A Randomized Controlled Trial of Family-Based HIV Prevention for Latino Youth

描述（由申请人提供）：拉丁美洲人在被诊断患有艾滋病毒的青少年中所占的比例不成比例，拉丁裔青少年有从事可能导致艾滋病毒的性行为的风险。然而，迄今为止，与其他种族不同，关于拉丁裔青少年艾滋病毒预防干预措施的数据很少。本R01将进行一项随机对照试验，将以家庭为基础的艾滋病毒预防干预与以家庭为基础的一般健康促进干预进行比较，该干预专门针对拉丁裔家庭。艾滋病毒预防干预措施解决了与拉丁美洲人有关的家庭环境问题，如文化适应、宗教信仰、性别角色和性社会化、亲子沟通和监测实践。320名年龄在14至17岁之间的性活跃青少年的拉丁裔父母-青少年夫妇将被随机分为以家庭为基础的艾滋病毒预防干预组（HIV）和一般健康促进组（HP），后者侧重于健康行为，如饮食和锻炼。小组由6至8名家长和青少年组成，参加为期一天，7小时的讲习班。这两种干预措施分别针对青年和父母开展活动（例如，关注青少年的脆弱性），同时针对父母和青少年开展活动。该项目将通过评估青少年与艾滋病毒相关的性行为和态度、性别和性社会化、亲子沟通和父母监测的变化来评估拉丁裔家庭艾滋病毒预防干预的效果。测量将在基线和干预后3、6、12和18个月完成。拉丁裔社区迫切需要一种文化敏感、有效的艾滋病预防干预措施。

DESCRIPTION (provided by applicant): Latinos are disproportionately represented among those diagnosed with HIV and Latino adolescents are at risk for engaging in sexual behaviors that can lead to HIV. However, data regarding HIV prevention interventions for Latino adolescents, as distinct from other ethnic groups, have been rare to date. This R01 will conduct a randomized controlled trial of a family-based HIV prevention intervention specifically for Latino families compared to a family-based general health promotion intervention. The HIV prevention intervention addresses family context issues relevant to Latinos such as acculturation, religiosity, gender role and sexual socialization, parent-child communication, and monitoring practices. Three hundred and twenty Latino parent-adolescent dyads with a sexually active adolescent between the ages of 14 and 17 will be randomized into either the family based HIV prevention intervention (HIV) or a general health promotion (HP) condition that focuses on healthy behaviors such as diet and exercise. Groups consist of 6 to 8 parent and youth dyads in a one-day, 7-hour workshop. Both interventions employ activities for youth and parents separately (e.g., focus on adolescent vulnerability) and parents and adolescents together. The project will estimate the efficacy of the Latino Family-based HIV prevention intervention from assessment of changes in the adolescents' HIV-related sexual behavior and attitudes, gender and sexual socialization, parent-child communication, and parental monitoring. Measures will be completed at baseline and at 3, 6, 12, and 18 months post-intervention. A culturally sensitive, efficacious HIV prevention intervention is urgently needed for Latino communities.