Public Health Analytic Consulting Services, Inc., 917 Craftsman Street, Hillsborough, NC, 27278, USA.
Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
AIDS Behav. 2021 Jan;25(1):284-293. doi: 10.1007/s10461-020-02970-7.
Behavioral interventions have been a crucial tool for the prevention of HIV transmission since early in the epidemic. The Centers for Disease Control and Prevention (CDC) has provided funding for evidence-based behavioral interventions (EBIs) at health departments and community-based organizations (CBOs) since 2004. From 2006 to 2015, CDC funded 25 CBOs to evaluate one or more of seven EBIs designed to prevent HIV through the Community-based Organization Behavioral Outcomes Project (CBOP) as implemented outside of a research setting. For each EBI, CBOP showed that most HIV risk behaviors improved after the intervention, and improvements were similar to those observed in research studies. Our findings show that behavioral interventions can be successfully implemented in real-world settings. Although the focus of HIV prevention has largely shifted toward biomedical interventions in recent years, successful implementation often depends on behavioral components. Lessons from CBOP can inform future efforts to develop and implement behavioral interventions for HIV and other areas of public health.
自艾滋病疫情早期以来，行为干预一直是预防 HIV 传播的重要工具。自 2004 年以来，疾病预防控制中心（CDC）一直为卫生部门和社区组织（CBO）提供基于证据的行为干预（EBI）的资金。2006 年至 2015 年，CDC 资助了 25 个 CBO，以评估在研究环境之外实施的旨在通过社区组织行为结果项目（CBOP）预防 HIV 的七个 EBI 中的一个或多个。对于每个 EBI，CBOP 表明，干预后大多数 HIV 风险行为都有所改善，并且改善情况与在研究中观察到的相似。我们的研究结果表明，行为干预可以在真实环境中成功实施。尽管近年来 HIV 预防的重点在很大程度上转向了生物医学干预，但成功实施往往取决于行为因素。CBOP 的经验教训可以为未来开发和实施 HIV 及其他公共卫生领域的行为干预措施提供信息。
