| Titre : | HIV prevention with drug-using populations : current status and future prospects. Harnessing peer networks as an instrument for AIDS prevention : Results from a peer-driven intervention. (1998) |
| Auteurs : | R.S. BROADHEAD ; D.L. ANTHONY ; D.D. HECKATHORN ; J. HUGHES ; Alan-I LESHNER, préf. ; H. MADRAY ; R.J. MILLS ; D.L. WEAKLIEM ; University of Connecticut. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 113, 1998) |
| Pagination : | 42-57 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Toxicomanie ; Facteur risque ; Education santé ; Evaluation ; Prévention santé ; Toxicomane ; Homme ; Etats Unis ; Amérique ; Etude comparée ; Immunopathologie ; Amérique du Nord ; Education pairs |
| Résumé : | [BDSP. Notice produite par INIST 8R0xXIpw. Diffusion soumise à autorisation]. Objective. Since 1985, community outreach efforts to combat acquired immunodeficiency syndrome (AIDS) among injecting drug users (IDUs) in the United States have overwhelmingly depended on a provider-client model that relies on staffs of professional outreach workers. We report on a comparison of this traditional outreach model with an innovative social network model, termed "a peer-driven intervention" (PDI). The latter provides IDUs with guidance and structured incentives that permit them to play a much more active role in the outreach process, thereby harnessing peer pressure on behalf of human immunodeficiency virus (HIV) prevention efforts. Methods. We compare the performance of a traditional outreach intervention (TOI) and a PDI that were implemented in medium-sized towns in eastern and central Connecticut. Comparisons are based on the number and representativeness of IDUs recruited at each site, the effectiveness of HIV prevention education, compliance rates with AIDS risk reduction recommendations, and relative cost. The analyses are based on 552 initial interviews and 190 six-month follow-up interviews conducted during the first two years of each intervention's operation. Results. Both interventions produced significant reductions in HIV risk behaviors, as measured using self-reports. (...) |
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