Idioma:

A Clinic-based Motivational Intervention Improves Condom Use Among Subgroups of Youth Living With HIV

Chen, Xinguang, M.D., Ph.D ; Murphy, Debra A., Ph.D ; Naar-King, Sylvie, Ph.D ; Parsons, Jeffrey T., Ph.D

Journal of adolescent health, 2011-08, Vol.49 (2), p.193-198 [Periódico revisado por pares]

New York, NY: Elsevier Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
A Clinic-based Motivational Intervention Improves Condom Use Among Subgroups of Youth Living With HIV
Autor: Chen, Xinguang, M.D., Ph.D ; Murphy, Debra A., Ph.D ; Naar-King, Sylvie, Ph.D ; Parsons, Jeffrey T., Ph.D
Assuntos: Acquired Immune Deficiency Syndrome ; Adolescent ; Adolescent Behavior ; Alternative Approaches ; Biological and medical sciences ; Choices ; Condom use ; Condoms ; Condoms - utilization ; Delayed ; Depression - epidemiology ; Healthy choice ; HIV ; HIV Infections - prevention & control ; HIV positive youth ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Intensive treatment ; Intervention ; Male ; Medical sciences ; Motivation ; Pediatrics ; Randomized controlled trial ; Risk ; Risk-Taking ; Safe sexual practices ; Sex Education - methods ; Sexual risk ; Trajectory analysis ; Trials ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Viral Load ; Young Adult ; Young people ; Youth
É parte de: Journal of adolescent health, 2011-08, Vol.49 (2), p.193-198
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-News-2
ObjectType-Feature-3
content type line 23
ObjectType-Article-2
ObjectType-Feature-1
ObjectType-Feature-2
Descrição: Abstract Purpose More than 50% of youth living with HIV (YLH) have unprotected sex. In previous studies, we reported effects of a motivational interviewing-based multirisk reduction intervention, “Healthy Choices” in improving motivation, depression, and viral load in YLH. In this study, we report the effect of the intervention on increasing condom use. Methods Six waves of longitudinal data (n = 142) across a period from baseline through 15 months postintervention were analyzed. The developmental trajectory modeling method was used for program effect evaluation. Results The three groups detected with distinct sexual risks were: Persistent low sexual risk (PLSR), delayed high sexual risk, and high and growing sexual risk with regard to levels and time trajectories of condom use throughout the trial. Receiving Healthy Choices increased the likelihood to be in the PLSR group (63% vs. 32%, p < .01) and reduced the likelihood to be in the delayed high sexual risk group (16% vs. 50%, p < .05). Receiving the intervention was also associated with progressive reductions in no-condom sex for PLSR youth (adjusted β = −.325, p < .01) and high and growing sexual risk youth (adjusted β = −.364, p < .01). Conclusion The motivational interviewing-based program Healthy Choices, when delivered in clinic settings, can prevent unprotected sex in subgroups of YLH, although more intensive interventions may be needed to change risk trajectories among those at highest risk of transmitting the AIDS virus. Developmental trajectory analysis provides an alternative approach to evaluate program effects for study samples that contain distinct subgroups.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

Links

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

A Clinic-based Motivational Intervention Improves Condom Use Among Subgroups of Youth Living With HIV

Chen, Xinguang, M.D., Ph.D ; Murphy, Debra A., Ph.D ; Naar-King, Sylvie, Ph.D ; Parsons, Jeffrey T., Ph.D

New York, NY: Elsevier Inc

Buscando em bases de dados remotas. Favor aguardar.