St Lawrence J, Eldridge G D, Shelby M C, Little C E, Brasfield T L, O'Bannon R E
Community Health Program, Jackson State University 39212, USA.
J Consult Clin Psychol. 1997 Jun;65(3):504-9. doi: 10.1037//0022-006x.65.3.504.
Although female inmates are seropositive at rates that exceed those of male inmates, few studies, have evaluated HIV risk reduction interventions for incarcerated women. This demonstration project compared an intervention based on social cognitive theory against a comparison condition based on the theory of gender and power. Incarcerated women (N = 90) were assessed at baseline, postintervention, and again 6 months later. Both interventions produced increased self efficacy, self-esteem, Attitudes Toward Prevention Scale scores, AIDS knowledge, communication skill, and condom application skills that maintained through the 6-month follow-up period. Participants in the intervention based on social cognitive theory showed greater improvement in condom application skills, and women in the program based on the theory of gender and power evidenced greater commitment to change. The results suggests brief interventions in prison settings are feasible and beneficial. However, it is not yet known whether the changes will generalize into the natural environment after the women's release into the community.
尽管女性囚犯的血清阳性率高于男性囚犯，但很少有研究评估针对被监禁女性的降低艾滋病毒风险干预措施。这个示范项目将基于社会认知理论的干预措施与基于性别与权力理论的对照条件进行了比较。对90名被监禁女性在基线、干预后以及6个月后再次进行了评估。两种干预措施都提高了自我效能感、自尊、预防态度量表得分、艾滋病知识、沟通技巧和避孕套使用技巧，且这些改善在6个月的随访期内得以维持。基于社会认知理论的干预措施的参与者在避孕套使用技巧方面有更大的提高，而基于性别与权力理论的项目中的女性表现出对改变有更大的投入。结果表明，在监狱环境中进行简短干预是可行且有益的。然而，尚不清楚这些改变在女性获释进入社区后是否会推广到自然环境中。
