摘要:

ObjectiveTo provide the first data which evaluates an HIV risk reduction intervention designed to reduce HIV high-risk sexual behavior in African-American homosexual and bisexual men.SubjectsParticipants (n = 318) were recruited from bars, bathhouses, and erotic bookstores, and through homosexual African-American organizations, street outreach, media advertisements, and personal referrals of individuals aware of the study.MethodsParticipants were randomized into a single or triple session experimental group or a wait-list control group. Both experimental interventions included AIDS risk education, cognitive-behavioral self-management training, assertion training, and attempts to develop self-identity and social support. Data collection involved assessments of self-reported changes in sexual behavior at 12− and 18-month follow-up.ResultsParticipants in the triple session intervention greatly reduced their frequency of unprotected anal intercourse (from 46 to 20%) at the 12-month follow-up evaluation and (from 45% to 20%) at the 18-month follow-up evaluation. However, levels of risky behavior for the control group remained constant (from 26 to 23% and from 24 to 18%) at 12− and 18-month follow-up evaluations, respectively. In addition, levels of risky behavior for the single session intervention decreased only slightly (from 47 to 38% and from 50 to 38%) at the 12− and 18-month follow-up evaluations, respectively.ConclusionsResults were interpreted to demonstrate the superiority of a triple session over a single session intervention in reducing risky sexual behavior in this cohort.

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

ObjectivesTo describe the determinants of 'at risk' sexual behaviour and perception of AIDS-related prevention messages in rural Africa.SettingA rural area in Southern Senegal.DesignCross-sectional study using a standardized questionnaire administered by local interviewers to 240 men and 242 women aged 15–59 years, randomly selected among the general population.ResultsTwenty-eight per cent of the sexually active men and 27% of the sexually active women declared at least one casual sexual partner in the 12 months preceding the interview. Among these, 27% of men and 30% of women declared having used a condom in most acts of casual intercourse. Seasonal migrants and divorced or widowed women were more likely to declare casual sex. Casual sex was motivated by material needs for 66% of the women who experienced it, and those of the women who reported casual sexual intercourse were less likely to feel at risk of AIDS [odds ratio (OR), 3.9;P=0.01] and were more optimistic about their future (OR, 3.6;P= 0.03). For men, the motivations explaining a change in sexual behaviour in order to avoid HIV infection included the perception of AIDS as a health problem (OR, 11;P= 0.004), the perception of the disease as serious (OR, 5.4;P= 0.001) and the feeling of personal risk of becoming HIV-infected (OR, 3.2;P= 0.02). Perceived skill in changing one's behaviour was strongly associated with declaration of past behaviour change for both men and women (men: OR, 3.4;P= 0.02; women: OR, 6.3;P= 0.0001).ConclusionMen and women exhibit two different patterns regarding their behaviour and perception towards AIDS. Material needs appear to be of importance for women, whereas perception of a real threat lead men to adopt protective behaviours. In the very area of this study, widowed and divorced women as well as male seasonal migrants are particularly exposed to HIV infection. They are characterized by a higher risk behaviour, a low rate of condom use and seldom declared any protective measures to avoid HIV infection.

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0269-9370    

出版商:OVID    

年代:1996

数据来源: OVID