A Pilot Study of School-Based HIV Intervention in China

通过共用针头感染艾滋病毒是中国的主要传播途径，在农村迅速增长 地区尽管这一问题的严重性已得到广泛承认，但在解决这一问题方面仍存在严重差距。 实施针对与毒品有关的危险行为的成功的理论驱动的干预方案。我们， 因此，建议进行一项试点研究，在该研究中，由保护驱动的与毒品有关的艾滋病毒干预计划 动机理论（PMT）将在中国农村地区发展，在那里共享针头是主导 艾滋病毒传播途径。我们的长期目标是制定一个可持续的艾滋病毒预防计划， 减少中国农村地区学生及其家长中与毒品有关的艾滋病毒风险。的目的 建议，这是实现我们的长远目标的第一步，是发展一个以学校为基础，家长- 艾滋病流行区七、八年级学生参与药物预防干预方案 农村地区。我们期望通过追求一个具体目标来实现本申请的目标： 针对农村青少年开始吸毒的文化上适当的、基于预防和治疗的方案。 课程的开发将通过（1）结合定性和定量研究来进行 在学生、家长、教师和乡村医生中进行宣传;（2）调整现有的艾滋病预防课程 我们的研究团队使用，以及（3）根据当地中国专家的意见进一步修改课程， 学校教师和乡村医生。五所农村中学注射流行率较高 并会挑选其服务范围内的吸毒者。焦点小组将在16名学生中进行， 2所学校教师10名，村医5名。将对16名 学生家长。两项横断面研究将在420名7年级和8年级的学生中进行， 另外3所学校和随机选择的210名家长。新开发的课程将 由3名当地中国专家、5名学校教师和3名乡村医生进一步评估。这项研究涉及 在中国农村地区，与吸毒和艾滋病毒感染有关的重大公共卫生问题。

HIV infection through needle-sharing, the dominant transmission route in China, is growing rapidly in rural areas. In spite of the widely acknowledged magnitude of this problem, there is still a critical gap in the implementation of successful theory-driven intervention programs targeting drug-related risk behaviors. We, therefore, propose a pilot study in which a drug-related HIV intervention program driven by Protection Motivation Theory (PMT) will be developed in a rural area in China, where sharing needles is the dominant HIV transmission route. Our long-range goal is to develop a sustainable HIV prevention program targeting the reduction of drug-related HIV risks among students and their parents in rural China. The objective of this proposal, which is the first step toward attaining our long-range goal, is to develop a school-based, parental- involvement drug-prevention intervention program among 7th and 8th grade students in an HIV endemic rural area. We expect to achieve the objective of this application by pursuing a specific aim: to develop a culturally appropriate and PMT-based program targeting initiation of drug use among rural early adolescents. The development of the curriculum will be performed by (1) combining qualitative and quantitative studies among students, parents, teachers, and village doctors; (2) adapting of an existing HIV prevention curriculum used by our research team, and (3) further modifying the curriculum by input from local Chinese experts, school teachers and village doctors. Five rural middle schools with a high level of prevalence of injection drug users in their catchment areas will be selected. Focus groups will be performed among 16 students and 10 teachers in 2 schools, and among 5 village doctors. In-depth interviews will be conducted among the 16 students' parents. Two cross-sectional studies will be conducted among 420 7th and 8th grade students in another 3 schools and among randomly-selected 210 parents. The newly-developed curriculum will be further assessed by 3 local Chinese experts, 5 school teachers and 3 village doctors. This study addresses significant public health issues related to drug use and HIV infection among youths in rural China.