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Titolo:
SEXUALLY-TRANSMITTED DISEASE (STD) AND HIV RISK IN HETEROSEXUAL ADULTS ATTENDING A PUBLIC STD CLINIC EVALUATION OF A RANDOMIZED CONTROLLED BEHAVIORAL RISK-REDUCTION INTERVENTION TRIAL
Autore:
BOYER CB; BARRETT DC; PETERMAN TA; BOLAN G;
Indirizzi:
UNIV CALIF SAN FRANCISCO,DEPT PEDIAT,DIV ADOLESCENT MED,400 PARNASSUSAVE,BOX 0503 SAN FRANCISCO CA 94143 UNIV CALIF SAN FRANCISCO,CTR AIDS PREVENT STUDIES SAN FRANCISCO CA 00000 CTR DIS CONTROL & PREVENT,DIV HIV AIDS PREVENT ATLANTA GA 00000 DEPT PUBL HLTH SAN FRANCISCO CA 00000
Titolo Testata:
AIDS
fascicolo: 3, volume: 11, anno: 1997,
pagine: 359 - 367
SICI:
0269-9370(1997)11:3<359:SD(AHR>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
AIDS; ADOLESCENTS; SKILLS;
Keywords:
SEXUALLY TRANSMITTED DISEASE; HIV PREVENTION; EDUCATION; BEHAVIORAL INTERVENTION; RISK REDUCTION; AIDS RISK-REDUCTION MODEL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
C.B. Boyer et al., "SEXUALLY-TRANSMITTED DISEASE (STD) AND HIV RISK IN HETEROSEXUAL ADULTS ATTENDING A PUBLIC STD CLINIC EVALUATION OF A RANDOMIZED CONTROLLED BEHAVIORAL RISK-REDUCTION INTERVENTION TRIAL", AIDS, 11(3), 1997, pp. 359-367

Abstract

Objective: To evaluate the efficacy of a cognitive/behavioral skills-building intervention to prevent sexually transmitted diseases (STD) in high-risk heterosexual adults. Design: A randomized controlled trialwith assessments at baseline, and at 3 and 5 months. Setting: San Francisco STD Clinic. Patients: A total of 399 patients were randomly assigned to a four-session, individual, multi-component, cognitive/behavioral intervention (n = 199), or a brief standardized counseling session offered to all patients (n = 200). Intervention: Based on the AIDS Risk-Reduction Model, the aims of the intervention were to increase prevention knowledge, reduce high-risk psychosocial factors, and build decision-making and communication skills to modify sexual behaviors. Main outcome measures: The primary outcome of interest was STD. The secondary outcome was number of risky sexual activities. Results: There were no differences between the intervention (13%) and control (11%) groups in their acquisition of STD. Among men, condom use increased more at 3 months in the intervention group than the control group (56.8 versus 42.3%; P < 0.05). In addition, the mean number of sexual partners without condom use was lower in the intervention group than in the control group at 5 months (0.6 versus 0.9; P < 0.01). Conclusions: The results suggest that a cognitive/behavioral, skills-building interventionconsisting of individual, multiple sessions and follow-up assessmentscan be implemented and evaluated with high-risk heterosexually activeadults attending public STD clinics. Our intervention did not have a significant impact on STD, although it had some impact on behavior in men, but not in women.

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Documento generato il 31/03/20 alle ore 04:05:58