Portal de Periódicos da CAPES

Evaluating the impact of peer, nurse case‐managed, and standard HIV risk‐reduction programs on psychosocial and health‐promoting behavioral outcomes among homeless women

2001; Wiley; Volume: 24; Issue: 5 Linguagem: Inglês

10.1002/nur.1041

1098-240X

Adeline Nyamathi, Jacqueline H. Flaskerud, Barbara Leake, Elizabeth Dixon, Ake T. Lu,

HIV, Drug Use, Sexual Risk

Abstract Investigators examined the 6‐month impact of three cognitive–behavioral HIV risk‐reduction programs on behavioral factors (substance use and sexual risk behaviors) and cognitive and psychological resources of 325 women who resided in emergency or sober‐living shelters and their 308 intimate sexual partners. Participants were randomized by shelter to a peer‐mentored, a nurse case‐managed, or a standard care HIV risk‐reduction program. Significant improvements were observed in all groups in all behavioral factors and cognitive and psychological resources except for self‐esteem. Participants in the peer‐mentored and nurse case‐managed groups did not differ significantly from the standard group in self‐esteem, life satisfaction, psychological well‐being, use of noninjection drugs, sex with multiple partners, and unprotected sex at 6 months ( n = 633). It was concluded that a standard approach by health care professionals appears to effectively modify HIV risk behaviors for a majority of homeless participants and may have important economic and policy implications. Further, the impact of short‐term programs that address psychological vulnerabilities of impoverished populations needs to be studied further. © 2001 John Wiley & Sons, Inc. Res Nurs Health 24:410–422, 2001