Department of Psychology, University of Connecticut, Storrs, 06269, USA.
Am J Public Health. 2011 Sep;101(9):e9-e17. doi: 10.2105/AJPH.2011.300236. Epub 2011 Jul 21.
We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa.
After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV-STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were retained at the 12-month follow-up.
There were 24% fewer incident STIs and significant reductions in unprotected vaginal and anal intercourse among participants who received risk reduction counseling relative to members of the control condition. Moderator analyses showed shorter lived outcomes for heavy alcohol drinkers than for lighter drinkers. The results were not moderated by gender.
Brief single-session HIV prevention counseling delivered to STI clinic patients has the potential to reduce HIV infections. Counseling should be enhanced for heavier drinkers, and sustained outcomes will require relapse prevention techniques. Disseminating effective, brief, and feasible behavioral interventions to those at highest risk for HIV infection should remain a public health priority.
我们考察了一种简短咨询干预措施对减少南非开普敦接受性传播感染（STI）服务的患者的 HIV 风险行为和性传播感染（STI）的影响。
在随机分配至 60 分钟风险降低咨询或 20 分钟 HIV-STI 教育会议后，患者完成了计算机化的性行为评估。超过 85%的参与者在 12 个月的随访中被保留。
与对照组相比，接受风险降低咨询的参与者中发生 STI 的比例降低了 24%，无保护的阴道和肛门性交也显著减少。调节分析表明，重度饮酒者的结果持续时间短于轻度饮酒者。结果不受性别影响。
为 STI 诊所患者提供的简短单次预防 HIV 咨询有可能减少 HIV 感染。应针对重度饮酒者加强咨询，并且需要防止复发的技术来维持结果。向感染 HIV 风险最高的人群传播有效、简短和可行的行为干预措施仍应是公共卫生的重点。
