BEHAVIORAL RESEARCH IN SUPPORT OF AIDS PREVENTION

尽管菲律宾是亚洲少数几个幸免于难的国家之一 艾滋病病毒目前造成的破坏性影响 由于全球范围内的快速且不受控制的疫情，仍然引起人们的关注 艾滋病的传播。 性病/艾滋病毒预防的纵向决定因素 菲律宾商业性工作者 (CSW) 的行为并没有 发生了。 我们建议大学教师共同努力 菲律宾的地区卫生官员，以及 加州大学洛杉矶分校的教师评估社会心理和环境 CSW 和管理者/所有者的决定因素和实践 他们受雇的机构。 我们建议测试概念/理论心理社会、社区 包含内生因素和外生因素的组织模型 假设直接影响艾滋病毒预防行为。 的 教育计划，基于这一理论因素，针对 CSW（沟通技巧、赋权、自我效能和自尊） 以及机构的经理/所有者。 四组准 实验设计将对比1）同伴教育的影响 单独咨询，2) 管理培训/教育政策，3) 综合 同伴咨询加管理培训，以及 4) 标准护理 （对照组）。 将从250多名CSW中选出总共2,000名CSW 菲律宾南部四个地区设有机构。 双变量和多元统计程序，包括结构 方程模型将用于评估因果假设。 的 研究具有高度相关性、紧迫性和及时性；结果将直接 纳入国家艾滋病防治规划。

Although the Philippines is one of the few countries in Asia to be spared the devastating effects of the AIDS virus at the present time, there is still cause for concern due to the worldwide, rapid, and uncontrolled spread of AIDS. Longitudinal determinants of STD/HIV prevention behaviors among commercial sex workers (CSWs) in the Philippines have not taken place. We propose a joint effort by faculty from the University of the Philippines, Regional Health Officers from the Philippines, and faculty from UCLA to assess the psychosocial and environmental determinants and practices of CSWs and manager/owners of the establishments in which they are employed. We proposed to test a conceptual/theoretical psychosocial, community organization model comprising endogenous and exogenous factors hypothesized to directly influence HIV prevention behaviors. The educational program, based on this theroretical factors targeted to the CSWs (communication skills, empowerment, self-efficacy and self-esteem) and the managers/owner of the establishments. A four-group quasi- experimental design will contrast 1) the effects of peer educational counseling alone, 2) managerial training/educational policy, 3) combined peer counseling plus managerial training, and 4) a standard care (control) group. A total of 2,000 CSWs will be selected from over 250 establishments in four areas of the Southern Philippines. Bivariate and multivariate statistical procedures, including structural equation modeling, will be used to evaluate causal hypotheses. The research is highly relevant, urgent, and timely; results will be directly applied to the National AIDS Prevention and Control Program.