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The impact of an integrated treatment on HIV risk behavior among homeless youth: a randomized controlled trial

机译：综合治疗对无家可归青年人艾滋病毒危险行为的影响：一项随机对照试验

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While many studies provide useful information on the risk behaviors in which homeless youth engage, few prior studies evaluate Human Immunodeficiency Virus (HIV) risk related reduction strategies. In this study, homeless youth (n = 180) were recruited from a drop-in center and randomly assigned to one of two conditions, either an integrated individual cognitive-behavioral treatment and HIV prevention intervention that focused on skills building and education or to treatment as usual. All youth were assessed at entry into the program and at 3 and 6 month follow-up points. Findings showed an interaction between treatment condition, age and time. In the interaction, youth assigned to the integrated treatment reported greater condom usage than youth assigned to treatment as usual, with younger youth assigned to treatment as usual showing no change in condom use. The number of sexual partners reported by youth in both treatment conditions was also reduced over time. However, youth in both conditions continued to engage in other high-risk behaviors. The integrated treatment findings are promising and suggest that interventions which target both HIV risk behavior in addition to other life areas (substance use, mental health and housing) among homeless youth may be necessary in order to significantly impact high-risk behaviors among this unique group.
机译：尽管许多研究提供了有关无家可归的青年所从事的风险行为的有用信息，但很少有先前的研究评估人类免疫缺陷病毒（HIV）风险相关的减少策略。在这项研究中，从一个收容中心招募了无家可归的青年（n = 180），并随机分配给以下两种情况之一：综合性个人认知行为治疗和以技能培养和教育为重点的艾滋病毒预防干预措施或治疗照常。在进入该计划时以及在3个月和6个月的随访时间对所有青年进行了评估。研究结果表明治疗条件，年龄和时间之间存在相互作用。在互动中，分配给综合治疗的年轻人报告的避孕套使用情况比照常接受治疗的青年人要多，分配给接受综合治疗的年轻人则表示照常使用安全套没有变化。随着时间的流逝，青年在两种治疗条件下报告的性伴侣的数量也减少了。但是，在这两种情况下，青年都继续从事其他高风险行为。综合治疗结果令人鼓舞，并建议可能需要针对无家可归青年中除其他生活领域（物质使用，精神健康和住房）以外的其他艾滋病毒风险行为的干预措施，以显着影响这一独特群体中的高风险行为。

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