Estrategias de reduccion de riesgos con usuarios de drogas inyectadas: talleres de sexo mas seguro

FRANÇAIS :
On évalue l'efficacité et la satisfaction de 387 usagers de drogue par voie intraveineuse suite à des ateliers d'information sur une pratique sexuelle à moindre risque. Les résultats mettent en évidence un usage très accru du préservatif après les ateliers, une meilleure connaissance des risques encourus à l'égard du VIH / Sida et un taux de satisfaction net concernant les informations apportées aucours de ces interventions de réduction des risques.
ENGLISH :
Objective: The objective is to evaluate the results and user satisfaction with 25 safer-sex workshops designed to reduce the risks associated with sexual behaviours among injecting drug users (lDUs). Method: The sample includes 387 individuals (68.7% male and 32.3% female IDUs) with an average of 32.4 years, assigned non-randomly to a comparison group or to a workshop user-group. They were assessed at pretest, postest and follow-up using a questionnaire that includes questions on high-risk sexual behaviours and mediating variables for these behaviours. Results: Workshops designed for safer sex practices were associated with higher frequencies of condom use with a habitual or occasional partner. Also, these interventions were related to significant improvements in mediating variables for safer sex practices: knowledge on an adequate use of a preservative, knowledge on HIV and AIDS, and outcome expectancies about using a condom. Moreover, users of these workshops reported high satisfaction levels. Conclusions: The findings provide encouraging support for the efficacy and user satisfaction of this type of short intervention, designed for risk-reduction associated with sex practices among injecting drug users. Indirectly, they provide support for training in networks, carried out by health professionals working in drug dependency to foster risk reduction interventions among their IDU patients. (Author' s abstract)