HIV RISK REDUCTION FOR WOMEN IN DRUG TREATMENT

降低接受药物治疗的女性感染艾滋病毒的风险

• 批准号: 2331187
• 负责人: GLORIA D ELDRIDGE
• 金额: $ 41.99万
• 依托单位: JACKSON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-05-10 至 2002-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2331187
• 关键词: AIDS education /prevention; behavioral /social science research tag; clinical research; cognitive behavior therapy; disease /disorder proneness /risk; drug abuse; drug abuse therapy; education evaluation /planning; female; high risk behavior /lifestyle; hospital patient care; human subject; human therapy evaluation; longitudinal human study; outcomes research

DESCRIPTION: (Applicant's Abstract) Women in drug treatment are at high risk for HIV-infection because of high risk sexual activities and high risk sexual contexts often related to obtaining and consuming drugs; drug use; physiological vulnerability to sexually transmitted diseases and HIV; and social, cultural, and economic barriers which interfere with implementing self-protective behavior. This application proposes to compare (1) a Behavior Skills Training (BST) HIV-risk reduction intervention based on Social Cognitive Theory (2) an HIV-risk reduction intervention based on Motivational Enhancement (ME) and the Theory of Gender and Power; and (3) a control educational program in reproductive health (RH); One hundred fifty women in drug treatment will be recruited for each condition and will be evaluated during a 12 month follow-up period after discharge. Hypotheses are that both interventions compared to the control condition will (1) increase knowledge about HIV/AIDS, self-efficacy, attitudes toward condoms, and perceptions of social support for precautionary behavior; (2) decrease perceived barriers to condom use; (3) produce greater exchanges of condom redemption coupons; (4) increase the proportion of intercourse occasions which are condom-protected and decrease rates of unprotected sexual activity; and (5) decrease rates of needle-sharing among women who use injecting drugs. The BST intervention when compared with the ME intervention and the RH control, will improve social competency in safer sex negotiation and high risk refusal assessed through role play simulations. The ME intervention when compared with BST and the RH control, will increase self-efficacy, attitudes toward condom use perceptions of social support for precautionary behavior; (2) decrease perceived barriers to condom use; (3) produce greater exchanges of condom redemption coupons; (4) increase the proportion of intercourse occasions which are condom-protected and decrease rates of unprotected sexual activity; and (5) reduce rates of drug reinvolvement following discharge. By experimentally evaluating two theoretically driven HIV-risk reduction interventions and comparing both to a condition which controls for time, history, attention, and the effects of being in drug treatment, this study will attempt to identify a practical prevention intervention for women in drug treatment and assess maintenance and generalization for 12 months after discharge.

描述：（申请人的摘要） 药物治疗中的妇女由于高 风险性活动和高风险性环境通常与 获取和食用药物；吸毒；生理脆弱性 性传播疾病和艾滋病毒；以及社会，文化和经济 干扰实施自我保护行为的障碍。 这 申请建议比较（1）行为技能培训（BST） 基于社会认知理论（2） 基于动机增强（ME）和 性别与权力理论； （3）一个控制教育计划 生殖健康（RH）； 150名在药物治疗的妇女将是 为每种条件招募，将在12个月内进行评估 出院后的随访期。 假设是两种干预措施 与控制条件相比，（1）增加有关 艾滋病毒/艾滋病，自我效能感，对避孕套的态度以及对社会的看法 支持预防行为； （2）减少感知的障碍 使用避孕套； （3）产生更大的避孕套赎回优惠券； （4） 增加受避孕套保护的性交场合的比例 并降低未受保护的性活动的发生率； （5）降低率 使用注射药物的妇女中的针刺。 BST干预 与ME干预和RH对照相比，将改善 更安全的性谈判和高风险拒绝评估的社会能力 通过角色扮演模拟。 与BST相比，ME干预 RH控制将提高自我效能感，对使用避孕套的态度 对预防行为的社会支持的看法； （2）减少 避孕套使用的障碍； （3）产生更大的避孕套交换 赎回优惠券； （4）增加性交场合的比例 保护避孕套并降低未受保护的性行为的发生率 活动; （5）降低出院后的药物重新涉及率。 通过实验评估两个理论驱动的HIV风险降低 干预措施和将两者都与控制时间控制的条件进行比较， 历史，注意力以及在药物治疗中的影响，这项研究 将尝试确定对妇女的实际预防干预措施 药物治疗并评估维护和概括后12个月 释放。