一项针对印度夫妇降低艾滋病毒/性传播感染风险的群体干预措施。
A Group Intervention for HIV/STI Risk Reduction among Indian Couples.
作者信息
Nehra Ritu, Bagga Rashmi, Jones Deborah, Deepika Deepika, Sethi Sunil, Sharma Sunil, Weiss Stephen M
机构信息
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
Department of Obstetrics, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
出版信息
Health Promot Perspect. 2013 Dec 31;3(2):137-46. doi: 10.5681/hpp.2013.017. eCollection 2013.
BACKGROUND
HIV in India is transmitted primarily by heterosexual contact. The present study sought to test the feasibility of a group HIV/STI risk re-duction intervention among heterosexual couples in India.
METHODS
Focus groups and key informant interviews were used in 2008 to cul-turally tailor the intervention. Thirty sexually active and HIV/STI negative cou-ples were enrolled and assessed regarding risk behavior and sexual barrier accept-ability. Gender-concordant group sessions used cognitive behavioral strategies for HIV/STI prevention.
RESULTS
At baseline, male condom use was low (36%); no participants re-ported use of female condoms or vaginal gels. HIV knowledge was low; women had more HIV knowledge and more positive attitudes towards con-dom use than men. Post-intervention, willingness to use all barrier products (t = 10.0, P< .001) and intentions to avoid risk behavior increased (t = 5.62, P< .001).
CONCLUSION
This study illustrates the feasibility of utilizing a group interven-tion to enhance HIV/STI risk reduction among Indian couples.
背景
印度的艾滋病病毒主要通过异性接触传播。本研究旨在测试在印度异性恋伴侣中开展一组降低艾滋病病毒/性传播感染风险干预措施的可行性。
方法
2008年采用焦点小组和关键信息人访谈来对干预措施进行文化调适。招募了30对有性活动且艾滋病病毒/性传播感染检测呈阴性的伴侣，并对其风险行为和性屏障可接受性进行评估。性别一致的小组会议采用认知行为策略预防艾滋病病毒/性传播感染。
结果
在基线时，男性使用避孕套的比例较低（36%）；没有参与者报告使用女用避孕套或阴道凝胶。艾滋病病毒知识水平较低；女性比男性拥有更多的艾滋病病毒知识，且对使用避孕套的态度更积极。干预后，使用所有屏障产品的意愿（t = 10.0，P <.001）以及避免风险行为的意图增加（t = 5.62，P <.001）。
结论
本研究表明利用小组干预措施提高印度伴侣中降低艾滋病病毒/性传播感染风险的可行性。
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