REDUCING HIV & DOMESTIC VIOLENCE RISK IN WOMEN OFFENDERS

减少艾滋病毒

• 批准号: 6346451
• 负责人: MICHAEL J STARK
• 金额: $ 0.34万
• 依托单位: MULTNOMAH COUNTY HEALTH DEPARTMENT
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-02-10 至 2004-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6346451
• 关键词: AIDS education /prevention; HIV infections; clinical research; disease /disorder proneness /risk; female; health behavior; human subject; intravenous drug abuse; motivation; needle sharing; safe sex /sex abstinence; sex partner; spouse abuse; violence

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.

描述：（摘自摘要）。穆特诺玛县卫生局和 俄勒冈州卫生部提出了一项随机对照试验， 采取干预措施，减少女性罪犯与艾滋病毒相关的风险行为， 暴露于家庭暴力。870名艾滋病毒血清反应阴性的高危女性罪犯 艾滋病毒感染（即，注射毒品的女性，使用快克，是性伴侣 注射吸毒者，或以性换取毒品，金钱或生计）将被招募 通过在现有的县监狱艾滋病毒检测点进行外联。的随后 从监狱释放后，参与者将被随机分配到三项研究之一， 条件：控制条件下的参与者将获得 护理-为需要的服务提供转诊服务。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强化艾滋病毒风险降低 干预风险降低干预将包括多个阶段 动机增强程序，旨在评估参与者的 艾滋病毒风险行为，提供反馈，评估行为改变的准备情况， 制定量身定制的、基于阶段的行为改变干预措施。行为 将在下次干预会议上审查该计划。妇女在艾滋病毒和 家庭暴力预防条件将得到同样的干预， 第二种情况的人，加上对 防止家庭暴力和强迫风险活动。所有参与者 将完成面对面的评估访谈， 行为，性风险行为，家庭暴力经历， 心理健康、行为自我效能和关系过程。 评估将在入组时、干预完成时进行 （第4个月）和随访（第7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是 用于调查艾滋病预防干预措施是否有助于 减少艾滋病毒性行为和针头风险行为，并调查 增加预防家庭暴力的内容， 减少艾滋病毒风险行为或减少家庭暴力和胁迫 风险活动。这些干预措施对假设的介质的影响， 风险行为也将被确定。回归和剖面技术将 用于确定与减少 风险行为