Operationsand Implementations Research Unit, HIV/AIDS, STIs, and TB (HAST), Human Sciences Research Council, Pretoria, Africa.
J Assoc Nurses AIDS Care. 2011 Sep-Oct;22(5):397-406. doi: 10.1016/j.jana.2011.03.003. Epub 2011 Jun 12.
The aim of this study was to test a 180-minute group HIV risk-reduction counseling intervention trial with men undergoing traditional circumcision in South Africa to reduce behavioral disinhibition (false security) as a result of the procedure. A cluster randomized controlled trial design was employed using a sample of 160 men, 80 in the experimental group and 80 in the control group. Comparisons between baseline and 3-month follow-up assessments on key behavioral outcomes were completed. We found that behavioral intentions, risk-reduction skills, and male role norms did not change in the experimental compared to the control condition. However, HIV-related stigma beliefs were significantly reduced in both conditions over time. These findings show that one small-group HIV risk-reduction intervention did not reduce sexual risk behaviors in recently traditionally circumcised men at high risk for behavioral disinhibition.
本研究旨在测试一项针对南非接受传统割礼男性的 180 分钟团体 HIV 风险降低咨询干预试验，以减少因手术而导致的行为抑制解除（虚假安全感）。采用一项包含 160 名男性的群组随机对照试验设计，实验组 80 名，对照组 80 名。在关键行为结果的基线和 3 个月随访评估之间进行比较。我们发现，实验组与对照组相比，行为意向、风险降低技能和男性角色规范没有变化。然而，随着时间的推移，HIV 相关耻辱感在两种情况下都显著降低。这些发现表明，一次小型团体 HIV 风险降低干预并不能降低行为抑制风险高的近期接受传统割礼的男性的性风险行为。
