Dickson-Gomez Julia, Weeks Margaret R, Convey Mark, Li Jianghong
Medical College of Wisconsin, Milwaukee, WI.
Institute for Community Research, Hartford, CT.
J Community Psychol. 2011 May 1;39(4):369-389. doi: 10.1002/jcop.20440.
The authors present a model of interactive social psychological and relational feedback processes leading to human immunodeficiency virus (HIV) risk reduction behavior change among active drug users trained as Peer Health Advocates (PHAs). The model is supported by data from qualitative interviews with PHAs and members of their drug-using networks in the Risk Avoidance Partnership (RAP) project. Results suggest three mutually reinforcing social psychological processes that motivate PHAs to provide HIV prevention intervention to their peers and to reduce their own risk behaviors: development of a prosocial identity, positive social reinforcement from drug users and community members, and cognitive dissonance associated with continued risk behavior while engaging in health advocacy. These processes directly influence peer interventionists' motivation and efficacy to continue giving intervention to their peers, and to reduce their HIV risk behaviors. The authors discuss implications of the model for continued research on effective HIV prevention in high-risk groups.
作者提出了一个互动的社会心理和关系反馈过程模型，该模型导致在接受同伴健康倡导者（PHA）培训的活跃吸毒者中，人类免疫缺陷病毒（HIV）风险降低行为发生改变。该模型得到了来自风险规避伙伴关系（RAP）项目中对PHA及其吸毒网络成员进行定性访谈的数据支持。结果表明，有三个相互强化的社会心理过程促使PHA向其同伴提供HIV预防干预，并减少他们自己的风险行为：亲社会身份的发展、吸毒者和社区成员的积极社会强化，以及在参与健康倡导时与持续风险行为相关的认知失调。这些过程直接影响同伴干预者继续对其同伴进行干预以及降低其HIV风险行为的动机和效果。作者讨论了该模型对高风险群体中有效HIV预防持续研究的意义。
