AIDS PREVENTION AMONG INNER-CITY WOMEN: FOCUS ON CONFLIC

超出所提供的空间。我们提出了一项随机对照临床试验研究，采用三级混合一级/二级预防干预。我们将把一般艾滋病能力（GAC）培训与旨在减少冲突恐惧和提高冲突解决能力的认知行为干预（称为冲突暴露谈判加速能力培训（ACCENT））进行比较。市中心妇女的艾滋病预防工作处理了一般的艾滋病能力，取得了适度的成功。然而，由于这一人群中有很高比例（估计高达60%）的女性一生中都有过性虐待和身体虐待的经历，因此更强调面对恐惧、冲突和学习解决冲突可能会更有效。此外，即使妇女没有受到性侵犯，学习解决冲突的技能也将起到预防作用，以减少未来的风险。我们的目标是1128名市中心的单身女性她们感染性病的风险很高。妇女将被随机分配到两种干预条件中的一种或教学干预对照。在GAC条件下，妇女将接受为期6期的以技能为基础的干预，重点是艾滋病知识和安全性行为技能。在ACCENT项目中，妇女将接受6期的培训，传授艾滋病知识，但重点是解决冲突。第三组将接受两节关于艾滋病和性病的教学干预。调查问卷将在干预前、干预后、干预后6个月和12个月进行。性病图表审查、性病实验室检测、行为观察评分和使用避孕套“信用卡”的药房报告将为项目的成功提供额外的客观指标。预测1)ACCENT在促进安全性行为方面比GAC培训更有效，2)GAC培训比说教式干预更有效，3)有性虐待和身体虐待史的妇女从ACCENT干预中获益最多，4)ACCENT对性风险和暴力受害风险都有预防作用。我们进一步假设5)性虐待和身体虐待史与低个人（如自尊、自我效能）和社会资源（如公共掌握、社会支持）有关，这反过来又与PTSD相关症状和高风险性行为有关。网站性能 ======================================== 节结束 ===========================================

EXCEED THE SPACE PROVIDED. We propose a randomized, controlled clinical trials study with 3-arms of a mixed primary/secondary prevention intervention. We will compare General AIDS Competency (GAC) training to a cognitive behavioral intervention aimed at reducing conflict fears and raising conflict resolution competency, called Accelerating Capacity for Conflict Exposure Negotiation Training (ACCENT). AIDS prevention with inner-city women has addressed general AIDS competencies with modest to moderate success. However, because of the high percentage (estimated as high as 60%) of women from this population with a lifetime history of sexual and physical abuse, greater emphasis onconfronting fears, of conflict and learning conflict resolution may prove more efficacious. Moreover, even if women have not been sexually abused, learning conflict resolution skills will serve a preventive function to reduce future risk. We target 1128 single, inner-city women who have heightened risk for STD infection. Women will be randomly assigned to 1 of 2 intervention conditions or a didactic-intervention control. In the GAC condition women will receive a 6-session skill- based intervention that focuses on AIDS knowledge and safer-sex skills. In the ACCENT condition women will receive 6-session training that imparts AIDS knowledge, but with a central, concentrated emphasis on conflict resolution. A third group will receive a 2-session didactic intervention about AIDS and STDs. Questionnaires will be administered before, immediately following, and 6 and 12months following intervention. STD chart review, laboratory testing for STDs, behavioral observation ratings, and pharmacy reports of use of condom "credit cards" will provide additional objective indications of program success. It is predicted that 1) ACCENT will be more effective in promoting safer-sex than GAC training, 2) GAC training will be more effective than didactic-intervention, 3) women who have a history of sexual and physical abuse will benefit most from the ACCENT intervention, and 4) that ACCENT will have a preventive impact both on sexual risk and violence-victimization risk. It is further hypothesized that 5) history of sexual andphysical abuse will be related to low personal (e.g., self-esteem, self-efficacy) and social resources (e.g., communal-mastery, social support), which, in turn, are related to PTSD - related symptoms and high risk sexual behavior. PERFORMANCE SITE ========================================Section End===========================================