一项针对具有多种健康差异、极高风险且使用毒品的男男性行为者的本土艾滋病毒预防项目的成果。
Outcomes from a Homegrown HIV Prevention Program for Extremely High-risk, Substance-using Men who have Sex with Men with Multiple Health Disparities.
作者信息
Reback Cathy J, Fletcher Jesse B
机构信息
Friends Research Institute, Inc., Los Angeles, California, USA.
Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, California, USA.
出版信息
J Gay Lesbian Soc Serv. 2017;29(2):167-181. doi: 10.1080/10538720.2017.1296394. Epub 2017 Mar 27.
Abstract
From February 2010 through December 2014, 585 substance-using MSM were enrolled into a "homegrown" risk reduction intervention. Participants evidenced significant iterative factor reductions in the odds of substance use including alcohol (AOR=0.79) and marijuana (AOR=0.78; both ≤0.05) and marginally significant reductions in the odds of methamphetamine use (AOR=0.83; ≤0.07). Participants also evidenced significant reductions in sexual risks including the odds of reporting drug/alcohol use before or during sex (AOR=0.80) and of condomless anal intercourse (AOR=0.72; all significant at ≤0.05). Results demonstrate that the homegrown intervention was effective at reducing HIV risk behaviors among high-risk MSM.
摘要
从2010年2月到2014年12月，585名使用毒品的男男性行为者参与了一项“本土”风险降低干预措施。参与者在使用包括酒精（调整后比值比[AOR]=0.79）和大麻（AOR=0.78；两者均≤0.05）在内的毒品几率方面呈现出显著的迭代因素降低，在使用甲基苯丙胺的几率方面有边缘性显著降低（AOR=0.83；≤0.07）。参与者在性风险方面也呈现出显著降低，包括在性行为前或性行为期间报告使用毒品/酒精的几率（AOR=0.80）以及无保护肛交的几率（AOR=0.72；所有均在≤0.05水平显著）。结果表明，该本土干预措施在降低高危男男性行为者的艾滋病毒风险行为方面是有效的。
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