Nyamathi Adeline M, Zhang Sheldon X, Wall Sarah, Hall Elizabeth A, Salem Benissa E, Farabee David, Faucette Mark, Yadav Kartik
Adeline M. Nyamathi, ANP, PhD, FAAN, is Distinguished Professor, School of Nursing, University of California at Los Angeles. Sheldon X. Zhang, PhD, is Research Sociologist, San Diego State University, California. Sarah Wall, is Bachelor of Science Nursing Undergraduate Student, School of Nursing, University of California at Los Angeles. Elizabeth A. Hall, PhD, is Professor, University of California at Los Angeles Integrated Substance Abuse Programs. Benissa E. Salem, PhD, RN, MSN, is Assistant Adjunct Professor, School of Nursing, University of California at Los Angeles. David Farabee, PhD, is Professor, University of California at Los Angeles Integrated Substance Abuse Programs. Mark Faucette, RAS, CAS, is Director, Amity Foundation, Los Angeles, California. Kartik Yadav, MSCR, BSc(H), is Research Project Director, School of Nursing, University of California at Los Angeles.
Nurs Res. 2016 May-Jun;65(3):179-90. doi: 10.1097/NNR.0000000000000150.
Transitioning into society after release from incarceration presents real challenges for male offenders; in California, up to 60% return to prison within 3 years after release. The risk for ongoing drug use and having sex with multiple partners is a significant challenge for ex-offenders preparing to enter the community.
The aims are to describe drug use and sexual behavior (sex with multiple partners) prior to incarceration and 6 and 12 months after study enrollment using data obtained as part of a randomized controlled trial.
This is a planned secondary analysis of data obtained as part of a randomized controlled trial designed to study the effects of intensive peer coaching and nurse case management, intensive peer coaching, and brief nurse counseling on hepatitis A and B vaccination adherence compared to a usual care control treatment that also included brief peer coaching and brief nurse counseling. Self-report data from subjects enrolled at one residential drug treatment facility in Los Angeles were captured at three time points: baseline and 6- and 12-month follow-up.
Findings showed substantive and significant reductions in drug use and engaging in sex with multiple partners 6 months after enrollment into the study compared to the baseline data, but results did not differ by study condition. At 12-month follow-up, drug use and sex with multiple partners increased but remained less than at baseline levels.
Sustaining reductions in drug use and engaging in sex with multiple partners remains a challenge after incarceration.
男性罪犯刑满释放后融入社会面临诸多现实挑战；在加利福尼亚州，高达60%的人在释放后3年内会再次入狱。持续吸毒以及与多个性伴侣发生性行为的风险，对于准备重返社区的刑满释放人员而言是一项重大挑战。
旨在利用作为随机对照试验一部分获取的数据，描述监禁前以及研究入组后6个月和12个月的吸毒情况和性行为（与多个性伴侣发生性行为）。
这是对作为随机对照试验一部分获取的数据进行的一项计划中的二次分析。该随机对照试验旨在研究强化同伴辅导和护士个案管理、强化同伴辅导以及简短护士咨询与常规护理对照治疗（其中也包括简短同伴辅导和简短护士咨询）相比，对甲型和乙型肝炎疫苗接种依从性的影响。在洛杉矶一家住院戒毒治疗机构入组的受试者的自我报告数据在三个时间点采集：基线以及6个月和12个月随访时。
研究结果显示，与基线数据相比，在研究入组6个月后，吸毒以及与多个性伴侣发生性行为的情况大幅且显著减少，但不同研究条件下的结果并无差异。在12个月随访时，吸毒以及与多个性伴侣发生性行为的情况有所增加，但仍低于基线水平。
刑满释放后，持续减少吸毒以及与多个性伴侣发生性行为仍然是一项挑战。
