REDUCING HIV & DOMESTIC VIOLENCE RISK IN WOMEN OFFENDERS

描述：(摘自摘要)。马尔特诺玛县卫生局和 俄勒冈州卫生局提出了一项随机对照试验，以测试两个 减少女性罪犯艾滋病毒相关危险行为的干预措施 暴露于家庭暴力。870名HIV血清阴性的女性罪犯处于危险之中 感染艾滋病毒的女性(即，注射毒品、吸毒、性伴侣 吸毒者，或以性交易换取毒品、金钱或生计)将被招募 通过在县监狱现有的艾滋病毒检测点进行外展。在他们的 出狱后，参与者将被随机分配到三项研究中的一项 条件：在控制条件下的参与者将获得 关怀-转介所需服务。处于艾滋病毒预防状态的妇女将 接受为期三个月的病例管理和密集的艾滋病毒风险降低 干预。降低风险的干预将由多个会议组成 激励增强程序旨在评估参与者的 艾滋病毒危险行为，提供反馈，评估行为改变的准备情况，以及 制定量身定做的、基于阶段的行为改变干预措施。行为上的 该计划将在下一次干预会议上进行审查。艾滋病毒和艾滋病领域的女性 预防家庭暴力的情况将得到同样的干预 处于第二种情况的人，加上对 防止家庭暴力和被迫从事危险活动。所有参与者 将完成面对面的评估访谈，以衡量他们与毒品有关的情况 行为，性危险行为，家庭暴力经历， 心理幸福感、行为自我效能感与人际关系过程。 评估将在注册时进行，在干预完成时进行 (4个月)和后续行动(7个月和10个月)。艾滋病毒抗体检测将 发生在基线和第10个月。潜在增长建模技术将 用于调查艾滋病毒预防干预是否有助于 减少艾滋病毒性行为和针头危险行为，并调查是否 增加家庭暴力预防部分与进一步 减少艾滋病毒危险行为或减少家庭暴力 风险活动。这些干预措施对假想的中介人的影响 危险行为也将被确定。回归和配置文件技术将 用于确定与减少 危险行为。

DESCRIPTION: (Taken from abstract). The Multnomah County Health Department and the Oregon Health Division propose a randomized controlled trial to test two interventions to reduce women offenders' HIV-related risk behavior and exposures to domestic violence. 870 HIV seronegative female offenders at risk of HIV infection (i.e., females who inject drugs, use crack, are sex partners of IDUs, or trade sex for drugs, money, or subsistence) will be recruited through outreach at existing county jail HIV testing sites. Subsequent to their release from jail, participants will be randomly assigned to one of three study conditions: Participants in the control condition will receive the standard of care-referrals for needed services. Women in the HIV prevention condition will receive three-month case management and intensive HIV risk reduction intervention. The risk reducing intervention will consist of multiple sessions of a motivational enhancement procedure designed to assess the participant's HIV risk behaviors, give feedback, assess readiness for behavior change, and develop a tailored, stage-based behavior change intervention. The behavioral plan will be reviewed at the next intervention session. Women in the HIV and domestic violence prevention condition will receive the same intervention as those in the second condition, plus assessment and intervention for the prevention of domestic violence and coerced risk activity. All participants will complete face-to-face assessment interviews measuring their drug-related behaviors, sexual risk behaviors, experiences of domestic violence, psychological well being, behavioral self-efficacy and relationship processes. Assessments will occur at enrollment, at the completion of the intervention (month 4), and follow-ups (months 7 and 10). Testing for HIV antibodies will occur at baseline and at month 10. Latent growth modeling techniques will be used to investigate whether the HIV prevention intervention facilitates reduction in HIV sexual and needle risk behaviors, and to investigate if the addition of a domestic violence prevention component is associated with further reductions in HIV risk behaviors or reductions in domestic violence and coerced risk activity. The effects of these interventions on hypothesized mediators of risk behaviors will also be determined. Regression and profile techniques will be used to identify participant characteristics related to the reduction of risk behaviors.