Church-Based Parent-Child HIV Prevention Project

教会亲子艾滋病预防项目

• 批准号: 6901906
• 负责人: LORETTA Sweet JEMMOTT
• 金额: $ 61.1万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-07-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6901906
• 关键词: AIDS education /prevention; African American; HIV infections; adolescence (12-20); behavioral /social science research tag; clinical research; cognitive behavior therapy; disease /disorder proneness /risk; education evaluation /planning; human subject; human therapy evaluation; parent offspring interaction; religion; sex behavior; sexually transmitted diseases; urban poverty area

Inner-city African American adolescents are at high risk of sexually transmitted disease (STD), including HIV. Practicing sexual abstinence by postponing or ceasing sexual involvement can eliminate the risk of STD. Parents can play a key role in reducing the adolescents' sexual risk behavior. Increased attention is focusing on natural social networks and the social context in designing HIV risk reduction programs. The Black church historically has served as a social resource and network important to the well-being of the black community. However, few studies have documented the effects among adolescents of HIV sexual risk reduction interventions that involve their parents, and none have tested such interventions in church settings. The broad objective of this randomized controlled trial is to identify effective, theory-driven interventions that involve parents and that can be implemented in church settings to reduce inner-city African American adolescents' risk of STDs, including HIV. The participants will be 720 African American parents and one of their 6th and 7th grade children recruited through 10 black Baptist churches in low-income communities in Philadelphia, PA. We will randomly assign parent-child dyads to 1 of 2 conditions: (a) a STD/HIV risk-reduction condition in which they will receive an intervention emphasizing the importance of delaying or curtailing sexual intercourse until later in life or (b) a control group that receives a general health promotion intervention concerning health issues unrelated to sexual behavior. Both interventions will be structurally similar: 12 1- hour modules that include films, exercises, and group discussions implemented by specially trained adult facilitators on 3 consecutive Saturdays. Three-hour "booster" intervention sessions will be implemented with parents and children 3 and 6 months later. The approach draws on social cognitive theory, the theory of reasoned action/planned behavior, family theory, and the applicant's risk-reduction research with inner-city African American adolescents and their parents. Data will be collected before, immediately after, and 3, 6, 12, 18, and 24 months after the initial interventions. Primary outcome measures are children's' HIV sexual risk behavior. Secondary outcomes include parents' influence attempts and parents' and children's' intentions, beliefs, and self-efficacy-the theoretical mechanisms hypothesized to mediate intervention effects. The data will be analyzed with ANCOVA, mixed-model ANOVA, planned contrasts, multiple regression, and logistic regression. Specific Aims include (a) testing the effects of the interventions on adolescents' sexual behavior, (b) examining theoretical mediators of intervention effects, and (c) testing potential moderators of intervention effects. The findings will contribute to the development of efficient and effective HIV risk-reduction programs for inner-city African American adolescents.

非裔美国人在市中心的青少年感染性传播疾病（STD）的风险很高，包括艾滋病毒。通过推迟或停止性行为来实行禁欲可以消除性病的风险。父母在减少青少年的性危险行为方面可以发挥关键作用。在设计降低艾滋病毒风险方案时，人们越来越关注自然社会网络和社会背景。黑人教堂在历史上一直是一个社会资源和网络对黑人社区的福祉很重要。然而，很少有研究记录了父母参与的降低艾滋病毒性风险干预对青少年的影响，也没有人在教堂环境中测试过这种干预。这项随机对照试验的总体目标是确定有效的、理论驱动的干预措施，这些干预措施包括父母，可以在教堂环境中实施，以降低城市内非洲裔美国青少年感染性病（包括艾滋病）的风险。参与者将是720名非裔美国父母和他们的一名六年级和七年级的孩子，他们是通过宾夕法尼亚州费城低收入社区的10个黑人浸信会教堂招募的。我们将把父母和孩子随机分配到两种情况中的一种：(a)降低性病/艾滋病毒风险的情况下，他们将接受强调推迟或减少性交的重要性的干预，直到以后的生活；(b)对照组接受与性行为无关的健康问题的一般健康促进干预。这两种干预在结构上是相似的：12个1小时的模块，包括电影、练习和小组讨论，由受过专门训练的成人辅导员在连续3个星期六实施。3个月和6个月后，将对家长和孩子进行3小时的“加强”干预。该方法借鉴了社会认知理论、理性行为/计划行为理论、家庭理论以及申请人对城市内非洲裔美国青少年及其父母的风险降低研究。将在初始干预之前、之后以及在干预后3、6、12、18和24个月收集数据。主要结局指标是儿童的艾滋病毒性危险行为。次要结果包括父母的影响尝试以及父母和孩子的意图、信念和自我效能感——假设的调节干预效果的理论机制。数据将采用方差分析、混合模型方差分析、计划对比、多元回归和逻辑回归进行分析。具体目标包括(a)测试干预措施对青少年性行为的影响，(b)检查干预效果的理论中介，(c)测试干预效果的潜在调节因子。这些发现将有助于为市中心的非裔美国青少年制定有效的艾滋病风险降低方案。

项目成果

Effect of a church-based intervention on abstinence communication among African-American caregiver-child dyads: the role of gender of caregiver and child.

基于教会的干预对非裔美国看护者-儿童二人组中禁欲沟通的影响：看护者和儿童的性别作用。

• DOI: 10.1093/her/cyab009
• 发表时间: 2021
• 期刊: Health education research
• 影响因子: 2.4
• 作者: Cederbaum,JulieA;Kim,Soojong;Zhang,Jingwen;Jemmott,JohnB;Jemmott,LorettaS
• 通讯作者: Jemmott,LorettaS

Effects of Church-Based Parent-Child Abstinence-Only Interventions on Adolescents' Sexual Behaviors.

基于教会的亲子禁欲干预对青少年性行为的影响。

• DOI: 10.1016/j.jadohealth.2019.07.021
• 发表时间: 2020
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Jemmott,LorettaS;Jemmott3rd,JohnB;Icard,LarryD;Hsu,Janet
• 通讯作者: Hsu,Janet