AIDS PREVENTION AMONG YOUNG INNER-CITY WOMEN

强调艾滋病相关信息的预防性干预 行为能力将针对怀孕的市中心进行 女人。选择怀孕的市中心妇女是因为她们在 最高风险的异性恋群体，因为艾滋病毒感染危及 他们和他们的胎儿/婴儿。干预措施的设计是基于 健康模式表明个人行动计划和 自我能力，并基于压力模型，表明有必要 社会支持对采取新的应对方式的影响。这些发明是 也旨在解决强化新行为的一般问题 在训练环境之外。这两个艾滋病组的女性将 接受四期艾滋病能力培训，重点是 关于怀孕期间的一般健康和艾滋病的特殊关注或2) 四份艾滋病通讯加强了同样的艾滋病能力培训 根据目标人群的兴趣和阅读水平设计 思想。两个带轭的对照组将接受1)一般健康 能力培训(不针对艾滋病)或2)相同的一般情况 四份健康通讯加强了健康能力培训。这些 控制组允许检查一般情况下 健康能力可能足以导致艾滋病行为的改变， 鉴于艾滋病信息越来越多地通过媒体获得。 四个干预组中各有一半的女性也将 接受同行干预者的四次家访，旨在进一步 强化学习能力。第三个控制组将收到 只进行问卷调查，不进行干预，以控制为 历史和调查问卷本身的影响。问卷调查 将在干预前、干预后和干预后6个月给药。 据预测：1)艾滋病能力培训将更加有效 在影响人们采纳安全性行为方面 能力培训或不培训；2)接受进一步培训的群体 将加强培训(例如，时事通讯、社会支持) 比起那些没有接受治疗的人，更有可能采取更安全的性行为方式 这种强化；3)那些具有更大资源(例如，更大 掌握、自然的社会支持、年龄、收入和教育)将 与资源较少的人相比，从干预中获益更多；以及4) 那些拥有低资源的人只会受益于更密集的 社会干预。以生态的视角指导将军 干预策略。

A preventive intervention emphasizing both AIDS information related behavioral competencies will be conducted targeting pregnant inner-city women. Pregnant inner-city women were chosen because they are on of the highest risk heterosexual groups and because HIV infection endangers them and their fetus/infant. The interventions were designed based on health models that indicate the importance of personal action plans nd self-competency and based on stress models that suggest the need for social support in adopting new coping behaviors. The inventions were also designed to address in general problem of reinforcing new behaviors outside of the training environment. Women in the two AIDS groups will receive either 1) four sessions of AIDS competency training that focus on than general health during pregnancy and AIDS specific concerns or 2) the same AIDS competency training reinforced by four AIDS newsletters designed with interests and reading level of the target population in mind. Two yoked control groups will receive either 1) general health competency training (that does not target AIDS) or 2) the same general health competency training reinforced by four health newsletters. These control groups allow for examination of the possibility that general health competencies may be sufficient in producing AIDS behavior change, given that AIDS information is increasingly available through the media. Half of the women in each of the four intervention groups will also receive four home visits by peer interventionists aimed at further reinforcing learned competencies. A third control group will receive only the questionnaires and no intervention in order to control for the effects of history and the questionnaires themselves. Questionnaires will be administered before, following, and 6 months after intervention. It is predicted that:1) AIDS competency training will be more effective in influencing adoption of safer sex behaviors that general health competency training or no training; 2) that groups that receive further reinforcement of training (e.g., newsletters, social support) will be more likely to adopt safer sex practices than those who do not receive such reinforcement; 3) that those with greater resources (e.g., greater mastery, natural social support, age, income, and education) will benefit more from intervention that those with lower resources; and 4) that those with low resources will only benefit form the more intensive social intervention. An ecological perspective guides the general intervention strategy.