HIV RISK REDUCTION AMONG LATINAS--PROJECT SEPA

描述(申请人摘要)：拉丁裔预防艾滋病毒/艾滋病 急需之物。艾滋病在女性中的流行继续增加， 尤其是有色人种的女人。在芝加哥，艾滋病是导致死亡的首要原因 在25-44岁的拉丁裔中。目前还没有研究证明 为拉丁裔成年人量身定制的文化干预的有效性。这个 这项研究的具体目的是评估一项 针对特定文化的干预措施--SEPA项目--增加艾滋病毒 市中心墨西哥和波多黎各妇女的预防行为。这个 项目SEPA的内容和学习策略基于 艾滋病预防的综合社会学习模式显示出最多 有效增加艾滋病预防行为，修改为考虑到 考虑到拉丁裔人与性别不平等和 文化价值观和习俗。与文化相关的不平等问题 权力，基于大男子主义/马里亚尼斯主义冲突的文化价值 具体讨论了暴力的管理和预防。 以社区为基础的同龄人群体特别符合拉美文化。 干预的概念基础旨在促进以后 在不同社区复制干预措施。干预措施 将使用随机化的测试前/测试后比较设计 即刻、完成后3个月和6个月的后续评估 干预行动。大约768名性行为活跃的墨西哥人和波多黎各人- 18岁至40岁的里加女性将被招募到这项研究中。因为 单独的妇女(在干预条件下)嵌套在组内， 设计需要使用多层次(或层次分析)。任何 使用预试措施可以调整初始组差异，如下所示 回归模型中的协变量。这项研究的主要目的是 一种在文化上特定于拉丁裔需求的干预。 其他目标包括随机对照组和 纵向设计，包括测试前、测试后的数据采集点，3 1个月随访，6个月随访。该设计还可以控制 历史影响和语言通过随机化在浪潮和在 语言组。

DESCRIPTION (Applicant's Abstract): HIV/AIDS prevention for Latinas is urgently needed. The AIDS pandemic has continued to increase among women, especially women of color. In Chicago, AIDS is the leading cause of death among Latinas age 25-44 years. No research has documented the effectiveness of a culturally-tailored intervention for adult Latinas. The specific aim of this study is to evaluate the effectiveness of a culturally-specific intervention, Project SEPA, in increasing HIV prevention behaviors for inner city Mexican and Puerto-Rican women. The content and learning strategies of Project SEPA are based on the integrated social learning model of AIDS prevention shown to be the most effective in increasing Aids prevention behaviors, modified to take into account the special needs of Latinas related to gender inequality and cultural values and practices. The culturally-relevant issues of unequal power, based on the cultural value of Machismo/Marianismo conflict management and prevention of violence, are specifically addressed. Community-based peer groups are especially compatible with Latino culture. The conceptual basis for the intervention aims to facilitate later replication of the intervention in different communities. The intervention will be using a randomized pre-test/post-test comparison design and follow-up assessments immediately and 3 and 6 months after completion of the intervention. Approximately 768 sexually-active Mexican and Puerto- Rican women aged 18 to 40 years will be recruited into the study. Because individual women (in the intervention condition) are nested within groups, the design requires the use of multi-level (or hierarchical analysis. Any initial group differences can be adjusted for using pre-test measures as co-variates in the regression models. The major aim of the study is having an intervention that is culturally specific to the needs of Latinas. Additional aims includes having a randomized control group and the longitudinal design with data collection points at pre-test, post-test, 3 month follow-up and 6 month follow-up. The design also controls for historical effects and language by randomizing within waves and within language groups.