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COMPREHENSIVE COMMUNITY BASED HIV/AIDS PREVENTION

基于社区的艾滋病毒/艾滋病综合预防

基本信息

批准号：
2886821
负责人：
Donald E Morisky
金额：
$ 39.3万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
1993
资助国家：
美国
起止时间：
1993-12-01 至 2003-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2886821
关键词：
AIDS education /prevention Philippines behavioral /social science research tag clinical research communication community health services health behavior health care personnel high risk behavior /lifestyle human subject mathematical model medical outreach /case finding military personnel occupations police psychological models self concept sex behavior

项目摘要

Our previous research efforts focused on STD and HIV prevention for Commercial sex workers (CSWs) and manager/supervisors of establishments which employ them in Philippines. Based on the sucessful results of individual and organization based approaches consisting of peer education and organization change (including educational policy regarding STD prevention and condom use), an expanded program is being conceptualized in our current intervention sites in the southern Philippines. The expanded effort is directed toward high-risk groups outside the commercial Sex establishments and Social Hygiene Clinics where we have successfully implemented organizational changes leading to significant reductions in STD. Included in the cxpanded effort are male clients of CSWs from high-risk communities, military/police, indussrial workers, and taxicab drivers. The expanded efforts will also include high-risk communities, community officials and health care personnel. The objective-of this comprehensive intervention is to build an exploratory model to examine the value expectancies, community norms and values, and social influences on the behaviors and attitudes associated with safer sexual practices. A theoretical/conceptual model consisting of self- efficacy, self-esteem, communication of condom use between client and worker, and intention to use condoms has been developed to examine the relationship between endogenous and exogenous variables. Four, two group quasi-experimental designs wlll be employed with intervention efforts for CSWs and managers as a standard across all four sites. Specifically, interventions will be implemented separately for health workers, industries, high-risk communities, military/police and taxi/pedicab drivers in one of four sites with a second site serving as a control. Approximately 7,000 individuals will participate in the intervention activities. A series of bivariate and multivariate procedures will be used to examine the effects of the intervention including the use of use of structural equation modeling to examine the causal structure between endogenous and exogenous variables. The outcome variables also include type of STD and cost per prevented STD case. In addition, qualitative analyses will be used to identify the process by which the interventions become institutionalized thus maintaining long term effects in the community.

我们以前的研究工作主要集中在性病和艾滋病毒的预防为商业性工作者（CSW）和经理/主管在菲律宾雇用他们的机构。基于基于个人和组织的方法的成功结果包括同伴教育和组织变革（包括关于预防性传播疾病和使用避孕套的教育政策），我们目前正在构思一项扩展计划，菲律宾南部的干预地点。扩大的努力是针对商业性以外的高危人群我们在这些机构和社会卫生科诊所设有成功实施组织变革，大大降低了STD。包括在扩展的努力是来自高风险社区、军队/警察、工业工人和出租车司机。扩大的努力将还包括高风险社区、社区官员和卫生护理人员。这种全面干预的目的是建立一个探索性的模型来检验期望、社区规范和价值观以及社会影响与安全性行为相关的行为和态度实践一个理论/概念模型，包括自我- 有效性，自尊，安全套使用沟通客户和工人，并打算使用避孕套，研究了内源性和外生变量四、二组准实验设计将与对CSW的干预工作一起使用，管理人员作为所有四个站点的标准。具体地说，干预措施将单独针对卫生工作者实施，工业、高风险社区、军队/警察和出租车/三轮车驱动程序在四个站点之一，第二个站点作为控制。大约7,000人将参加干预活动。一系列二元和多元将使用程序来检查干预的效果包括使用结构方程建模，考察内生与外生之间的因果结构变量结果变量还包括性病的类型，每个预防性传播疾病病例的成本。此外，定性分析将用于确定干预措施成为制度化，从而保持长期的影响，社区

项目成果

期刊论文数量（19）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Psychiatric morbidity in HIV-infected male prisoners.

DOI：
10.1016/s0929-6646(10)60040-x
发表时间：
2010-03
期刊：
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
影响因子：
3.2
作者：
Peng, Eugene Yu-Chang;Lee, Ming-Been;Morisky, Donald Edward;Yeh, Ching-Ying;Farabee, David;Lan, Yu-Ching;Chen, Yi-Ming Arthur;Lyu, Shu-Yu
通讯作者：
Lyu, Shu-Yu

Impact of Social and Structural Influence Interventions on Condom Use and Sexually Transmitted Infections Among Establishment-Based Female Bar Workers in the Philippines.