A Social Network Approach to Demonstrate the Diffusion and Change Process of Intervention From Peer Health Advocates to the Drug Using Community

被引:35
作者
Li, Jianghong [1 ]
Weeks, Margaret R. [1 ]
Borgatti, Stephen P. [2 ]
Clair, Scott [3 ]
Dickson-Gomez, Julia [4 ]
机构
[1] Inst Community Res, Hartford, CT 06106 USA
[2] Univ Kentucky, Gatton Coll Business & Econ, Lexington, KY USA
[3] Iowa State Univ, Ames, IA USA
[4] Med Coll Wisconsin, Milwaukee, WI 53226 USA
关键词
diffusion of innovation; social networks; substance abuse; HIV/AIDS; peer interventions; HIV RISK REDUCTION; INJECTION-DRUG; PREVENTION; USERS; BEHAVIOR; PROMOTION; EDUCATION;
D O I
10.3109/10826084.2012.644097
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Project RAP (Risk Avoidance Partnership) trained 112 active drug users to become peer health advocates (PHAs). Six months after baseline survey (N-bl = 522), 91.6% of PHAs and 56.6% of community drug users adopted the RAP innovation of giving peer intervention, and 59.5% of all participants (N-6m = 367) were exposed to RAP innovation. Sociometric network analysis shows that adoption of and exposure to RAP innovation was associated with proximity to a PHA or a highly active interventionist (HAI), being directly linked to multiple PHAs/HAIs, and being located in a network sector where multiple PHAs/HAIs were clustered. RAP innovation has diffused into the Hartford drug-using community.
引用
收藏
页码:474 / 490
页数:17
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