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评估一项社会文化干预措施对减少非裔美国/黑人女性中无保护性行为以预防艾滋病毒的效果。

Evaluation of a socio-cultural intervention to reduce unprotected sex for HIV among African American/Black women.

作者信息

Boekeloo B, Geiger T, Wang M, Ishman N, Quinton S, Allen G, Ali B, Snow D

机构信息

Department of Behavioral and Community Health, University of Maryland School of Public Health, Building #255 Valley Drive, College Park, MD, 20742, USA.

Strategic Community Services, Inc,, Lanham, MD, 20706, USA.

出版信息

AIDS Behav. 2015 Oct;19(10):1752-62. doi: 10.1007/s10461-015-1004-3.

DOI:10.1007/s10461-015-1004-3
PMID:25645327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4523469/
Abstract

African American/Black (Black) women suffer disproportionately to other women from HIV. An HIV prevention intervention combining two previous evidenced-based intervention programs; "Coping with Work and Family Stress" and "Hip Hop 2 Prevent Substance Abuse and HIV", was evaluated in a diverse sample of Black women (n = 205). Study participants at ten recruitment sites were assigned non-randomly to either the intervention or comparison group and then surveyed at baseline, immediate posttest, and 6-month follow-up. General Estimating Equation modeling revealed that participants in the comparison group reported less unprotected sex at immediate post-test and the intervention group less unprotected sex at 6-month follow-up. Despite the initial drop in reported unprotected sex in the comparison group, this study suggests that an HIV risk reduction intervention tailored to address Black women's socio-cultural stress and enhance their coping may reduce their unprotected sex at 6-months.

摘要

非裔美国/黑人女性感染艾滋病毒的比例高于其他女性。一项艾滋病毒预防干预措施结合了之前两个基于证据的干预项目:“应对工作和家庭压力”以及“嘻哈预防药物滥用和艾滋病毒”,在不同的黑人女性样本(n = 205)中进行了评估。十个招募地点的研究参与者被非随机分配到干预组或对照组,然后在基线、即时测试后和6个月随访时进行调查。广义估计方程模型显示,对照组参与者在即时测试后报告的无保护性行为较少,而干预组在6个月随访时无保护性行为较少。尽管对照组报告的无保护性行为最初有所下降,但这项研究表明,一项针对解决黑人女性社会文化压力并增强其应对能力的艾滋病毒风险降低干预措施,可能会减少她们在6个月时的无保护性行为。

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