Faith-Based HIV Prevention for Women

描述(由申请人提供)：拟议的研究采用了一种创新的、文化上一致的方法来预防艾滋病毒，涉及到AA社区中最有影响力的社会结构之一--AA教会。这项拟议的研究在埃默里大学罗林斯公共卫生学院和佐治亚州亚特兰大市的新生传教士浸信会教堂之间建立了联系。在过去的一年里，研究小组与教会非信徒领袖和教会事工领袖合作，发起了一种基于信仰的艾滋病毒干预措施。研究人员建议开发一种基于信仰的艾滋病毒干预措施，它改编自CDC定义的基于证据的SITA艾滋病毒干预措施，适用于18-29岁的年轻再生障碍性贫血妇女。1、2中年和老年人口现在是艾滋病毒携带者中增长最快的群体。不幸的是，中老年妇女感染艾滋病毒的比率高于中老年男子。此外，在成年妇女中，再生障碍性贫血妇女感染艾滋病毒的比例更高。鉴于这一人群缺乏基于证据的艾滋病毒干预措施，拟议的研究试图为40-60岁的再生障碍性贫血妇女设计基于信仰的艾滋病毒干预措施，以减少无保护的性行为。符合条件的参与者将随机接受基于信仰的艾滋病毒干预(n=240)或安慰剂控制的健康促进干预(n=240)，并将在基线、6个月和12个月的随访中进行评估，以评估干预效果。为了使行为改变有意义，它必须是持续的，因此，我们还建议培训妇女部和卫生部的成员，以维持干预。

DESCRIPTION (provided by the applicant): The proposed study takes an innovative, culturally congruent approach to HIV prevention by involving one of the most influential social structures in the AA community, AA churches. The proposed study forges a link between Emory University Rollins School of Public Health and New Birth Missionary Baptist Church in metropolitan Atlanta, Georgia. During the past year, the study team has collaborated with church lay leaders and with leaders of the church Ministries to initiate development a faith-based HIV intervention. The study investigators propose to develop a faith-based HIV intervention that is adapted from the CDC-defined evidence based SISTA HIV intervention for young AA women, 18 - 29 years of age. 1,2 Middle age and older populations now represent the fastest growing group of individuals living with HIV. Unfortunately, middle age and older women are acquiring HIV at a higher rate than middle age and older men. Moreover, among mature women, AA women are disproportionately affected by HIV. Given the absence of evidence-based HIV interventions for this population, the proposed study seeks to design a faith-based HIV intervention for AA women, 40 - 60 years of age to reduce unprotected sexual intercourse. Eligible participants will be randomized to receive either the faith-based HIV intervention (n = 240) or a placebo controlled health promotion intervention (n = 240) and assessments will be conducted at baseline, 6 and 12- month follow up to evaluate intervention efficacy. For behavior change to be meaningful it must be sustained, thus, we also propose to train members of the Women's Ministry and Health Ministry to maintain the intervention.