HIV/AIDS PREVENTION AND PACIFIC ISLANDER ADOLESCENTS

描述(改编自摘要)：少数民族，特别是 妇女和青少年受艾滋病毒/艾滋病的影响不成比例。这个 美国太平洋岛民的人口，就像所有移民一样 团体的数量在不断增长。作为一个独特的种族群体，太平洋岛民并不 在他们的社区之外被很好地理解，反映出缺乏 联邦政府资助的关注他们需求的健康研究。目前， 记录在案的艾滋病患者人数相对较低；但接触 类别和文化特征类似于其他群体的数据 目前显示发病率急剧上升。 在预防艾滋病毒的行为研究领域，一个令人失望的问题是 教育方案缺乏积极的长期变化，特别是 那些针对青少年的。此外，几乎没有任何严格的评估 这些项目是为了测试他们的文化敏感性和 专一性。 建议的研究是基于社区参与来推动 健康的行为，并进行文化上适当的干预。这个 在当地太平洋岛民社区内表达的需求是增加 对青少年进行性病和艾滋病知识调查。为了防止 关于青少年中的艾滋病毒/艾滋病，调查员提出了以下具体建议 她研究项目的目标：(1)提供人种学描述 太平洋岛民艾滋病相关疾病预防信念和行为 和性传播疾病，(2)培养对文化敏感的青少年健康和艾滋病 预防方案，以及(3)对该方案的可行性进行中试 (A)招聘战略和留用方法，(B)参与者答复 对交付方式的反应；(C)对文化因素的反应 干预，以及d)对干预组件的响应。干预措施 将由人种学提供信息，并将采取参与性行动 战略，关于知识、态度和实践的深入访谈 与艾滋病毒/艾滋病和性传播疾病有关的问题，以及建立同龄人小组的重点小组 预防计划。这项研究的意义将是 #年艾滋病预防流行病学研究数据的编制 青少年，这是一种研究人员与其他群体一起使用的方法 不同的社区，以及用于后续研究测试的试点数据 预防计划的严格效力。

DESCRIPTION (adapted from the Abstract): Ethnic minorities, particularly women and adolescents, are disproportionately affected by HIV/AIDS. The population of Pacific Islanders in the United States, like all immigrant groups, is growing. As a distinct ethnic group, Pacific Islanders are not well understood outside their community, reflecting the a paucity of federally funded health research focusing on their needs. Currently, the documented number of persons with AIDS is relatively low; but exposure categories and cultural features resemble data of other groups who are currently showing dramatic increases in incidence. One disappointment in the area of behavioral research on HIV prevention is the lack of positive long-term change from education programs, particularly those targeting adolescents. Moreover, few if any rigorous evaluations of these programs have been conducted to test their cultural sensitivity and specificity. The proposed research is based on community participation to promote healthful behavior with an intervention that is culturally appropriate. The need expressed within the local Pacific Islander community is to increase knowledge among adolescents about STDs and AIDS. In order to prevent HIV/AIDS among adolescents, the Investigator proposes the following specific aims for her research project: (1) provide an ethnographic description of Pacific Islanders disease prevention beliefs and behaviors related to AIDS and STDs, (2) develop a culturally sensitive adolescent health and AIDS prevention program, and (3) pilot test the feasibility of the program for (a) recruitment strategies and retention methods, (b) participant response to delivery modes, (c) response to culturally specific elements of the intervention, and d) response to intervention components. The intervention will be informed by the ethnography and will employ participatory action strategies, in depth interviews on knowledge, attitudes, and practices related to HIV/AIDS and STDs, and focus groups to develop a peer group prevention program. The significance of this research will be the production of data for epidemiologic studies for AIDS prevention in adolescents, a methodology to be used by researchers with other groups in different communities, and pilot data for a subsequent study to test rigorously efficacy of the prevention program.