BEHAVIORAL RESEARCH IN SUPPORT OF AIDS PREVENTION

虽然菲律宾是亚洲为数不多的幸免于难的国家之一 艾滋病病毒的毁灭性影响，目前， 由于全球范围内的快速和不受控制的 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。 我们建议由大学的教师们共同努力 菲律宾的区域卫生官员，以及 加州大学洛杉矶分校的教师，以评估心理社会和环境 决定因素和做法的CSW和经理/业主的 他们被雇用的机构。 我们建议测试一个概念/理论的社会心理，社区 内生与外生相结合的组织模式 假设直接影响艾滋病毒预防行为。 的 教育计划，根据这一理论因素，针对 CSWs（沟通技巧，赋权，自我效能和自尊） 以及场所的经理/东主。 一个四群拟- 实验设计将对比1）同伴教育的效果 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多名女性工作者中选出2，000名女性工作者 在菲律宾南部的四个地区。 二元和多元统计程序，包括结构 方程模型，将用于评估因果假设。 的 研究是高度相关的，紧迫的，及时的;结果将直接 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.