BEHAVIORAL RESEARCH IN SUPPORT OF AIDS PREVENTION

尽管菲律宾是亚洲为数不多的幸免于难的国家之一 目前，艾滋病病毒的破坏性影响有 由于全球范围内的、快速的和不受控制的 艾滋病的传播。STD/HIV预防的纵向决定因素 菲律宾商业性工作者(CSW)的行为还没有 已经发生了。我们建议大学的教职员工共同努力 来自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心理社会和环境 CSWS和管理人/所有者的决定因素和做法 他们受雇的机构。 我们建议测试一个概念性/理论性的心理社会、社区 由内生因素和外生因素构成的组织模式 假设会直接影响艾滋病毒预防行为。这个 教育方案，基于这个理论因素，有针对性地 CSWS(沟通技能、赋权、自我效能和自尊) 以及机构的经理/所有者。一个四群准- 实验设计将对比1)同伴教育的效果 仅咨询，2)管理培训/教育政策，3)结合 同伴咨询加上管理培训，以及4)标准护理 (对照)组。共有2,000名CSW将从250多名CSW中选出 在菲律宾南部的四个地区设立了机构。 双变量和多变量统计程序，包括结构 方程建模，将被用来评估因果假设。这个 研究具有高度相关性、紧迫性和及时性；结果将直接 申请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.