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首页> 外文期刊>AIDS care. >Tailoring an HIV-prevention intervention for cocaine injectors and crack users in Porto Alegre, Brazil.
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Tailoring an HIV-prevention intervention for cocaine injectors and crack users in Porto Alegre, Brazil.

机译：在巴西阿雷格里港为可卡因注射者和破解用户量身定制艾滋病预防干预措施。

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Brazil has the second largest number of reported AIDS cases in the world. Porto Alegre, like most other large urban centres in Brazil, has been greatly impacted by an AIDS epidemic driven by high rates of drug use and risky sexual behaviours. While epidemiologic surveillance of HIV/AIDS and treatment initiatives for HIV-infected individuals are well developed in Brazil, comparatively little attention has focused on developing interventions directed toward high-risk populations. Intervention programmes, particularly those tailored for chronic drug users, are lacking. This pilot project successfully adapted and tailored a cognitive behavioural HIV intervention developed in the US to the cultural setting in Porto Alegre. The project established feasibility and acceptability of the approach for targeting risky drug and sexual behaviours among a group of male Brazilian drug users. A sample of 120 male cocaine users was recruited from a public health clinic serving the target population in the city of Porto Alegre. The average age of the participants was 29; they averaged less than 8 years of formal education; and less than half (41%) were married. Lifetime self-reported drug use was high with 93% reporting cocaine use, 87% reporting crack use, and 100% reporting marijuana use. 43% of the sample reported ever injecting drugs. Reports of risky sexual behaviours were similarly elevated. Almost half (45%) tested positive for HIV. Preliminary evidence suggests that intervention acceptability was high among participants. Given the reported high risk sexual and drug use behaviours among these men, HIV interventions must be evaluated and expanded to include this population as well as their sexual partners.
机译：巴西是世界上报告的第二大艾滋病病例。像巴西大多数其他大型城市中心一样，阿雷格里港（Porto Alegre）也受到大量吸毒和危险性行为驱动的艾滋病流行的严重影响。尽管在巴西，对艾滋病毒/艾滋病的流行病学监测和针对艾滋病毒感染者的治疗计划十分完善，但很少有注意力集中在针对高危人群的干预措施上。缺乏干预方案，特别是针对长期吸毒者的干预方案。该试点项目成功地调整并定制了美国开发的一种认知行为艾滋病毒干预措施，以适应阿雷格里港的文化背景。该项目确定了针对一组巴西男性吸毒者中的危险毒品和性行为的方法的可行性和可接受性。从一家公共卫生诊所招募了120名男性可卡因使用者，为阿雷格里港市的目标人群提供服务。参与者的平均年龄为29岁;他们平均不到8年的正规教育;不到一半（41％）已婚。终身自我报告的药物使用率很高，其中93％报告可卡因使用，87％报告可卡因使用，100％报告大麻使用。报告的样本中有43％曾注射过药物。危险性行为的报告也有所增加。几乎一半（45％）的艾滋病毒检测呈阳性。初步证据表明，参与者的干预可接受性很高。鉴于据报道这些男性中存在高风险的性行为和毒品使用行为，因此必须对艾滋病干预措施进行评估，并将其扩大到包括该人群及其性伴侣。

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