Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
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DOI：
10.2105/ajph.2013.301822
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发表时间：
2014-06-01
影响因子：
12.7
通讯作者：
Mitchell, Christina M.
中科院分区：
文献类型：
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作者：
Kaufman, Carol E.;Whitesell, Nancy Rumbaugh;Mitchell, Christina M.
目标。我们评估了生命圈(Col)的有效性，这是一种专门为美国印第安人和阿拉斯加原住民(AI/AN)中学生开发的艾滋病毒预防干预措施。通过与部落社区合作，我们对北部平原部落13所学校的635名七年级和八年级学生进行了一项纵向等待名单团体随机试验。我们在2006-2007年的基线、3个月和12个月对参与者进行了调查。研究发现，COL可以在短期内增加艾滋病知识，但与没有接受COL的人相比，对性行为没有影响。然而，COL被发现在延迟性活动的开始方面是有效的，那些在早期接受COL的人风险降低最大。社区伙伴关系是成功设计、实施和分析项目的关键。该项目确认了青春期早期干预时机的重要性。COL可能是降低AI/AN青少年性行为风险的关键资源。
Objectives. We assessed the effectiveness of Circle of Life (COL), an HIV-preventive intervention developed specifically for American Indian and Alaska Native (AI/AN) middle school youths.Methods. By partnering with a tribal community, we conducted a longitudinal wait-listed group randomized trial with 635 seventh and eighth graders in 13 schools of a Northern Plains tribe. We surveyed participants at baseline, 3 months, and 12 months from 2006 to 2007.Results. COL was found to increase HIV knowledge in the short term, but had no effect on sexual activity compared with those who did not receive it. However, COL was found to be effective for delaying the onset of sexual activity, with the greatest reduction in risk occurring for those receiving COL at early ages.Conclusions. Community partnership was key to successful project design, implementation, and analysis. The project confirmed the importance of the timing of interventions in early adolescence. COL may be a key resource for reducing sexual risk among AI/AN youths.