Campbell Aimee N C, Tross Susan, Hu Mei-Chen, Pavlicova Martina, Kenney Jennifer, Nunes Edward V
New York State Psychiatric Institute, Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
AIDS Educ Prev. 2011 Aug;23(4):329-40. doi: 10.1521/aeap.2011.23.4.329.
The female condom is effective in reducing unprotected sexual acts; however, it remains underutilized in the United States. This study examined whether a five-session HIV prevention intervention (Safer Sex Skills Building [SSB]), including presentation, discussion, and practice with female condoms, improved female condom skills and attitude among women in outpatient substance abuse treatment. Mixed-effects modeling was used to test the effect of SSB on skills and attitude over 3- and 6-month posttreatment among 515 randomized women. SSB was significantly associated with increases in skills and attitude, and the female condom demonstration session was primarily responsible for skills improvement. Attitude was a partial mediator of the intervention effect in reducing unprotected sex. Findings emphasize the utility of integrating female condom messages targeting proximal behavioral outcomes into HIV prevention. The study supports the use of female condom skill instruction via brief, hands-on exercises, as well as further research to enhance attitudinal change to reduce sexual risk.
女用避孕套在减少无保护性行为方面是有效的；然而，在美国其使用率仍然较低。本研究调查了一项为期五节的艾滋病毒预防干预措施（安全性行为技能培养[SSB]），包括女用避孕套的演示、讨论和实践，是否能提高接受门诊药物滥用治疗的女性使用女用避孕套的技能和态度。采用混合效应模型来测试SSB对515名随机分组女性在治疗后3个月和6个月时技能和态度的影响。SSB与技能和态度的提高显著相关，女用避孕套演示环节对技能提升起主要作用。态度是干预措施在减少无保护性行为方面效果的部分中介因素。研究结果强调了将针对近期行为结果的女用避孕套信息纳入艾滋病毒预防工作的实用性。该研究支持通过简短的实践练习进行女用避孕套技能指导，并支持进一步开展研究以加强态度转变，从而降低性风险。
