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首页> 外文期刊>Substance use & misuse >Outcomes of a peer HIV prevention program with injection drug and crack users: the Risk Avoidance Partnership.
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Outcomes of a peer HIV prevention program with injection drug and crack users: the Risk Avoidance Partnership.

机译：与注射毒品和破解用户进行艾滋病毒同伴预防计划的成果：风险规避伙伴关系。

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摘要

The Risk Avoidance Partnership (RAP) Project conducted in Hartford, Connecticut, tested a program to train active drug injectors and crack cocaine users as "Peer Health Advocates" (PHAs) to deliver a modular HIV, hepatitis, and STI prevention intervention to hard-to-reach drug users in their networks and others in the city. The intervention was designed to diffuse health promotion and risk-reduction interventions by supporting PHAs to model prevention practices and deliver risk- and harm-reduction materials and information. We compared change in behaviors and attitudes between baseline and 6-month follow-up of 112 primarily African-American and Latino PHAs, 223 of their drug-user network contact referrals, and 118 other study recruits (total n = 523). Results indicated significant HIV risk reduction among all study participants, associated with significant health advocacy action conducted by PHAs, and a relationship between exposure to the RAP peer-delivered intervention and risk reduction among all study groups. Findings suggest that active drug users' engagement in peer health advocacy can set in motion a feedback and diffusion process that supports both the continued work of the PHAs and the adoption of harm reduction and mimicking of health advocacy by their peers.
机译：在康涅狄格州哈特福德市开展的风险避免合作伙伴关系（RAP）项目测试了一项计划，以“同行健康倡导者”（PHA）的身份培训积极的吸毒者和可卡因使用者，以向硬在他们的网络和城市中的其他人中吸引吸毒者。该干预措施旨在通过支持PHA对预防实践进行建模并提供减少风险和减少危害的材料和信息，来推广健康促进和降低风险的干预措施。我们比较了112位主要是非洲裔美国人和拉丁美洲人的PHA，223位吸毒者网络联系推荐人和118位其他新兵在基线和6个月随访之间行为和态度的变化。（总计n = 523）。结果表明，在所有研究参与者中，HIV风险均显着降低，与PHA开展的重大健康倡导行动相关，并且在所有研究组中，RAP同行提供的干预措施暴露与风险降低之间存在关联。研究结果表明，活跃的吸毒者参与同伴健康倡导活动可以启动反馈和传播过程，从而支持PHA的持续工作以及同伴采取减少伤害和模仿健康倡导的方式。

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