MULTICULTURAL OUTREACH FOR HIV/AIDS/DRUG RISKS

艾滋病毒/艾滋病/毒品风险的多元文化外展

• 批准号: 3550418
• 负责人: ROBERT TALBOT TROTTER
• 金额: $ 55.29万
• 依托单位: NORTHERN ARIZONA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-07-01 至 1996-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3550418
• 关键词: AIDS education /prevention; HIV infections; Hispanic Americans; Native Americans; behavior modification; cooperative study; culture; disease /disorder proneness /risk; drug abuse education; ethnic group; health behavior; human subject; intravenous drug abuse; lifestyle; longitudinal human study; medical outreach /case finding; rural area; sex behavior; social model; socioenvironment

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.

艾滋病毒感染正在迅速从城市地区转移到较小的城镇和农村 流行病可以迅速对毁灭性影响的地区 当地小人群的生存能力。 特别高的风险是本地人 美国人和其他少数群体，他们的艾滋病毒滥用药物滥用和 性规范和具有文化形状的健康信念系统使他们留下了 艾滋病预防广播媒体和城市都相对无法访问 街道外展预防干预的样式。 我们拟议的项目解决了几个农村高风险文化群体 艾滋病毒外展预防研究已忽略了。 它的整体 目的是创新的开发，实施和评估 与文化形状的外展干预方法相比 传统的外展在减少HIV- 冒着行为的冒险，同时提高预防意图。 项目 四个民族目标群体是纳瓦霍人和霍皮族原住民，西班牙裔 和anglos。 干预的目标受试者是IVDU的非IV 滥用药物，他们的性伴侣和其他人 生活方式使他们处于艾滋病毒感染的风险更高。 该项目会 由研究人员的跨学科合作团队进行 和人种学经验丰富的顾问。 艾滋病毒/艾滋病预防 流行病学研究和基于社区干预的评估 研究。 项目第1阶段涉及风险环境的预备映射和 民族志研究以定义有效的，文化适当的调查 实验外展干预措施的元素以及 监视/监视策略。 第2阶段（从01年开始4日 季度）实施了一项准实验研究，测试了相对 干预策略的有效性。 使用前后 - 干预加上过程和结果变量的随访评估。 两种宣传干预措施都包括使用自然话语和 在文化上适当的隐喻，但通常是教义的 降低风险信息传输，而另一个使用增强 传统上，基于故事的方法被许多农村少数民族使用 特别是美国原住民文化。