possible benefit. At six-month follow-up, there was greater perceived susceptibility to STI and fewer condom-unprotected vaginal sex occasions in the intervention arm. Women in the intervention also had five times the odds of reporting female condom use. Results suggest that this intervention has the potential for a larger population impact and should be more rigorously evaluated in a Phase III trial.
意外怀孕和包括艾滋病毒在内的性传播感染（STI）的高发生率凸显了在避孕咨询过程中推广双重保护（DP）的重要性，即提供同时预防意外怀孕和性传播感染的方法。本研究采用II期准实验设计，比较了一种基于诊所、由护士提供的个性化干预措施与纽约市医疗服务不足地区101名寻求避孕服务的艾滋病毒阴性女性的标准护理措施，该干预旨在提高双重保护。在基线、咨询后和六个月后对参与者进行评估。研究结果表明该干预可能有益。在六个月的随访中，干预组对性传播感染的易感性更高，未使用避孕套的阴道性行为次数更少。干预组的女性报告使用女用避孕套的几率也高出五倍。结果表明，这种干预措施有可能对更多人群产生影响，应在III期试验中进行更严格的评估。
