INDIGENOUS OUTREACH AMONG IDUS TO TREAT AND CONTROL TB

描述：社区外展干预项目(COIP)是 建议实施和评估注射毒品结核病干预措施 芝加哥两个社区的吸毒者(IDU)，由土著人指导 外展领导模式已被用于预防艾滋病 吸毒者。将检验三个假设：1)治疗率 通过以下途径帮助感染活跃的注射吸毒者的依从性将更高 与传统的结核病控制方法相比，本地化的推广 由芝加哥卫生部实施；2)合规率 有了接触者追踪，筛查和治疗将通过 COIP的干预比通过实践的健康 部门；3)社区结核病发病率将在未来几年内下降 由于干预的结果，研究的结果。 干预将由一名受过专门培训的土著实施 由经验丰富的人种志专家指导的外展工作人员。数量和 将使用定性的方法来评估 对治疗完成率、就诊率、依从性的干预 接触和筛查工作，结核病传播知识，减少 危害健康的行为和结核病感染率。

DESCRIPTION: The Community Outreach Intervention Project (COIP) is proposing to implement and evaluate a TB intervention with injection drug users (IDUs) in two Chicago Neighborhoods, guided by the indigenous outreach leadership model that has been used for AIDS prevention among drug users. Three hypotheses will be tested: 1) rates of treatment adherence will be greater among actively infected IDUs assisted through indigenous outreach than through conventional TB control methods practiced by the Chicago Department of Health; 2) rates of compliance with contact tracing, screening and treatment will be greater through the COIP intervention than through the practices of the Health Department; 3) community level rates of TB will decrease over the years of the study as a result of the intervention. The intervention will be implemented by a specially trained indigenous outreach staff guided by an experienced ethnographer. Quantitative and qualitative methods will be used to assess the effects of the intervention on treatment completion, attendance, compliance with contact and screening efforts, knowledge of TB transmission, reduction of health risk behavior and rates of TB infection.