Kelly J A, St Lawrence J S, Betts R, Brasfield T L, Hood H V
Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson 39216.
AIDS Educ Prev. 1990 Spring;2(1):24-35.
Fifteen gay men with a history of recent high-risk sexual activities attended seven group sessions that provided risk education, training in self-management skills pertinent to risk reduction, sexual assertiveness training, and problem solving with respect to health consciousness, social supports, and efficacy of risk-reduction change. Before and after intervention, subjects completed measures of AIDS risk knowledge, sexual practices occurring over 4-month retrospective periods, and self-monitored records of ongoing sexual activities and participated in role plays assessing behavioral assertiveness skill for resisting high-risk coercions. Eight-month follow-up data were also collected. Subjects exhibited substantial and well-maintained change following intervention in behaviors relevant to HIV infection risk, including frequency of unprotected anal intercourse (which decreased to near-zero levels), condom use (which increased to almost 90% of intercourse occasions), and in an index that reflects the multiplicative function of risk behaviors frequency by the number of partners with whom high-risk behaviors occurs. This demonstration provides further evidence that skills-training approaches can assist individuals in implementing behavior changes to reduce risk for AIDS and identifies a model relevant to counseling efforts in AIDS prevention programs, HIV counseling and testing programs, drug abuse and STD clinics, and other applied settings.
15名有近期高危性行为史的男同性恋者参加了7次小组会议，这些会议提供了风险教育、与降低风险相关的自我管理技能培训、性自信训练，以及在健康意识、社会支持和降低风险改变的有效性方面的问题解决方法。在干预前后，受试者完成了艾滋病风险知识测试、回顾过去4个月期间的性行为测量，以及正在进行的性活动的自我监测记录，并参与了评估抵抗高危胁迫行为自信技能的角色扮演。还收集了8个月的随访数据。干预后，受试者在与HIV感染风险相关的行为方面表现出显著且持续良好的变化，包括无保护肛交的频率（降至接近零水平）、避孕套使用情况（增加到几乎90%的性交场合），以及一个反映风险行为频率与发生高危行为的性伴侣数量相乘作用的指数。这一示范提供了进一步的证据，表明技能培训方法可以帮助个人实施行为改变以降低艾滋病风险，并确定了一个与艾滋病预防项目、HIV咨询和检测项目、药物滥用和性传播疾病诊所及其他应用环境中的咨询工作相关的模式。
