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首页> 外文期刊>AIDS care. >Adolescent female school dropouts who use drugs and engage in risky sex: effects of a brief pilot intervention in Cape Town, South Africa
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Adolescent female school dropouts who use drugs and engage in risky sex: effects of a brief pilot intervention in Cape Town, South Africa

机译：青少年女性学校辍学者使用毒品并从事风险性：简要试点干预在南非开普敦的影响

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Female adolescents from socioeconomically underserved communities in Cape Town, South Africa, who have dropped out of school, use substances, and engage in risky sex behaviour are at risk of HIV. Tailored gender-focused HIV behavioural interventions for this key population are needed to mitigate these risk factors. A pilot trial of a woman-focused risk-reduction intervention for adolescents was conducted (N = 100), with a one-month follow-up appointment. Participants in the intervention group attended two group workshops. Data were examined for significant differences within and between the groups. At baseline, 94% of participants tested positive for cannabis, 17% were HIV-positive and 11% were pregnant. Ninety-two participants returned for 1-month follow-up. At follow-up, the proportion who tested positive for cannabis use decreased significantly in both the intervention (p = 0.07) and control groups (p = 0.04). Impaired sex with any partner (p = 0.02), or with main partner (p = 0.06) decreased among the intervention group. Impaired sex with a main partner was less likely in the intervention group (p = 0.07) in the regression model. In conclusion, findings indicate a need for HIV prevention interventions among out-of-school female adolescents. Intervention acceptability was high, and there were some decreases in sexual risk behaviour among intervention participants which is promising. Future intervention research with this key population involving larger sample sizes and longer follow-up periods will help to determine intervention efficacy.
机译：来自南非开普敦的社会经济欠缺社区的女性青少年，他已经辍学，使用物质和冒险性行为的危险面临艾滋病毒的风险。需要量身定制的性别聚焦的艾滋病病毒行为干预，以减轻这些危险因素。对青少年的一个以女性为中心的风险减少干预进行了试验试验（n = 100），一个月的后续预约。干预小组的参与者参加了两个组研讨会。检查数据是否有关群体之间和之间的显着差异。在基线，94％的参与者对大麻阳性进行阳性，17％是艾滋病毒阳性，11％的孕妇。九十二名参与者返回了1个月的随访。在随访时，在干预（P = 0.07）和对照组中，对大麻测试阳性的比例显着降低（P = 0.04）。与任何合作伙伴（P = 0.02）的性行为（P = 0.02），或在干预组中占主伙伴（P = 0.06）。在回归模型中的干预组（P = 0.07）中，与主要合作伙伴的性别受损不太可能。总之，调查结果表明需要幼小雌性青少年的艾滋病毒预防干预措施。干预可接受性高，干预参与者的性风险行为下降了很高。未来的干预研究与涉及更大样本尺寸和更长的随访期的关键人群将有助于确定干预效果。

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