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首页> 外文期刊>AIDS care. >Basic body knowledge in street-recruited, active drug-using women enrolled in a body empowerment intervention trial
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Basic body knowledge in street-recruited, active drug-using women enrolled in a body empowerment intervention trial

机译：参加赋能干预试验的街头募集活跃吸毒妇女的基本身体知识

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Background: Drug-using women remain at high risk for HIV infection. Female condoms (FC)have proven potential and cervical barriers have promise to reduce HIV risk; their effective use may be boosted by familiarity and confidence about female anatomy. Women with high levels of crack cocaine use were assessed for their knowledge about reproductive anatomy, HIV/STI risk, as well as cancer screening behaviors. Methods: Women were recruited for a randomized trial of a behavioral intervention via mobile vans in Philadelphia known for high crack use and sex exchange. Knowledge and behavioral data on 198 women were collected via interviewer-administered questionnaire. Women were randomized into control (n-99)and intervention (n-99)arms. Five weekly, small-group, intervention sessions stressed 'body empowerment' and teaching use of female-initiated barrier methods. Follow-up body knowledge data were collected at 12 months. Changes in and correlates of body knowledge were analyzed and compared. Results: Most participants were African-American (66%); their mean age was 39.6 years. At baseline, 44% of the sample erroneously believed women have sex and urinate from the same place; 62% erroneously believed that tampons could get lost in the abdominal cavity. Only 27% knew douching increased STI transmission risk; only 10% knew condoms reduce cervical cancer risk. At follow-up, overall body knowledge improved substantially, across both arms. Race was associated with high body knowledge at baseline but not at follow-up. Conclusions: Knowledge favoring use of women-initiated methods and cervical cancer prevention was very low in this hard-to-reach sample. Body knowledge improved substantially with enhanced voluntary counseling and testing (VCT)as well as the women-focused intervention. Body knowledge education must be targeted and tailored to drug-using women.
机译：背景：吸毒妇女仍然很容易感染艾滋病毒。女用避孕套已被证明具有潜力，宫颈屏障有望降低艾滋病毒的感染风险。对女性解剖结构的熟悉和自信可能会提高其有效使用率。评估了使用高水平可卡因的妇女的生殖解剖学知识，HIV / STI风险以及癌症筛查行为。方法：招募妇女参加费城的机动货车进行行为干预的随机试验，该活动以使用高强度裂缝和性交闻名。通过访调员管理的调查表收集了198名妇女的知识和行为数据。将女性随机分为对照组（n-99）和干预组（n-99）。每周五次的小组干预会议着重强调“赋予身体力量”和教授女性发起的障碍方法的使用。在12个月时收集随访的身体知识数据。分析和比较了身体知识的变化及其相关性。结果：大多数参与者为非裔美国人（66％）;他们的平均年龄是39.6岁。基线时，有44％的样本错误地认为女性在同一地点发生性行为和小便; 62％的人错误地认为卫生棉条可能会在腹腔内流失。只有27％的人知道冲洗会增加STI传播的风险;只有10％的人知道安全套降低了子宫颈癌的风险。随访时，两臂的整体身体知识大大提高。种族与基线时较高的身体知识有关，但与随访无关。结论：在这个难以达到的样本中，支持采用妇女发起的方法和预防宫颈癌的知识非常低。通过加强自愿咨询和测试（VCT）以及针对女性的干预，身体知识得到了显着改善。身体知识教育必须针对吸毒妇女，并针对吸毒妇女。

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