| Titre : | Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases a randomized controlled trial. (1998) |
| Auteurs : | M.L. KAMB ; G. BOLAN ; R.H. BYERS ; Jmjr DOUGLAS ; M. FISHBEIN ; S. GRAZIANO ; T. HOXWORTH ; C. KENT ; M. LATESTA ; A. LENTZ ; C.K. MALOTTE ; T.A. PETERMAN ; F. RHODES ; J. ROGERS ; J. ZENILMAN ; Division of Hiv Aids Prevention. National Center for Hiv Std Tb Prevention Centers for Disease Control and Prevention. Atlanta GA. USA ; Long Beach Health Department and Calltornia State University. Long Beach. USA ; New Jersey Health Department. Newark Std Clinic. USA ; Project Respect Study Group. USA ; San Francisco Health Department. San Francisco. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 13, 1998) |
| Pagination : | 1161-1167 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; VIH ; Rétrovirus ; Virus ; Maladie sexuellement transmissible ; Préservatif ; Prévention santé ; Efficacité ; Homme ; Etats Unis ; Amérique du Nord ; Amérique ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST hgR0x569. Diffusion soumise à autorisation]. Context. - The efficacy of counseling to prevent infection with the human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) has not been definitively shown. Objective. - To compare the effects of 2 interactive HIV/STD counseling interventions with didactic prevention messages typical of current practice. Design. - Multicenter randomized controlled trial (Project RESPECT), with participants assigned to 1 of 3 individual face-to-face interventions. Setting. - Five public STD clinics (Baltimore, Md ; Denver, Colo ; Long Beach, Calif ; Newark, NJ ; and San Francisco, Calif) between July 1993 and September 1996. Participants. - A total of 5758 heterosexual, HIV-negative patients aged 14 years or older who came for STD examinations. Interventions. - Arm 1 received enhanced counseling, 4 interactive theory-based sessions. Arm 2 received brief counseling, 2 interactive risk-reduction sessions. Arms 3 and 4 each received 2 brief didactic messages typical of current care. Arms 1,2, and 3 were actively followed up after enrollment with questionnaires at 3,6,9, and 12 months and STD tests at 6 and 12 months. An intent-to-treat analysis was used to compare interventions. Main Outcome Measures. - Self-reported condom use and new diagnoses of STDs (gonorrhea, chlamydia, syphilis, HIV) defined by laboratory tests. Results. - At the 3-and 6-month follow-up visits, self-reported 100% condom use was higher (P<. (...) |
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