el-Bassel N, Schilling R F
Columbia University School of Social Work, New York, NY 10025.
AIDS Educ Prev. 1994 Dec;6(6):506-13.
This study examines the social support network of 109 female methadone patients and explores the relationship between social support and background variables, attitudes toward safer sex and sexual risk behavior. Subjects reported small supportive networks consisting primarily of drug users. Women who felt more loved by, respected by, and involved with a network of communication and mutual obligation, were more likely to feel comfortable talking about safer sex with their sexual partners and asking their sexual partners about their HIV status. They were also less likely to believe that their sexual partners would be upset if they suggested using a condom. No association was found between social support and frequency of condom use or frequency of sex with IV drug users during the last six months. Findings suggest the plausibility of multifaceted social support network interventions designed for methadone maintained women at high risk for HIV infection.
本研究调查了109名女性美沙酮患者的社会支持网络,并探讨了社会支持与背景变量、对安全性行为的态度以及性风险行为之间的关系。研究对象报告称其支持网络较小,主要由吸毒者组成。那些感觉在一个由交流和相互义务构成的网络中更受关爱、尊重且融入其中的女性,更有可能自在地与性伴侣谈论安全性行为,并询问性伴侣的艾滋病毒感染状况。她们也不太可能认为如果自己建议使用避孕套,性伴侣会不高兴。在过去六个月中,未发现社会支持与避孕套使用频率或与静脉吸毒者发生性行为的频率之间存在关联。研究结果表明,为感染艾滋病毒高风险的接受美沙酮维持治疗的女性设计多方面社会支持网络干预措施具有可行性。