Montgomery Brooke E E, Jones Amy, Sanders Sharon, McGraw Angela, Williams Barbara, Stewart Katherine, Ounpraseuth Songthip
University of Arkansas for Medical Sciences, Fay W. Boozman College of Public Health, Health Behavior & Health Education, Little Rock, AR, USA.
University of Arkansas for Medical Sciences, Fay W. Boozman College of Public Health, Health Promotion & Disease Prevention Research, Little Rock, AR, USA.
Am J Sex Educ. 2018;13(1):40-64. doi: 10.1080/15546128.2017.1410871. Epub 2018 Feb 20.
Experiences of violence and behaviors that increase the risk of acquiring a sexually transmitted infection are high among women in the United States, and they often intersect (Meyer, Springer, & Altice, 2011; Montgomery et al., 2015; World Health Organization (WHO), 2010). However, there are few evidence-based HIV-prevention interventions that address the special needs and challenges faced by female survivors of violence (Centers for Disease Control and Prevention, 2017). To address this gap, we adapted and pilot-tested an existing evidence-based women-focused sexual risk-reduction intervention (The Future is Ours) with 23 self-identified female survivors of violence. The intervention comprised eight-weekly, two-hour cognitive behavioral group sessions focusing on reducing sexual-risk and improving trauma-based coping skills. Using mixed-methods analyses, the adapted intervention was determined feasible and acceptable to participants, and preliminary results suggest that participation could reduce risk factors for sexually transmitted infections. Therefore, testing on a larger scale is warranted.
在美国女性中，遭受暴力的经历以及增加感染性传播感染风险的行为很常见，而且它们常常相互交织（迈耶、斯普林格和阿尔蒂斯，2011年；蒙哥马利等人，2015年；世界卫生组织，2010年）。然而，针对暴力女性幸存者所面临的特殊需求和挑战的循证艾滋病毒预防干预措施却很少（疾病控制与预防中心，2017年）。为了填补这一空白，我们对现有的一项以女性为重点的循证性风险降低干预措施（“未来属于我们”）进行了调整，并对23名自我认定的暴力女性幸存者进行了试点测试。该干预措施包括为期八周、每周两小时的认知行为小组课程，重点是降低性风险和提高基于创伤的应对技能。通过混合方法分析，确定调整后的干预措施对参与者来说是可行且可接受的，初步结果表明参与该干预措施可以降低性传播感染的风险因素。因此，有必要进行更大规模的测试。
