ZIMBABWE--COMMUNITY INTERVENTION TO REDUCE HIV/STD RISK
津巴布韦——降低艾滋病毒/性病风险的社区干预
基本信息
- 批准号:6093784
- 负责人:
- 金额:$ 79.09万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2000
- 资助国家:美国
- 起止时间:2000-09-30 至 2004-08-31
- 项目状态:已结题
- 来源:
- 关键词:AIDS education /prevention Africa African adolescence (12-20) behavioral /social science research tag clinical research community health services cooperative study health services research tag human subject longitudinal human study public opinion rural area safe sex /sex abstinence young adult human (21-34)
项目摘要
The AIDS pandemic continues to spread at an alarming rate, particularly in Southern Africa. No vaccine is expected to become available and the cost for effective treatment is prohibitive to most developing counties which support the majority of AIDS cases. There is a clear need to prevent HIV through behavior change in developing countries where the epidemic is having devastating cultural and economic impacts. The public opinion leader community-level intervention, based on the theory of diffusion of innovation, has been shown to be effective in the US. This is an effective, self-perpetuating intervention which, if appropriately adapted, could be effective in resource poor settings with emerging HIV epidemics. Zimbabwe is one such country in southern Africa which requires immediate, innovative interventions to stem rapid spread of the virus. while overall HIV prevalence in Zimbabwe is as high as 30% among adults aged 20A9, rates among youth less than 20 years old are low (.66% nationally), creating the unique opportunity to intervene before this generation becomes infected. In collaboration with three other NIMH funded AIDS Collaborative Teams (ACTs) and a Data Coordinating Center (DCC), we intend to adapt, implement and evaluate the public opinion leader community level intervention model among youth aged 16-20 in rural areas of Zimbabwe. An ethnographic study with community assessment in 24 communities and ethnographic interviews in 8 communities will be conducted to design the intervention protocol. The intervention and surveys will be field tested in one pilot community and the protocol and instruments modified if necessary. The intervention will then be implemented in 16 communities randomized to either intervention or control conditions. Measures to assess changes in Exposure, Intermediate, Behavioral and Biologic outcomes will be collected through interviews and biologic samples from 240 youth in each of the 16 sites. Measures will be obtained pre-intervention and post-intervention at 12 and 24 months. For ethical reasons, the intervention will also be implemented in the control sites one year after the intervention sites. The process of adapting and implementing the community public opinion leader model will be documented in all four NIMH ACT study sites, increasing the generalizeability of the results. Overall, the prevention trial will provide essential information about the procedures required to successfully apply the community-based public opinion leader intervention model in a broad range of settings and cultures.
艾滋病大流行继续以惊人的速度蔓延,特别是在南部非洲。预计不会有疫苗可用,有效治疗的费用对大多数支持大多数艾滋病病例的发展中国家来说是令人望而却步的。显然有必要通过改变发展中国家的行为来预防艾滋病毒,在这些国家,艾滋病毒的流行正在产生破坏性的文化和经济影响。基于创新扩散理论的舆论领袖社区干预在美国被证明是有效的。这是一种有效的、自我延续的干预措施,如果适当调整,在资源匮乏、艾滋病毒新流行的情况下可能会有效。津巴布韦是南部非洲的一个这样的国家,它需要立即采取创新的干预措施来阻止病毒的快速传播。虽然津巴布韦20A9岁成年人的艾滋病毒总流行率高达30%,但20岁以下青年的感染率很低(全国为0.66%),这为在这一代人感染之前进行干预创造了独特的机会。我们打算与NIMH资助的其他三个艾滋病协作组(ACTS)和一个数据协调中心(DCC)合作,在津巴布韦农村地区16-20岁的年轻人中调整、实施和评估舆论领袖社区一级干预模式。将在24个社区进行带有社区评估的民族志研究,并在8个社区进行民族志访谈,以设计干预方案。干预和调查将在一个试点社区进行实地测试,必要时对方案和手段进行修改。然后,干预将在16个社区实施,随机分为干预或对照条件。评估暴露、中间体、行为和生物结果变化的措施将通过采访和16个地点每个地点的240名青年的生物样本来收集。干预措施将在干预前和干预后12个月和24个月进行。出于道德原因,干预也将在干预地点一年后在对照地点实施。NIMH ACT的所有四个研究站点都将记录适应和实施社区舆论领袖模式的过程,从而增加结果的普适性。总体而言,预防试验将提供有关在广泛的环境和文化中成功应用以社区为基础的舆论领袖干预模式所需程序的基本信息。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Danuta Kasprzyk其他文献
Danuta Kasprzyk的其他文献
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{{ truncateString('Danuta Kasprzyk', 18)}}的其他基金
Psychosocial Support to HIV/AIDS Affected Children in Zimbabwe
为津巴布韦受艾滋病毒/艾滋病影响的儿童提供心理社会支持
- 批准号:
7059261 - 财政年份:2005
- 资助金额:
$ 79.09万 - 项目类别:
Psychosocial Support to HIV/AIDS Affected Children in Zimbabwe
为津巴布韦受艾滋病毒/艾滋病影响的儿童提供心理社会支持
- 批准号:
7254927 - 财政年份:2005
- 资助金额:
$ 79.09万 - 项目类别:
Psychosocial Support to HIV/AIDS Affected Children in Zimbabwe
为津巴布韦受艾滋病毒/艾滋病影响的儿童提供心理社会支持
- 批准号:
7128123 - 财政年份:2005
- 资助金额:
$ 79.09万 - 项目类别:
Psychosocial Support to HIV/AIDS Affected Children in Zimbabwe
为津巴布韦受艾滋病毒/艾滋病影响的儿童提供心理社会支持
- 批准号:
7470129 - 财政年份:2005
- 资助金额:
$ 79.09万 - 项目类别:
Psychosocial Support to HIV/AIDS Affected Children in Zimbabwe
为津巴布韦受艾滋病毒/艾滋病影响的儿童提供心理社会支持
- 批准号:
7649565 - 财政年份:2005
- 资助金额:
$ 79.09万 - 项目类别:
ZIMBABWE--COMMUNITY INTERVENTION TO REDUCE HIV/STD RISK
津巴布韦——降低艾滋病毒/性病风险的社区干预
- 批准号:
6528790 - 财政年份:2000
- 资助金额:
$ 79.09万 - 项目类别:
Zimbabwe: Community Intervention to Reduce HIV/STD Risk
津巴布韦:社区干预降低艾滋病毒/性病风险
- 批准号:
7123436 - 财政年份:2000
- 资助金额:
$ 79.09万 - 项目类别:
ZIMBABWE--COMMUNITY INTERVENTION TO REDUCE HIV/STD RISK
津巴布韦——降低艾滋病毒/性病风险的社区干预
- 批准号:
6666786 - 财政年份:2000
- 资助金额:
$ 79.09万 - 项目类别:
ZIMBABWE--COMMUNITY INTERVENTION TO REDUCE HIV/STD RISK
津巴布韦——降低艾滋病毒/性病风险的社区干预
- 批准号:
6392782 - 财政年份:2000
- 资助金额:
$ 79.09万 - 项目类别:
ZIMBABWE--COMMUNITY INTERVENTION TO REDUCE HIV/STD RISK
津巴布韦——降低艾滋病毒/性病风险的社区干预
- 批准号:
6650099 - 财政年份:2000
- 资助金额:
$ 79.09万 - 项目类别:
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