Carney Tara, Petersen Williams Petal M, Parry Charles D H
a Senior Scientist, Alcohol, Tobacco and Other Drug Abuse Research Unit , Medical Research Council , Tygerberg , South Africa.
b Unit Director, Alcohol, Tobacco and Other Drug Abuse Research Unit , Medical Research Council , Tygerberg , South Africa.
J Psychoactive Drugs. 2016 Sep-Oct;48(4):303-9. doi: 10.1080/02791072.2016.1208855. Epub 2016 Jul 20.
Previous research shows that interventions aimed at female sex workers (FSWs) can be successful in reducing HIV risk behavior. The current study evaluated a specific HIV prevention intervention for substance-using FSWs in Durban, South Africa by comparing such behaviors before and after the intervention. The intervention was provided by trained outreach workers by an organization that worked with FSWs, and consisted of community-based outreach, HIV and substance use education and information. Safer sex practices were also taught. The sample consisted of 457 substance-using FSWs, with findings indicating a significant decrease in the number of sexual partners (z = -16.05, p < 0.001), number of times they engaged in vaginal sex (z = -8.07, p < 0.001), and a significant decrease in all substances used with the exception of over-the-counter or prescription substances. The intervention therefore seemed to reduce certain risk behaviors among this group of FSWs. Future research should focus on the aspects of the substance use-sex risk intervention that were associated with decreased risk behavior, and include a randomized controlled trial to assess effectiveness of the intervention.
先前的研究表明，针对女性性工作者（FSW）的干预措施能够成功降低感染艾滋病毒的风险行为。本研究通过比较南非德班吸毒女性性工作者在干预前后的此类行为，评估了一项针对她们的特定艾滋病毒预防干预措施。该干预措施由一个与女性性工作者合作的组织中训练有素的外展工作者提供，包括基于社区的外展服务、艾滋病毒和药物使用教育及信息。同时也教授了更安全的性行为方式。样本包括457名吸毒女性性工作者，研究结果表明她们的性伴侣数量显著减少（z = -16.05，p < 0.001），进行阴道性行为的次数显著减少（z = -8.07，p < 0.001），除非处方或处方药物外，所有使用的药物数量也显著减少。因此，该干预措施似乎降低了这群女性性工作者中的某些风险行为。未来的研究应关注与风险行为降低相关的药物使用 - 性风险干预方面，并纳入随机对照试验以评估该干预措施的有效性。
