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对智利女性进行一项基于互联网的性传播感染和艾滋病预防干预措施的试点测试。

Pilot testing an internet-based STI and HIV prevention intervention with Chilean women.

作者信息

Villegas Natalia, Santisteban Daniel, Cianelli Rosina, Ferrer Lilian, Ambrosia Todd, Peragallo Nilda, Lara Loreto

机构信息

Beta Tau, Assistant Professor of Clinical, School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.

出版信息

J Nurs Scholarsh. 2015 Mar;47(2):106-16. doi: 10.1111/jnu.12114. Epub 2014 Nov 19.

DOI:10.1111/jnu.12114
PMID:25410132
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4535713/
Abstract

PURPOSE

The incidence of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is high among young Chilean women, and there are no STI or HIV prevention interventions available to them that incorporate technology. The purpose of this study was to investigate the preliminary efficacy of an Internet-based STI and HIV prevention intervention (I-STIPI) for Chilean young women on measures of STI- and HIV-related information, motivation, behavioral skills, and preventive behaviors.

DESIGN

This is a pretest-posttest study. Forty young Chilean women between 18 and 24 years of age participated in an investigation of the I-STIPI's preliminary efficacy on STI and HIV prevention-related outcomes between baseline and a postintervention assessment. The intervention consisted of four online modules. Data collection was conducted in Santiago, Chile. Paired-samples t test analysis was used to determine whether there were significant differences in each of the outcome variables.

FINDINGS

After receiving I-STIPI, women reported a significant increase in levels of STI- and HIV-related knowledge, attitudes toward the use of condoms and perceived self-efficacy, and a reduction of risky sexual behaviors with uncommitted partners.

CONCLUSIONS

The I-STIPI showed promise as an Internet-based intervention that can reduce barriers to accessing preventive interventions and increase STI and HIV preventive behaviors in young Chilean women.

CLINICAL RELEVANCE

The study provided important information about the ability of an Internet-based intervention to reduce young women's risk factors and to provide positive preliminary efficacy on STI- and HIV-related outcomes. Internet-based interventions can eliminate many barriers to receiving prevention interventions and may prove to be cost effective.

摘要

目的

智利年轻女性中性传播感染(STIs)和人类免疫缺陷病毒(HIV)的发病率很高,且她们无法获得采用技术手段的性传播感染或HIV预防干预措施。本研究的目的是调查基于互联网的性传播感染和HIV预防干预措施(I-STIPI)对智利年轻女性在性传播感染和HIV相关信息、动机、行为技能及预防行为等方面的初步效果。

设计

这是一项前后测研究。40名年龄在18至24岁之间的智利年轻女性参与了一项关于I-STIPI在基线和干预后评估之间对性传播感染和HIV预防相关结果的初步效果的调查。干预包括四个在线模块。数据收集在智利圣地亚哥进行。采用配对样本t检验分析来确定每个结果变量是否存在显著差异。

结果

接受I-STIPI后,女性报告称与性传播感染和HIV相关的知识水平、对使用避孕套的态度及感知自我效能显著提高,与非固定伴侣的危险性行为减少。

结论

I-STIPI作为一种基于互联网的干预措施显示出了前景,它可以减少获得预防干预措施的障碍,并增加智利年轻女性的性传播感染和HIV预防行为。

临床意义

该研究提供了关于基于互联网的干预措施降低年轻女性危险因素的能力以及对性传播感染和HIV相关结果产生积极初步效果的重要信息。基于互联网的干预措施可以消除接受预防干预的许多障碍,并且可能证明具有成本效益。

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