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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Health, Enlightenment, Awareness, and Living (HEAL) Intervention: Outcome of an HIV and Hepatitis B and C Risk Reduction Intervention
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The Health, Enlightenment, Awareness, and Living (HEAL) Intervention: Outcome of an HIV and Hepatitis B and C Risk Reduction Intervention

机译：健康，启蒙，意识和生活（HEAL）干预：HIV和乙肝和丙肝降低风险干预措施的结果

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African American women have among the highest HIV/AIDS and hepatitis B and C incidence rates in the United States, especially among those homeless or incarcerated. The objective of this study was to evaluate the Health Enlightenment, Awareness and Living Intervention, designed to decrease HIV/AIDS, hepatitis and related risky behaviors. The thirteen-session intervention was implemented among homeless and formerly incarcerated low-income African American women, ages 18 to 55, in Atlanta, Georgia from 2006 to 2010. A single group repeated measures study design was employed and consisted of a pre-test (n = 355) group, an immediate post-test (n = 228) group with a response rate of 64%, and a six-month follow up (n = 110) group with response rate of 48%, completing a 135-item survey. Paired-sample t-tests, McNemar tests, and repeated measures ANOVA were applied to compare survey results. Participants demonstrated statistically significant increases in hepatitis B and C knowledge over time (p < 0.001). Statistically significant decreases were also reported for unprotected sex in exchange for money, drugs or shelter (p = 0.008), and sex under the influence of drugs or alcohol (p < 0.001). Reported substance use decreased with statistical significance for alcohol (p = 0.011), marijuana (p = 0.011), illegal drugs (p = 0.002), and crack/cocaine (p = 0.003). Findings broaden the evidence base related to the effectiveness of HIV/AIDS and hepatitis risk reduction interventions designed for homeless and previously incarcerated African American women.
机译：非裔美国人妇女在美国尤其是在无家可归者或被监禁者中，是艾滋病毒/艾滋病和乙肝和丙肝发病率最高的国家之一。这项研究的目的是评估旨在减少艾滋病毒/艾滋病，肝炎和相关危险行为的健康启发，意识和生活干预。从2006年至2010年，在佐治亚州亚特兰大市对18至55岁的无家可归者和以前被监禁的低收入非洲裔美国妇女实施了十三届干预措施。采用了单组重复措施研究设计，其中包括一项预测试（ n = 355）组，立即后测（n = 228）组和64％的回应率，以及六个月随访（n = 110）组和48％的回应率，完成一项135个项目的调查。配对样本t检验，McNemar检验和重复测量ANOVA用于比较调查结果。参与者证明，随着时间的流逝，乙型和丙型肝炎知识的增加具有统计学意义（p <0.001）。据统计，无保护的性行为换取金钱，毒品或住所（p = 0.008），以及在毒品或酒精影响下的性行为（p <0.001），统计上也有显着下降。报告的物质使用减少，对酒精（p = 0.011），大麻（p = 0.011），非法药物（p = 0.002）和可卡因/可卡因（p = 0.003）具有统计学意义。研究结果扩大了针对无家可归者和以前被监禁的非洲裔美国妇女的艾滋病毒/艾滋病和减少肝炎风险干预措施的有效性的证据基础。

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