Predictors of sexual behavior patterns over one year among persons at high risk for HIV

被引:12
作者
Celentano D.D. [1 ]
DiIorio C. [2 ]
Hartwell T. [3 ]
Kelly J. [4 ]
Magana R. [5 ]
Maibach E. [2 ]
O'Leary A. [6 ]
Pequegnat W. [7 ]
Rotheram-Borus M.J. [8 ,9 ]
Schilling R. [8 ]
机构
[1] Johns Hopkins University, Baltimore, MD
[2] Emory University, Atlanta, GA
[3] Research Triangle Institute, Research Triangle Park, NC
[4] Medical College of Wisconsin, Milwaukee, WI
[5] University of California, Irvine, CA
[6] Rutgers University, New Brunswick, NJ
[7] National Institute of Mental Health, Rockville, MD
[8] University of California, Los Angeles, CA
[9] University of California, Los Angeles, CA 90024
关键词
HIV; Intervention; Prevention; Risk; STD;
D O I
10.1023/A:1014747319587
中图分类号
学科分类号
摘要
This study examined the sexual risk act patterns of individuals who participated in the NIMH National Multisite HIV Prevention Trial. Patterns of sexual risk were examined over 1 year among 3,104 participants from 37 clinics in 7 regional sites, within both intervention and control conditions. Four patterns were assessed: 100% protected sex or abstinence at follow-up points; improved condom use or abstinence, but not completely protected behavior; relapse to unsafe sex; and unchanged protection. Participants in the intervention condition who responded to the intervention with consistently protected behavior were significantly more likely to be older or young adults, recent immigrants to the United States, and to not barter sex or have alcohol-related problems. The consistently protected participants in the control condition were also significantly more likely to be older. The intervention is likely to be particularly effective with clients in STD clinics with large immigrant populations. Specialized HIV prevention interventions may be needed for commercial sex workers, young persons, and those with alcohol-related problems.
引用
收藏
页码:165 / 176
页数:11
相关论文
共 67 条
[1]  
Anderson J.E., Wilson R., Doll L., Jones T.S., Barker P., Condom use and HIV risk behaviors among U.S. adults: Data from a national survey, Family Planning Perspectives, 31, pp. 24-28, (1999)
[2]  
Astemborsku J., Vlahov D., Warren D., Solomon L., Nelson K.E., The trading of sex for drugs or money and HIV seropositivity among female intravenous drug users, American Journal of Public Health, 84, pp. 382-387, (1994)
[3]  
Bandura A., Self-efficacy: Toward a unifying theory of behavioral change, Psychological Review, 84, pp. 191-215, (1977)
[4]  
Bandura A., Perceived self-efficacy in the exercise of control over AIDS infection, Primary Prevention of AIDS: Psychological Approaches, pp. 128-141, (1989)
[5]  
Bandura A., A social cognitive approach to the exercise of control over AIDS infection, Adolescents and AIDS: A Generation in Jeopardy, pp. 89-116, (1992)
[6]  
Birkel R.C., Golaszewski T., Koman III J.J., Singh B.K., Catan V., Souply K., Findings from the Horizontes Acquired Immune Deficiency Syndrome Education project: The impact of indigenous outreach workers as change agents for injection drug users, Health Education Quarterly, 20, pp. 523-538, (1993)
[7]  
Booth R.E., Kwiatkowski C.F., Chitwood D.D., Sex related HIV risk behaviors: Differential risks among injection drug users, crack smokers, and injection drug users who smoke crack, Drug and Alcohol Dependence, 58, pp. 219-226, (2000)
[8]  
Trends in the HIV & AIDS Epidemic [On-line], (1998)
[9]  
Statistical Projections/trends [On-line], (1999)
[10]  
Compendium of HIV Prevention Interventions with Evidence of Effectiveness, (1999)