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  1. Harnessing peer networks as an instrument for AIDS prevention : Results from a peer-driven intervention.

    Article - En anglais

    Objective

    Since 1985, community outreach efforts to combat acquired immunodeficiency syndrome (AIDS) among injecting drug users (IDUs) in the United States have overwhelmingly depended on a provider-client model that relies on staffs of professional outreach workers.

    We report on a comparison of this traditional outreach model with an innovative social network model, termed « a peer-driven intervention » (PDI).

    The latter provides IDUs with guidance and structured incentives that permit them to play a much more active role in the outreach process, thereby harnessing peer pressure on behalf of human immunodeficiency virus (HIV) prevention efforts.

    Methods

    We compare the performance of a traditional outreach intervention (TOI) and a PDI that were implemented in medium-sized towns in eastern and central Connecticut.

    Comparisons are based on the number and representativeness of IDUs recruited at each site, the effectiveness of HIV prevention education, compliance rates with AIDS risk reduction recommendations, and relative cost.

    The analyses are based on 552 initial interviews and 190 six-month follow-up interviews conducted during the first two years of each intervention's operation.

    Results

    Both interventions produced significant reductions in HIV risk behaviors, as measured using self-reports. (...)

    Mots-clés Pascal : SIDA, Virose, Infection, Toxicomanie, Voie intraveineuse, Facteur risque, Education santé, Relation interpair, Evaluation, Prévention, Homme, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Immunopathologie, Immunodéficit, Education pairs

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Drug addiction, Intravenous administration, Risk factor, Health education, Peer relation, Evaluation, Prevention, Human, United States, North America, America, Comparative study, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0414225

    Code Inist : 002B05C02D. Création : 22/03/2000.