降低美国农村非裔可卡因使用者的危险性行为：一项对照试验。
Reducing Risky Sex among Rural African American Cocaine Users: A Controlled Trial.
作者信息
Stewart Katharine E, Wright Patricia B, Montgomery Brooke E E, Cornell Carol, Gullette Donna, Pulley Leavonne, Ounpraseuth Songthip, Thostenson Jeff, Booth Brenda
出版信息
J Health Care Poor Underserved. 2017;28(1):528-547. doi: 10.1353/hpu.2017.0038.
Abstract
Rural African American cocaine users experience high rates of STIs/HIV. This NIDA-funded trial tested an adapted evidence-based risk reduction program versus an active control condition. Participants were 251 African American cocaine users in rural Arkansas recruited from 2009-2011. Outcomes included condom use skills and self-efficacy, sexual negotiation skills, peer norms, and self-reported risk behavior. The intervention group experienced greater increases in condom use skills and overall effectiveness in sexual negotiation skills. Both groups reported reductions in trading sex, improvements in condom use self-efficacy, and increased use of specific negotiation skills. Implications and limitations are discussed.
摘要
美国农村非裔可卡因使用者感染性传播感染/艾滋病毒的比例很高。这项由美国国家药物滥用研究所资助的试验，将一个经过调整的循证风险降低项目与一个积极对照条件进行了对比测试。参与者是2009年至2011年从阿肯色州农村招募的251名非裔可卡因使用者。结果包括使用避孕套的技能和自我效能感、性谈判技巧、同伴规范以及自我报告的风险行为。干预组在使用避孕套的技能方面有更大提高，并且在性谈判技巧方面总体效果更佳。两组都报告称性交易减少、使用避孕套的自我效能感有所改善，以及特定谈判技巧的使用有所增加。文中还讨论了研究的意义和局限性。
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