Historique
Périodique
HIV prevention programs with heterosexuals
(Programmes de prévention du VIH chez les hétérosexuels.)
Auteur(s) :
ROTHERAM-BORUS, M. J. ;
CANTWELL S. ;
NEWMAN, P. A.
Année
2000
Page(s) :
59-67
Langue(s) :
Anglais
Refs biblio. :
86
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
VIH
;
HETEROSEXUEL
;
SEXUALITE
;
PREVENTION
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
PROGRAMME
;
EFFICACITE
Note générale :
AIDS, 2000, 14, (Suppl. 2), 59-67
Note de contenu :
tabl.
Résumé :
FRANÇAIS :
Parmi 32 programmes de prévention du VIH destinés aux hétérosexuels, 3 types d'interventions ont été identifiées comme étant efficaces : celles qui sont fondées sur les théories socio-cognitives avec pour objectif de d'améliorer les connaissances, comportements, normes vis-à-vis du VIH ; les traitements des maladies sexuellement transmissibles et, en dernier lieu, les programmes de dépistage et de conseil. Seulement 5 des 12 études concernant les usagers de drogues, réduisent avec succès les risques liés au comportement sexuel. L'efficacité des stratégies de traitement des MST varie selon les communautés et les programmes de dépistage et conseil amènent de meilleurs résultats chez les adultes séropositifs.
ENGLISH :
Objective: Efficacious HIV prevention programs designed for heterosexual adults were identified. Methods: Thirty-two programs designed with a comparison group and aimed at preventing heterosexual transmission for HIV were identified utilizing computerized data bases and key informants. Results: Three types of efficacious interventions were identified: (1) those based on social cognitive theories that aimed to improve HIV-related knowledge, attitudes, norms, and behavioral practices (n = 27); (2) treatment of sexually transmitted diseases (STDs) (n = 3); and (3) pre- and post-test HIV testing and counseling programs (n = 2). The high incidence of HIV and STD in international settings has resulted in these trials demonstrating the greatest reductions in risk for HIV, reflected in biological markers of infection. Only five of 12 studies with injecting drug users were successful in reducing sexual risk behaviors. The optimal STID treatment strategy (syndromic case management, mass treatment) varies across communities. HIV testing and counseling appears an efficacious strategy, particularly for seropositive adults, yet current models have not considered the impact of new technologies on HIV testing paradigms. Conclusion: Each successful prevention strategy faces significant challenges before broad dissemination of the intervention approach can be achieved. (Editor' s abstract)
Parmi 32 programmes de prévention du VIH destinés aux hétérosexuels, 3 types d'interventions ont été identifiées comme étant efficaces : celles qui sont fondées sur les théories socio-cognitives avec pour objectif de d'améliorer les connaissances, comportements, normes vis-à-vis du VIH ; les traitements des maladies sexuellement transmissibles et, en dernier lieu, les programmes de dépistage et de conseil. Seulement 5 des 12 études concernant les usagers de drogues, réduisent avec succès les risques liés au comportement sexuel. L'efficacité des stratégies de traitement des MST varie selon les communautés et les programmes de dépistage et conseil amènent de meilleurs résultats chez les adultes séropositifs.
ENGLISH :
Objective: Efficacious HIV prevention programs designed for heterosexual adults were identified. Methods: Thirty-two programs designed with a comparison group and aimed at preventing heterosexual transmission for HIV were identified utilizing computerized data bases and key informants. Results: Three types of efficacious interventions were identified: (1) those based on social cognitive theories that aimed to improve HIV-related knowledge, attitudes, norms, and behavioral practices (n = 27); (2) treatment of sexually transmitted diseases (STDs) (n = 3); and (3) pre- and post-test HIV testing and counseling programs (n = 2). The high incidence of HIV and STD in international settings has resulted in these trials demonstrating the greatest reductions in risk for HIV, reflected in biological markers of infection. Only five of 12 studies with injecting drug users were successful in reducing sexual risk behaviors. The optimal STID treatment strategy (syndromic case management, mass treatment) varies across communities. HIV testing and counseling appears an efficacious strategy, particularly for seropositive adults, yet current models have not considered the impact of new technologies on HIV testing paradigms. Conclusion: Each successful prevention strategy faces significant challenges before broad dissemination of the intervention approach can be achieved. (Editor' s abstract)
Affiliation :
AIDS Institute, Center for HIV Identification, Prevention, Treatment Services, Dep. Psychiatry, Univ. California, 10920 Wilshire Boulevard, Suite 350, Los Angeles, CA 90024
Etats-Unis. United States.
Etats-Unis. United States.