衛生署疾病管制局科技研究計畫

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拍潮蓬
7 years ago
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5 AIDS Prevention CurriculumFemaleDrug-Abusing Prisoners This study attempted to explore the attitudes, belief, risk behavior and perceived needs of HIV/AIDS education of female drug-abused prisoners. Before the study, we excluded the female drug-abused prisoners with poor mental health and the other were asked to consent to participant after informed purposes of this study. The data were collected via face to face interview with ten prisoners. The results indicated they had adequate knowledge of routes of infection HIV, but hold several misconceptions, such as mosquito bites or swimming in the pool with infected persons. The majority of participants didn t believe to they were susceptible to HIV/AIDS, and also showed unwilling to regularly use condoms while having sexual behavior in the future. There were three major reasons: 1. Perceived association between condom use and trust in partner. 2. Sensation reduction. 3. Do not know how to communicate with partners and when to put condom on. Most participants had no confidence in the confidentiality of taking HIV screening, and do not know where to take free HIV screening. The prisoners felt the stigma of AIDS was pervasive. They thought that homosexuality and sugar girls were the high-risk groups infected HIV. They cared about discrimination and stigmatization of HIV/AIDS and would rather get cancer than infect HIV. If they did infect HIV, they would choose to suicide because they were ashamed to 4

6 their family. In conclusion, female drug-abusing prisoners still have questions and misunderstanding about the routes of infection of HIV, condom use, trust in partners, stigmatization of AIDS and confidentiality of HIV screening. These are what female drug-abused prisoners need in HIV/AIDS education. This finding is helpful to develop HIV/AIDS education programs and to provide some suggestions for policy-making. 5

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29 Baker, A., Heather, N., Wodak, A., Dixon, J., and Holt, P. (1993). Evaluation of a cognitive behavioral intervention for HIV prevention among injecting drug users, AIDS, 7, Barbara, L. D., Marcantonio, R., and Norr, K. (2000). The long-term effectiveness of an HIV prevention intervention for low-income African American women. AIDS Education and Prevention, 12, 2, Barbosa, R. M., Parker, R. G., Carvalho, J. A., & Uziel, A. P. (1996). Gender 28

30 meanings and sexual behaviors as key aspects for understanding the negotiation for safer sex practices among heterosexual couples. International Confonference on AIDS, 11(2). Chitwood, D. D. and Comerford, M. (1990). Drug, sex, and AIDS risk. American Behavioral Scientist, 33, Davis, D. R. & DiNitto, D. M. (1996). Gender differences in social and psychological problems of substance abusers: A comparison to nonsubstance abusers. Journal of Psychoactive Drugs, 28(2), Diaz, T., Chu, S. Y., Beuhler, J. W., Boyd, D., Checko, P. J., Conti, L. Davidson, A. J., Hermann, P., Levy, A., Shields, A., and Hersh, B. S. (1994). Socioeconomic differences among people with AIDS: Results from a multistate surveillance project. American Journal of Preventive Medicine, 10, Freeman, R. C., Rodriguez, G. M., & French, J. F. (1994). A comparison of male and female intravenous drug users risk behaviors for HIV infection. Am. J. Alcohol Abuse, 20(2), Grella, C. E. & Anglin, M. D. (1997). HIV risk among women arrestees in California: opportunities for intervention. Natl Conf Women HIV, 158. Prochaska, J., DiClemente, C., & Norcross, J. In search of how people change Applications to addictive behaviors. American Psychologist, 1992, 47, Ross, M. W., Wodak, A., Gold, J. and Miller, M. E. (1992). Differences across sexual orientation HIV risk behaviors in injecting drug users. AIDS Care, 4,

31 Stephens, R. C., Feucht, T. E., and Roman, S. W. (1991). Effects of an intervention program on AIDS-related drug and needle behavior among intravenous drug users. American Journal of Public Health, 81, Weissman, G., Melchior, L., & Huba, G. (1995). Women living with drug abuse and HIV disease: Drug abuse treatment access and secondary prevention issues. Journal of Psychoactive Drugs,.27(4), World Health Organization (WHO). (2001) Report on the global HIV/AIDS epidemic-june World Health Organization (2001a) World Health Organization Western Pacific Region: Asia s AIDS efforts need to change direction. Available from UNAIDS. (2000 a ). Report on the global HIV/AIDS epidemic. UNAIDS (1999) Sexual behavioural change for HIV: where have theories taken us? World Health Organization (1998). Report on the global HIV/AIDS epidemic-june

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