MULTICULTURAL OUTREACH FOR HIV /AIDS /DRUG RISKS

艾滋病毒感染正迅速从城市地区转移到小城镇和农村 疫情可能迅速对人们造成破坏性影响的地区 当地少数人口的生存能力。 本地人面临特别高的风险 美国人和其他少数群体滥用有艾滋病毒风险的药物和 性规范和文化塑造的健康信仰体系已经离开了他们 艾滋病预防广播媒体和城市都相对难以接触到 街道外展预防干预措施的风格。 我们提议的项目针对几个农村高风险文化群体 已被艾滋病毒外展预防研究所忽视。 其总体 目的是开发、实施和评估创新 与文化塑造的外展干预方法相比 传统的外展活动在减少艾滋病毒感染方面显然更有效。 冒险行为，同时增加预防意图。 该项目的 四个民族目标群体是纳瓦霍族和霍皮族美洲原住民、西班牙裔 和盎格鲁人。 干预的目标对象是 IVDU、非 IV 药物滥用者、他们的性伴侣以及其他 生活方式使他们感染艾滋病毒的风险更高。 该项目将 由跨学科的研究人员协作团队进行 以及在民族志方面经验丰富的顾问。 艾滋病毒/艾滋病预防和 流行病学研究和社区干预评估 研究。 项目第一阶段涉及风险环境的准备图和 民族志调查以确定有效的、文化上适当的 实验性外展干预措施的要素加上 监测/监视策略。 第 2 阶段（从 01 年 4 月开始） 季度）实施了一项准实验研究，测试相对 干预策略的有效性。 使用前和后 干预加上过程和结果变量的后续评估。 两种外展干预措施都包括使用自然话语和 文化上适当的隐喻，但其传统上是说教性的 降低风险的信息传输，而另一个则使用增强的 许多农村少数民族传统上使用基于故事的方法 尤其是在美洲原住民文化中。

HIV infection is rapidly moving from urban areas to smaller towns and rural areas where the epidemic can quickly have devastating effects on the viability of small local populations. At particularly high risk are Native Americans and other minority groups whose HIV-risking substance abuse and sexual norms and culturally shaped health belief systems have left them relatively inaccessible to both AIDS prevention broadcast media and urban styles of street outreach preventive interventions. Our proposed project addresses several rural high risk cultural groups that have been neglected by HIV outreach prevention research. Its overall purpose is the development, implementation and evaluation of an innovative method of culturally shaped outreach intervention which as compared to conventional outreach would be demonstrably superior in reducing HIV- risking behaviors while increasing preventive intentions. The project's four ethnic target groups are Navajo and Hopi Native Americans, Hispanics and Anglos. The targeted subjects for intervention are IVDU's, non-IV substance abusers, their sexual partners, and other individuals whose lifestyles place them at higher risk for HIV infection. The project would be conducted by an interdisciplinary collaborative team of investigators and consultants experienced in ethnography. HIV/AIDS prevention and epidemiologic research, and evaluation of community based intervention studies. Project Phase 1 involves preparatory mapping of risk environments and ethnographic investigations to define effective, culturally appropriate elements of the experimental outreach interventions plus the monitoring/surveillance strategies. Phase 2 (beginning 01 year 4th quarter) implements a quasi-experimental study testing the relative effectiveness of the intervention strategies. Using pre and post- intervention plus follow-up assessments of process and outcome variables. Both outreach interventions include the use of natural discourse and culturally appropriate metaphors, but one is conventionally didactic in its risk-reduction information transmission while the other uses an enhanced story-based approach which is traditionally used by many rural minorities and in Native American cultures in particular.