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Motivational interviewing for HIV risk reduction among gay men in commercial and public sex settings.

机译:在商业和公共性场所中降低男同性恋者HIV感染风险的动机访谈。

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摘要

The present paper addresses the feasibility of combining motivational interviewing and cognitive interventions to HIV risk reduction in commercial venues and public sex environments (PSEs). The logic for these two approaches is considered and an intervention combining key elements of the two is presented. The intervention uses a questionnaire format to encourage individuals to compare their desired versus actual behaviour (i.e. chosen personal risk reduction strategy versus 'slip-ups'/unwanted risk taking), and to recognize their risk-related cognitions. High-risk individuals are identified, and health-focused conversations developed from the brief schedule. The structure and key design issues in the development of a feasible, acceptable and evidence-based tool are reviewed. The limitations of more complex, focused interventions in the context of commercial and PSE settings are discussed.
机译:本文探讨了将动机性访谈和认知干预相结合以降低商业场所和公共性环境(PSE)中的HIV风险的可行性。考虑了这两种方法的逻辑,并提出了结合两种关键要素的干预措施。干预措施采用问卷形式,以鼓励个人将其期望行为与实际行为进行比较(即选择的降低个人风险策略与``偷偷摸摸''/不必要的冒险行为),并认识他们与风险相关的认知。确定高危人群,并从简短的时间表开始进行以健康为中心的对话。审查了可行,可接受和基于证据的工具的开发中的结构和关键设计问题。讨论了在商业和PSE环境中更复杂,重点突出的干预措施的局限性。

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