Jones Hendrée E, Berkman Nancy D, Kline Tracy L, Ellerson Rachel Middlesteadt, Browne Felicia A, Poulton Winona, Wechsberg Wendee M
Substance Abuse Treatment Evaluation and Intervention, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA.
Int J Pediatr. 2011;2011:389285. doi: 10.1155/2011/389285. Epub 2011 Mar 23.
African-American women who use crack are vulnerable to HIV because of the complex social circumstances in which they live. Drug-abuse treatment for these women during pregnancy may provide time for changing risk behaviors. This paper examines the initial 6-month feasibility of a women-focused HIV intervention, the Women's CoOp, adapted for pregnant women, relative to treatment-as-usual among 59 pregnant African-American women enrolled in drug-abuse treatment. At treatment entry, the women were largely homeless, unemployed, practicing unsafe sex, and involved in violence. Results indicated marked reductions in homelessness, use of cocaine and illegal drugs, involvement in physical violence, and an increase in knowledge of HIV from baseline to 6-month followup for both conditions. Findings suggest that the Women's CoOp intervention could be successfully adapted to treat this hard-to-reach population. Future studies should examine the efficacy of the pregnancy-adapted Women's CoOp for women not enrolled in drug-abuse treatment.
使用强效可卡因的非裔美国女性由于其所处的复杂社会环境而容易感染艾滋病毒。对这些孕期女性进行药物滥用治疗可能会为改变风险行为提供时间。本文研究了一项以女性为重点的艾滋病毒干预措施——女性合作项目（Women's CoOp）针对孕妇进行调整后的最初6个月的可行性，该研究以59名参加药物滥用治疗的非裔美国孕妇为对象，与常规治疗进行对比。在开始治疗时，这些女性大多无家可归、失业、进行不安全的性行为且遭受暴力侵害。结果表明，在两种治疗条件下，从基线到6个月随访期间，无家可归的情况、可卡因和非法药物的使用、身体暴力的参与程度都显著降低，对艾滋病毒的了解有所增加。研究结果表明，女性合作项目干预措施可以成功调整以治疗这一难以接触到的人群。未来的研究应考察针对未参加药物滥用治疗的女性调整后的孕期女性合作项目的疗效。
