Stanton Bonita, Dinaj-Koci Veronica, Wang Bo, Deveaux Lynette, Lunn Sonja, Li Xiaoming, Rolle Glenda, Brathwaite Nanika, Marshall Sharon, Gomez Perez
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University, Detroit, MI, USA.
IBio (Behavioral Health), 6135 Woodward, Detroit, MI, 48202, USA.
AIDS Behav. 2016 Jun;20(6):1182-96. doi: 10.1007/s10461-015-1225-5.
To address global questions regarding the timing of HIV-prevention efforts targeting youth and the possible additional benefits of parental participation, researchers from the USA and The Bahamas conducted two sequential longitudinal, randomized trials of an evidence-based intervention spanning the adolescent years. The first trial involved 1360 grade-6 students and their parents with three years of follow-up and the second 2564 grade-10 students and their parents with two years of follow-up. Through grade-12, involvement in the combined child and parent-child HIV-risk reduction interventions resulted in increased consistent condom-use, abstinence/protected sex, condom-use skills and parent-child communication about sex. Receipt of the grade-6 HIV-prevention intervention conferred lasting benefits regarding condom-use skills and self-efficacy. Youth who had not received the grade-six intervention experienced significantly greater improvement over baseline as a result of the grade-10 intervention. The HIV-risk reduction intervention delivered in either or both grade-6 and grade-10 conferred sustained benefits; receipt of both interventions appears to confer additional benefits.
为了解决有关针对青少年的艾滋病预防工作时机以及父母参与可能带来的额外益处的全球性问题，来自美国和巴哈马的研究人员针对整个青少年时期开展了两项基于证据的干预措施的连续纵向随机试验。第一项试验涉及1360名六年级学生及其父母，随访三年；第二项试验涉及2564名十年级学生及其父母，随访两年。到十二年级时，参与儿童及亲子联合艾滋病风险降低干预措施，使坚持使用避孕套、禁欲/安全性行为、使用避孕套技能以及亲子性话题交流等方面都有所增加。接受六年级艾滋病预防干预措施，在使用避孕套技能和自我效能方面带来了持久益处。未接受六年级干预措施的青少年，由于十年级的干预措施，相对于基线有了显著更大的改善。六年级和十年级单独或同时实施的艾滋病风险降低干预措施都带来了持续的益处；同时接受两项干预措施似乎能带来额外的益处。
