AIDS PREVENTION AMONG YOUNG INNER CITY WOMEN II

描述(改编自申请人摘要)：这是一个修改后的 续展申请要求5年支持以进行测试 800个中心城区降低HIV感染风险的干预措施 怀孕或求诊性传播疾病的妇女。这两个 被选中的女性群体是因为她们暴露在危险中的风险越来越大 为艾滋病毒干杯。这些干预措施基于健康模型，这些模型表明 个人行动和公共行动的重要性(非中心论 观点)和应对威胁的模式，强调 开发个人和社会资源以成功解决 威胁。这些干预措施还强调了加强 女性家庭生态中的行为。 女性将被随机分配到不同的条件下。两种艾滋病中的女性 预防小组将收到四个90分钟的以课程为基础的健康 培训课程侧重于艾滋病专门预防知识和 技能。第一组中的人被分配接受干预 没有重要的另一个人的参与。第二组的是 被指派与他们所选择的重要另一半一起接受干预 (即，伴侣、朋友或家庭成员)。世界上一半的女性 这两个小组中的每一个都将获得：a)另外两个 个性化培训课程(有或没有重要的其他人)或 B)增加两次小组讨论会(有或没有重要的 其他)。相比之下，女性将接受一般健康培训，而不是 专门针对艾滋病的预防。控制-1将包括目标组 仅限女性，而Control-2将包括目标女性和她们的 重要的其他人。Control-1和Control-2参与者也将 接收1)两个额外的个性化会话或2)两个 额外的小组讨论环节。第五组(Control-3)将 不会受到任何干预。 调查问卷将在调查之前、之后和之后进行 干预后6个月。性病检测和避孕套“信用卡” 将提供更多项目成功的迹象。据预测， 1)艾滋病能力培训将比一般培训更有效 健康或不接受训练，2)个性化的注意力将增强 干预效果，3)个人和社会资源 对于行为改变是必要的，4)与重要的其他人一起的团体将 比只有目标女性的群体更有效，以及5) “标志性”艾滋病事件后，个人风险评估将增加 在社会上。

DESCRIPTION (Adapted from Applicant's Abstract): This is an amended continuation application requesting 5 years of support to test interventions to reduce the risk of HIV infection among 800 inner-city women who are pregnant or who seek evaluation for an STD. These two groups of women were chosen because of their increasing risk for exposure to HIV. The interventions were based on health models that indicate the importance of personal action and communal action (an Afrocentric viewpoint) and on models of coping with threat that stress the development of personal and social resources to successfully address threat. The interventions also emphasize the importance of reinforcing behaviors in women's home ecology. Women will be randomly assigned to conditions. Women in the two AIDS prevention groups will receive four 90-minute curriculum-based, health training sessions focusing on AIDS-specific prevention knowledge and skills. Those in Group-1 are assigned to receive the intervention without the participation of a significant other. Those in Group-2 are assigned to receive the intervention with their chosen significant other (i.e., partner, friend, or family member). One-half of the women in each of these two groups will receive either: a) two additional individualized training sessions (with or without significant other) or b) two additional group discussion sessions (with or without significant other). Comparison women will receive general health training, not specific to AIDS prevention. Control-1 will include groups of target women only, and Control-2 will include groups of target women and their significant others. Control-1 and Control-2 participants will also receive either 1) two additional individualized sessions or 2) two additional group discussion sessions. A fifth group (Control-3) will receive no intervention. Questionnaires will be administered before, immediately following, and 6 months following intervention. STD testing and condom "credit cards" will provide additional indications of program success. It is predicted that 1) AIDS competency training will be more effective than general health or no training, 2) individualized attention will enhance intervention effectiveness, 3) personal and social resources are necessary for behavioral change, 4) groups with significant others will be more effective than will groups with target women only, and 5) evaluation of personal risk will increase following "marker" AIDS events in society.