BEHAVIORAL AIDS RISK REDUCTION WITH MINORITY ADOLESCENTS

此应用程序请求提供资金以评估基于社区的 减少艾滋病风险的行为培训，以帮助少数族裔青少年 减少导致艾滋病毒感染风险的活动。作为联合调查员 在过去的5年里，这位调查员合作了一个小组 建立行为改变对风险影响的干预模型 教育，自我管理培训，性自信，解决问题， 以及针对艾滋病高危男同性恋者的健康信念培训。这个 干预措施大大降低了风险，并得到了很好的维持 行为。拟议的调查将调整和评估这一模式。 少数族裔青少年。城市地区的少数民族青少年 以贫困、吸毒、高青少年怀孕率和高性病为特征 流行率代表艾滋病毒感染风险较高的人群，但有 为此，很少有艾滋病风险降低干预措施的受控评价 人口。这项拟议的研究将从一所小学招募240名青少年 为密西西比州杰克逊市低收入居民提供服务的医疗保健诊所。 120名青少年将被随机分配参加8节课 基于行为原则的团体干预和120名青少年将 被随机分配到教育控制条件。在此之前 干预，训练后，并在12个月的随访中，所有受试者将 艾滋病风险知识、同伴知觉的完整评估措施 社会规范、性价值观、自我价值观、自我报告和自我监控 性和物质使用行为，以及角色扮演中的行为技能 对强制风险情况的模拟。作为佐证措施，STD 怀孕信息将从医疗记录中收集，然后 干预后12个月。服用避孕套将被作为一种 性行为中使用避孕套行为意向的非显着性测量 活动。多变量数据分析将比较实验和 对照组对干预效果进行评价。据推测， 试验组受试者的知识水平更高，风险水平更低 通过自我报告和自我监控记录评估的行为，更多 在角色扮演方面行为熟练，能感受到更大的同伴支持 为了安全，支持与预防行为一致的个人价值观， 有证据表明，干预后的性病和妊娠率低于对照组 分组受试者。如果成功，干预模式将被传播 到为少数族裔青少年服务的环境。这项研究也将产生 与青少年怀孕预防相关的数据。

This application requests funding to evaluate the impact of community-based behavioral AIDS risk reduction training to assist minority adolescents in reducing activities which confer HIV infection risk. As co-investigator over the past 5 years, the investigator has collaborated on a group intervention model that established the behavior change impact of risk education, self-management training, sexual assertiveness, problem-solving, and health beliefs training for gay men at high AIDS risk. The intervention produced substantial and well maintained reductions in risk behavior. The proposed investigation will adapt and evaluate this model with minority adolescents. Minority adolescents in urban areas characterized by poverty, drug use, high teen pregnancy rates, and high STD prevalence represent a population at high HIV infection risk, yet there are few controlled evaluations of AIDS risk reduction interventions for this population. The proposed study will recruit 240 adolescents from a primary health care clinic serving low income residents in Jackson, Mississippi. 120 teenagers will be randomly assigned to participate in an 8-session group intervention based on behavioral principles and 120 adolescents will be randomly assigned to an education control condition. Before intervention, after training, and at 12-month followup, all subjects will complete assessment measures of AIDS risk knowledge, perceptions of peer social norms, sexual values, self values, self-reported and self-monitored sexual and substance use behavior, and behavioral skill in role play simulations of coercive risk situations. As corroborative measures, STD and pregnancy information will be collected from medical records before and 12 months after the intervention. Condom-taking will be monitored as an unobtrusive measure of behavioral intentions to use condoms during sexual activity. Multivariate data analysis will compare the experimental and control groups to evaluate the intervention. It is hypothesized that experimental group subjects will be higher in knowledge, lower in risk behavior as assessed by self-report and self-monitoring records, more behaviorally skilled in role play enactments, perceive greater peer support for safety, endorse personal values consistent with precautionary behavior, and evidence lower STD and pregnancy rates after intervention than control group subjects. If successful, the intervention model will be disseminated to settings serving minority adolescents. This research will also yield data relevant to teen pregnancy prevention.