Oregon Research Institute, Eugene, 97403-1983, USA.
AIDS Behav. 2011 Nov;15(8):1664-76. doi: 10.1007/s10461-011-0019-7.
Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to individual cognitive behavior therapy (CBT) or to an integrated behavioral and family therapy (IBFT) condition, involving individual and family sessions. The HIV-specific intervention was not associated with change. IBFT and CBT were both efficacious in reducing HIV-risk behaviors from intake to the 18-month follow-up for high-risk adolescents. For low-risk adolescents, CBT (versus IBFT) was more efficacious in suppressing HRSB. These data suggest that drug abuse treatments can have both preventative and intervention effects for adolescents, depending on their relative HIV-risk.
滥用药物的青少年更有可能从事危害健康的性行为（HRSB），并且特别容易感染艾滋病毒/艾滋病。因此，药物滥用治疗为针对艾滋病毒风险行为提供了一个主要机会。本研究评估了一项嵌入药物滥用青少年对照临床试验中的一次性艾滋病毒风险干预措施。该试验在新墨西哥州和俄勒冈州进行，涉及西班牙裔和盎格鲁青少年。青少年被随机分配到个体认知行为疗法（CBT）或综合行为和家庭疗法（IBFT）组，包括个体和家庭会议。艾滋病毒特异性干预措施与变化无关。IBFT 和 CBT 在高危青少年从入组到 18 个月随访期间都能有效减少艾滋病毒风险行为。对于低危青少年，CBT（与 IBFT 相比）更能有效抑制 HRSB。这些数据表明，药物滥用治疗对青少年具有预防和干预效果，具体取决于他们的相对艾滋病毒风险。
