Mid-life Women: Preventing Unintended Pregnancy & STIs

说明(由申请人提供)：拟议的项目将以CD-ROM、DVD-ROM、因特网/内联网和VHS录像带格式为中年妇女制定和评估防止性传播感染和意外怀孕的理论干预措施。中年人群之所以被选中，是因为缺乏针对这一亚人群的干预材料。基于视频的互动节目将是完全多元文化的(即，为非裔美国人、亚洲/太平洋岛民、高加索人和西班牙裔妇女量身定做)。它将侧重于：意外怀孕和性传播感染的预防战略；性伴侣对减少风险决定和行为的影响；在选择预防战略时的决策支持；以及在购买和使用避孕套以及与伴侣沟通和谈判以降低风险方面的技能建设。 在第一阶段，将开发一个交互式光盘程序，并在随机对照试验中进行评估。该干预措施将旨在增加以下方面的知识：1)中年怀孕风险；2)中年性传播感染风险；3)防止性传播感染和中年意外怀孕的策略；以及4)性伴侣对降低风险决策和行为的影响。第一阶段计划将针对35-55岁的非裔美国女性，她们处于非一夫一妻制的性关系或持续时间等于或少于3个月的性关系中。结果衡量标准将包括：关于防止性传播感染/艾滋病毒和意外怀孕的知识、信念、态度、规范期望、行为意图和感知的环境约束。

DESCRIPTION (provided by applicant): The proposed project will develop and evaluate a theoretically based intervention for mid-life women regarding the prevention of sexually transmitted infections and unintended pregnancy in CD-ROM, DVD-ROM, Internet/Intranet and VHS videotape formats. The mid-life population was selected because there is a paucity of intervention materials for this sub-population. The interactive video-based program will be fully multicultural (i.e., tailored for African American, Asian/Pacific Islander, Caucasian and Hispanic women). It will focus on: prevention strategies for unintended pregnancy and STIs; the influence of sexual partners on risk reduction decisions and behaviors; decision support in choosing among prevention strategies; and skill-building in buying and using condoms, and in communicating and negotiating with partners to reduce risk. In Phase I an interactive CD-ROM program will be developed and evaluated in a randomized controlled trial. The intervention will be designed to increase knowledge about: 1) pregnancy risk in mid-life; 2) STI risk in mid-life; 3) strategies to prevent STIs and unintended pregnancy in mid-life; and 4) influences of sexual partners on risk reduction decisions and behaviors. The Phase I program will target African American females ages 35-55 who are in non-monogamous sexual relationships or sexual relationships of equal to or less than 3 months duration. The outcome measures will include: knowledge, beliefs, attitudes, normative expectations, behavioral intentions, and perceived environmental constraints regarding prevention of STI/HIV and unintended pregnancy.