使用避孕套的障碍：参与门诊药物治疗中降低HIV风险试验的男性和女性的结果
Barriers to Condom Use: Results for Men and Women Enrolled in HIV Risk Reduction Trials in Outpatient Drug Treatment.
作者信息
Campbell Aimee N C, Brooks Audrey J, Pavlicova Martina, Hu Mei-Chen, Hatch-Maillette Mary A, Calsyn Donald A, Tross Susan
机构信息
Columbia University College of Physicians & Surgeons, Department of Psychiatry; New York State Psychiatric Institute, New York, NY; St. Luke's Roosevelt Hospital, Mount Sinai Health System, Department of Psychiatry, New York, NY.
University of Arizona, Arizona Center for Integrative Medicine, Tucson, AZ.
出版信息
J HIV AIDS Soc Serv. 2016;15(2):130-146. doi: 10.1080/15381501.2016.1166090.
HIV transmission often occurs through heterosexual high-risk sex. Even in the era of HIV combination prevention, promoting condom use, and understanding condom barriers, remain priorities, especially among substance-dependent individuals. Men and women (N=729) in outpatient drug treatment participated in a five-session gender-specific risk reduction group or one-session HIV Education group. Condom barriers (Motivation, Partner-related, Access/Availability, Sexual experience) were assessed at baseline and 6-month follow-up. Completing either intervention was associated with fewer motivation and partner-related barriers. Among women, reductions in motivation and sexual experience barriers were associated with less sexual risk with primary partners. Condom barriers are important to gender-specific HIV prevention; given limited resources, brief interventions maximizing active components are needed.
艾滋病毒传播通常通过异性间的高风险性行为发生。即使在艾滋病毒联合预防的时代，推广避孕套使用以及了解避孕套使用障碍仍然是首要任务，尤其是在药物依赖人群中。729名接受门诊药物治疗的男性和女性参加了一个为期五节的针对性别的风险降低小组或一个为期一节的艾滋病毒教育小组。在基线和6个月随访时评估避孕套使用障碍（动机、伴侣相关、获取/可得性、性经验）。完成任何一种干预都与较少的动机和伴侣相关障碍有关。在女性中，动机和性经验障碍的减少与与主要伴侣发生性行为的风险降低有关。避孕套使用障碍对于针对性别的艾滋病毒预防很重要；鉴于资源有限，需要采用能最大限度发挥积极因素的简短干预措施。
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