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为年轻男同性恋伴侣整合艾滋病预防与关系教育:“携手同行”干预措施的试点试验

Integrating HIV Prevention and Relationship Education for Young Same-Sex Male Couples: A Pilot Trial of the 2GETHER Intervention.

作者信息

Newcomb Michael E, Macapagal Kathryn R, Feinstein Brian A, Bettin Emily, Swann Gregory, Whitton Sarah W

机构信息

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.

Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

出版信息

AIDS Behav. 2017 Aug;21(8):2464-2478. doi: 10.1007/s10461-017-1674-0.

Abstract

Young men who have sex with men are at high risk for HIV, and most new HIV infections occur in serious relationships. This pilot study assessed the feasibility, acceptability and preliminary efficacy of the 2GETHER couples-based HIV prevention and relationship education intervention for young same-sex male couples. We enrolled 57 young male couples (N = 114) into a four-session hybrid group and individual intervention. We assessed acceptability via post-session surveys and exit interviews, and we examined preliminary efficacy at a two week posttest. The vast majority of participants (93%) reported exclusively positive impressions of 2GETHER, and all components received high mean ratings. We observed decreases in HIV risk behavior, increases in information, motivation and behavioral skills related to HIV prevention, and improvement in relationship investment between pretest and posttest. Integrating relationship education and sexual health programming may be an effective way to reduce HIV transmissions in young male couples.

摘要

与男性发生性行为的年轻男性感染艾滋病毒的风险很高,而且大多数新的艾滋病毒感染发生在稳定关系中。这项试点研究评估了针对年轻同性伴侣的“携手同行”基于伴侣的艾滋病毒预防和关系教育干预措施的可行性、可接受性和初步效果。我们招募了57对年轻男性伴侣(N = 114)参加一个为期四节的混合小组和个人干预项目。我们通过课后调查和退出访谈评估可接受性,并在两周后的测试中检查初步效果。绝大多数参与者(93%)对“携手同行”给出了完全正面的评价,所有组成部分的平均评分都很高。我们观察到艾滋病毒风险行为有所减少,与艾滋病毒预防相关的信息、动机和行为技能有所增加,并且在测试前和测试后关系投入有所改善。将关系教育与性健康规划相结合可能是减少年轻男性伴侣中艾滋病毒传播的有效方法。

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