PROMOTING ADOPTION OF SAFER SEX PRACTICES IN YOUNG WOMEN

促进年轻女性采取更安全的性行为

• 批准号: 6165373
• 负责人: DELIA SCHOLES
• 金额: $ 40.74万
• 依托单位: KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-05-01 至 2002-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6165373
• 关键词: AIDS education /prevention; behavioral /social science research tag; clinical research; clinical trials; condoms; female; health education; human subject; safe sex /sex abstinence; self help; sex behavior; sexually transmitted diseases; young adult human (21-34)

DESCRIPTION (Applicant's Abstract): Primary prevention through behavioral change remains the principal means of controlling the acquisition and spread of sexually-transmitted infections, most notably HIV. Although behavioral risk factors for sexually-transmitted diseases (STDs) are known, effective intervention strategies continue to be needed. Young women at risk for heterosexual acquisition or transmission of STDs are in particular need of effective intervention. Proposed is a randomized trial evaluating the effectiveness of a theory-based self-help behavior change intervention to increase condom use among young women at increased risk for heterosexually-transmitted HIV/STD. For this trial, 1,200 non-pregnant, sexually-active unmarried women 18-24 years of age will be recruited from two managed care sites: Group Health Cooperative of Puget Sound and Duke Family Medicine Clinic. Eligible women will be randomized to either a usual care control or to a tailored self-help intervention group. The intervention group will receive a self-help booklet addressing cognitive and behavioral factors associated with condom use along with a safer sex gift package and an introductory cover letter that has been tailored to their individual characteristics (as identified in a baseline survey). A booster tailored newsletter will be sent after the first follow-up survey. Control and intervention participants will be surveyed by telephone 2 and 6 months after randomization to assess changes in risk perception, self-efficacy and intentions to use condoms, and condom use. This randomized trial aims to develop and evaluate a behavior change intervention that, if proven effective, could be applied in a wide variety of health care settings.

描述（申请人摘要）：通过行为的一级预防 变化仍然是控制收购和传播的主要手段 性传播感染，尤其是艾滋病。 虽然行为 性传播疾病（STD）的风险因素是已知的，有效的 仍然需要采取干预战略。 年轻女性面临的风险 异性性接触感染或传播性病特别需要 有效干预。 建议进行一项随机试验， 基于理论的自助行为改变干预的有效性， 增加面临更大风险的年轻妇女使用避孕套 异性性传播的艾滋病毒/性病。 在这项试验中，1,200名非孕妇， 18-24岁的性活跃未婚妇女将从 两个管理式护理站点：普吉特海湾和杜克团体健康合作社 家庭医学诊所 合格的女性将被随机分配到一个常规的 护理控制或量身定制的自助干预组。 的 干预组将收到一本自助小册子， 行为因素与安全套使用沿着安全性行为礼物 包装和介绍性的求职信，已量身定制，他们的 个人特征（如基线调查中确定的）。 增压 将在第一次后续调查后发送量身定制的通讯。 控制 和干预参与者将通过电话调查2和6个月 随机分组后，评估风险认知、自我效能和 使用避孕套的意愿和避孕套的使用情况。 这项随机试验旨在 制定和评估行为改变干预措施，如果得到证实， 有效，可以应用于各种各样的医疗保健环境。

项目成果

Factors associated with condom use among at-risk women students and nonstudents seen in managed care.

在管理式护理中看到的高危女学生和非学生中与安全套使用相关的因素。

• DOI: 10.1016/s0091-7435(03)00109-9
• 发表时间: 2003
• 期刊: Preventive medicine
• 影响因子: 5.1
• 作者: Yarnall,KimberlySH;McBride,ColleenM;Lyna,Pauline;Fish,LauraJ;Civic,Diane;Grothaus,Louis;Scholes,Delia
• 通讯作者: Scholes,Delia

Primary care: Is there enough time for prevention?

• DOI: 10.2105/ajph.93.4.635
• 发表时间: 2003-04-01
• 期刊: AMERICAN JOURNAL OF PUBLIC HEALTH
• 影响因子: 12.7
• 作者: Yarnall, KSH;Pollak, KI;Michener, JL
• 通讯作者: Michener, JL