HIV/AIDS PREVENTION AND PACIFIC ISLANDER ADOLESCENTS

描述（改编自摘要）：少数民族，特别是 妇女和青少年受艾滋病毒/艾滋病的影响特别大。 的 美国的太平洋岛民和所有移民一样， 群体，正在成长。 作为一个独特的民族，太平洋岛民不是 在他们的社区之外得到很好的理解，这反映了他们缺乏 联邦政府资助的健康研究，重点是他们的需求。 目前 记录在案的艾滋病患者人数相对较低;但 类别和文化特征类似于其他群体的数据， 发病率急剧上升 艾滋病预防行为研究领域的一个令人失望的问题是， 教育项目缺乏积极的长期变化，特别是 针对青少年的。 此外，很少有严格的评估， 这些项目是为了测试他们的文化敏感性， 的特异性 建议的研究是基于社区参与，以促进 健康的行为与文化上适当的干预。 的 当地太平洋岛民社区表达的需求是增加 提高青少年对性传播疾病和艾滋病的认识。 为了防止 关于青少年艾滋病毒/艾滋病问题，调查员提出以下具体建议： 她的研究项目的目的：（1）提供一个民族志描述， 太平洋岛民与艾滋病有关的疾病预防信念和行为 （2）制定对文化敏感的青少年健康和艾滋病 预防方案，（3）试点测试方案的可行性， (a)招聘战略和留住人才的方法，（B）参与者的反应 （c）对执行模式中文化上具体的内容作出反应， 干预，以及d）对干预组成部分的反应。 干预 将通过民族志了解情况，并将采取参与性行动， 战略，深入访谈的知识，态度和做法 与艾滋病毒/艾滋病和性传播疾病有关的问题，以及重点小组， 预防方案。 这项研究的意义将是 为预防艾滋病的流行病学研究提供数据， 青少年，研究人员与其他群体使用的方法， 不同的社区，以及后续研究测试的试点数据 预防计划的有效性。

DESCRIPTION (adapted from the Abstract): Ethnic minorities, particularly women and adolescents, are disproportionately affected by HIV/AIDS. The population of Pacific Islanders in the United States, like all immigrant groups, is growing. As a distinct ethnic group, Pacific Islanders are not well understood outside their community, reflecting the a paucity of federally funded health research focusing on their needs. Currently, the documented number of persons with AIDS is relatively low; but exposure categories and cultural features resemble data of other groups who are currently showing dramatic increases in incidence. One disappointment in the area of behavioral research on HIV prevention is the lack of positive long-term change from education programs, particularly those targeting adolescents. Moreover, few if any rigorous evaluations of these programs have been conducted to test their cultural sensitivity and specificity. The proposed research is based on community participation to promote healthful behavior with an intervention that is culturally appropriate. The need expressed within the local Pacific Islander community is to increase knowledge among adolescents about STDs and AIDS. In order to prevent HIV/AIDS among adolescents, the Investigator proposes the following specific aims for her research project: (1) provide an ethnographic description of Pacific Islanders disease prevention beliefs and behaviors related to AIDS and STDs, (2) develop a culturally sensitive adolescent health and AIDS prevention program, and (3) pilot test the feasibility of the program for (a) recruitment strategies and retention methods, (b) participant response to delivery modes, (c) response to culturally specific elements of the intervention, and d) response to intervention components. The intervention will be informed by the ethnography and will employ participatory action strategies, in depth interviews on knowledge, attitudes, and practices related to HIV/AIDS and STDs, and focus groups to develop a peer group prevention program. The significance of this research will be the production of data for epidemiologic studies for AIDS prevention in adolescents, a methodology to be used by researchers with other groups in different communities, and pilot data for a subsequent study to test rigorously efficacy of the prevention program.