The journal of multicultural nursing & health : official journal of the Center for the Study of Multiculturalism and Health Care, Inc最新文献

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A Sexual Barrier Intervention for HIV+/- Zambian Women: Acceptability and Use of Vaginal Chemical Barriers. 针对赞比亚 HIV+/- 妇女的性屏障干预措施：阴道化学屏障的可接受性和使用。

The journal of multicultural nursing & health : official journal of the Center for the Study of Multiculturalism and Health Care, Inc

Pub Date : 2004-01-01

Deborah L Jones, Stephen M Weiss, Ganapati J Bhat, Douglas Feldman, Violet Bwalya, Danielle Budash

OBJECTIVES: The purposes of this study were to (a) assess the efficacy of a culturally tailored behavioral intervention to increase use and acceptability of sexual barrier products among HIV+ and HIV- Zambian women, (b) compare group versus individual interventions to increase barrier use and acceptability, and (c) validate the role of cultural factors as facilitators or impediments to sexual risk reduction. METHODS: A sample of 150 HIV+ and HIV- Zambian women was recruited from the University Teaching Hospital HIV Voluntary Counseling and Testing Centre, randomized into one of three conditions, and assessed at baseline and 6 months. Group and individual intervention participants attended a 3-session intervention plus pre- and post-HIV test counseling; control participants received pre- and post-test counseling only. RESULTS: Group intervention participants increased use of sexual barriers and had higher levels of acceptability than did individual intervention participants. HIV- group participants increased use of chemical barriers and female condoms. CONCLUSIONS: Results support the use of group interventions to increase sexual barrier use and acceptability and decrease sexual risk behavior in both HIV+ and HIV- women.

研究目的本研究的目的是：(a) 评估针对不同文化背景的行为干预的效果，以提高赞比亚 HIV+ 和 HIV- 女性对性障碍产品的使用率和接受度；(b) 比较团体干预和个人干预对提高屏障使用率和接受度的效果；(c) 验证文化因素对降低性风险的促进或阻碍作用。方法：从大学教学医院艾滋病自愿咨询和检测中心招募了 150 名艾滋病病毒感染者和艾滋病病毒感染者，随机分为三种情况，并在基线和 6 个月时进行评估。团体和个人干预参与者参加了为期 3 个疗程的干预以及艾滋病检测前后的咨询；对照组参与者仅接受检测前后的咨询。结果：与个人干预参与者相比，集体干预参与者增加了性屏障的使用，其可接受性也更高。感染艾滋病毒的小组参与者增加了化学屏障和女用安全套的使用。结论研究结果支持使用集体干预来提高性屏障的使用率和可接受性，并减少女性 HIV 感染者和女性 HIV 携带者的性风险行为。

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