| Titre : | HIV prevention with drug-using populations : current status and future prospects. Peer-delivered interventions reduce HIV risk behaviors among out-of-treatment drug abusers. (1998) |
| Auteurs : | L.B. COTTLER ; F. Abram ; ARBI BEN ABDALLAH . (.) ; W.M. COMPTON ; R. CUNNINGHAM-WILLIAMS ; W. DOTSON ; C. FICHTENBAUM ; Alan-I LESHNER, préf. ; Department of Psychiatry. Wusm. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 113, 1998) |
| Pagination : | 31-41 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Toxicomanie ; Cocaïne ; Facteur risque ; Education santé ; Comportement ; Evaluation ; Prévention santé ; Toxicomane ; Homme ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord ; Education pairs |
| Résumé : | [BDSP. Notice produite par INIST bBDz8R0x. Diffusion soumise à autorisation]. Objective. The purpose of this chapter is to describe the results of a randomized study (funded by the National Institute on Drug Abuse [NIDA]) comparing a peer-delivered enhanced intervention to the NIDA standard intervention for reducing human immunodeficiency virus (HIV) risk behaviors. Methods. Data come from the ongoing St. Louis EachOneTeachOne (EOTO) study on HIV risk behaviors among out-of-treatment crack cocaine users and injecting drug users (IDUs). The study has a randomized prospective design, and for this chapter, three risk behaviors were analyzed-the frequency of crack cocaine use and the number of sex partners and condom use over the past 30-day period. We report the level of risk at baseline and at the three-month follow-up period to determine the proportion of individuals improving or worsening based on a dichotomous outcome in which remaining at low risk or decreasing moderate or high risk behaviors is considered "improving" and increasing risk behavior or remaining at moderate or high risk is considered "worsening." Results. Overall, 80% of the sample "improved" their crack cocaine use, meaning they maintained at low level or reduced their use. Although both the standard and enhanced intervention groups made substantial improvement in their crack cocaine use, individuals in the enhanced intervention group were statistically more likely to reduce their risk than those assigned to the standard intervention (83% VS. 76%, P<0.05). (...) |
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