REDUCING HIV & DOMESTIC VIOLENCE RISK IN WOMEN OFFENDERS

减少艾滋病毒

• 批准号: 6350531
• 负责人: MICHAEL J STARK
• 金额: $ 75.93万
• 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 2004-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6350531
• 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）。摩特诺玛县卫生部门和 俄勒冈州卫生部门提出了一项随机对照试验来测试两个 减少女性罪犯与艾滋病毒相关的危险行为的干预措施 暴露于家庭暴力。 870 名艾滋病毒血清阴性女性罪犯面临危险 HIV 感染（即注射毒品、使用可卡因的女性是性伴侣 的注射吸毒者（或以性交易换取毒品、金钱或生计）将被招募 通过在现有县监狱艾滋病毒检测点进行外展活动。随后他们的 出狱后，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以下标准： 所需服务的护理转介。处于艾滋病毒预防状态的妇女将 接受三个月的病例管理和强化艾滋病毒风险降低 干涉。降低风险的干预措施将包括多次会议 旨在评估参与者的动机增强程序 HIV 风险行为，提供反馈，评估行为改变的准备情况，以及 制定量身定制的、基于阶段的行为改变干预措施。行为方面 计划将在下一次干预会议上进行审查。艾滋病毒感染者和女性 家庭暴力预防条件将受到与家庭暴力预防条件相同的干预 处于第二种情况的人，加上评估和干预 预防家庭暴力和胁迫风险活动。所有参与者 将完成面对面的评估访谈，衡量他们与毒品相关的情况 行为、性危险行为、家庭暴力经历、 心理健康、行为自我效能和关系过程。 评估将在登记时、干预完成时进行 （第 4 个月）和后续行动（第 7 个月和第 10 个月）。 HIV 抗体检测将 发生在基线和第 10 个月。潜在生长建模技术将 用于调查艾滋病毒预防干预措施是否有助于 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和胁迫 风险活动。这些干预措施对假设的中介因素的影响 风险行为也将被确定。回归和剖面技术将 用于识别与减少相关的参与者特征 危险行为。