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Reducing HIV: Safer sex skill building in pregnant, drug-abusing women

减少艾滋病毒：怀孕、吸毒妇女的安全性行为技能培养

基本信息

批准号：
8072162
负责人：
Dace Svikis
金额：
$ 19.09万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/8072162
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Admission activity Adult Adverse effects African American Alcohol abuse Alcohol consumption Alcohol or Other Drugs use Alcohols Attention Behavior Behavioral Benchmarking Case Manager Cause of Death Centers for Disease Control and Prevention (U.S.)Child Care Cities Clinic Coitus Communities Complex Contracts Control Groups Data Diagnosis Drug abuse Drug usage Drug user Economics Education Educational Curriculum Educational Intervention Effectiveness Effectiveness of Interventions Enrollment Equipment Event Family Planning Female Female of child bearing age Fright Gender General Population HIV HIV Infections HIV/STD Health Healthcare Systems Heterosexuals Illicit Drugs Immune system Infection Injection of therapeutic agent Intervention Jail Low Birth Weight Infant Low income Manuals Mediation Mental Health Minority Minority Groups Multiple Partners National Institute of Drug Abuse Newborn Infant Outcome Outcome Measure Outpatients Participant Partner in relationship Patient Education Patients Pharmaceutical Preparations Population Pregnancy Pregnant Women Prenatal care Prevention Professional counselor Public Health Randomized Randomized Clinical Trials Recording of previous events Reporting Research Resources Risk Risk Behaviors Risk Factors Risk Reduction Sampling Screening procedure Self Efficacy Sex Behavior Sexual Arousal Sexual Partners Sterility Structure Substance Use Disorder Surveys Testing Time United States Substance Abuse and Mental Health Services Administration Unsafe Sex Woman Wood material authority base behavioral health condoms contextual factors cooking design drinking follow up assessment group intervention high risk man men methadone maintenance pregnancy prevention pregnant prevent programs psychosocial safer sex sex sex risk skills social social stigma substance abuse treatment success transmission process treatment program

项目摘要

National surveys have found drug use and associated HIV risk during pregnancy are major public health problems (SAMHSA, 2004). While drug treatment itself has been a powerful deterrent of drug-related HIV risk behaviors (e.g., non-sterile drug injection equipment), less attention has focused on sexual risk behaviors, which have been slower to change. This is particularly true for pregnant women, who are aware condoms are no longer necessary for pregnancy prevention. One promising strategy for reducing sexual risk for HIV and other STD transmission has been the "Safer Sex Skill Building" (SSB) program developed by El Bassel and Schilling (1991, 1992). This manual-driven, gender-specific intervention has proven effective in reducing sexual risk behaviors in both methadone maintenance and outpatient drug-free patients. To date, however, the intervention has not been tested with pregnant drug abusing women who may actually be at increased risk if they stop using condoms or continue drug use during pregnancy. The proposed study will examine SSB, a targeted behavioral HIV prevention and risk reduction intervention in two samples of pregnant drug abusing women. Using a 2x2 design, a randomized clinical trial will compare the five-session SSB group intervention to a one-session standard group HIV Education intervention (SE). To increase generalizability, subjects will be two groups of pregnant drug abusing women: those enrolled in formal drug treatment at Richmond Behavioral Health Authority (RBHA, N=280) and those identified through an urban prenatal care clinic with high base rates of substance use disorders (PCC, N=280). Study participants will be assessed at baseline as well as 1, 3 and 6 months post-randomization. Outcome measures will focus on occasions of unprotected sexual activity, as well as alcohol/drug related sexual episodes. Study findings will provide benchmark data on the efficacy of SSB for HIV and STD prevention in a diverse sample of pregnant drug abusing women.

全国调查发现，怀孕期间吸毒和相关的艾滋病毒风险是重大的公共卫生问题