Reducing HIV/STD Risk in African American Women with At-Risk Male Partners

降低非裔美国女性与高危男性伴侣的艾滋病毒/性病风险

基本信息

批准号：
8724241
负责人：
Nina Thawata Harawa
金额：
$ 16.69万
依托单位：
CHARLES R. DREW UNIVERSITY OF MED & SCI
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/8724241
关键词：
AIDS/HIV problem Accounting Acquired Immunodeficiency Syndrome Address African American Alcohol or Other Drugs use Anal Sex Anus Behavior Bisexual California Centers for Disease Control and Prevention (U.S.)Chlamydia Cocaine Users Communities Counseling Couples Crack Cocaine Critical Thinking Diagnosis Drug usage Epidemic Female Focus Groups Gender Gonorrhea HIV HIV Infections HIV risk HIV/STD Health Health Resources Health Services Accessibility Heterosexuals Hour Human immunodeficiency virus test Imprisonment Incidence Individual Infection Injecting drug user Institutes Instruction Intervention Life Link Low income Marriage Mediation Methodology Minority Modeling Outcome Persons Population Poverty Prevention Process Randomized Controlled Trials Recording of previous events Reporting Resources Risk Risk Behaviors Risk Factors Risk Marker Risk Reduction Secrecy Self Efficacy Services Sex Ratio Sexual Partners Sexually Transmitted Diseases Social support Technology Testing Unsafe Sex Vagina Woman arm base behavior change community based participatory research condoms design disorder prevention efficacy testing empowered empowerment expectation group intervention health empowerment improved innovation male man men men who have sex with men post intervention programs psychosocial racial and ethnic disparities safer sex self esteem sex skills socioeconomics standard care theories transgender transmission process

项目摘要

Racial/ethnic disparities in sexually transmitted infections (STl), especially HIV/AIDS, are most apparent among Black women, who account for two-thirds of female US AIDS cases, while comprising just 13% of the population. The majority of these infections have been attributed to sex with men. The risk of transmission from behaviorally bisexual men is particularly relevant in California, where men who have sex with men (MSM) comprise 65% of all people living with HIV/AIDS. Sociocultural factors unique to African American communities and to heterosexual partnerships call for HIV interventions specifically designed for African American women with at-risk male partners (e.g., behaviorally bisexual or drug-using men). We propose to test the efficacy of two small-group interventions: Females of African American Legacy Empowering Self (FemAALES) ~ an innovative and culturally congruent intervention guided by the Theory of Reasoned Action and Planned Behavior, the Critical Thinking and Cultural Affirmation (CTCA) Model, and the Empowerment Theory, that incorporates new media in order to enhance information acquisition and access to services and social support, and the Healthy Alternatives to Risk Reduction for HIV Project (HARRP) ~ a "homegrown" intervention based on the Transtheoretical Model of Behavior Change. FemAALES is a gender- and ethnic-specific intervention consisting of six two-hour core and three two-hour technology and project-focused group sessions. HARRP is a non-ethnic specific, informational and skillbuilding intervention consisting of four one-hour sessions, developed and routinely offered by our community partner. Both are conducted over four weeks. We propose to evaluate 540 African American women with at-risk male partners using a 3-arm evenly randomized controlled trial: FemAALES versus HARRP versus Control/Standard Care. Baseline and 3- and 9-month post-intervention assessments, each accompanied by STl (gonorrhea and Chlamydia) testing, will be conducted and compared. Specific aims are to: 1) test the efficacy ofthe FemAALES and HARRP interventions to reduce HIV risk factors including a) number of sex partners, b) unprotected anal/vaginal sex, and c) incidence of bacterial STls and 2) To test the efficacy ofthe FemAALES and HARRP interventions to improve psychosocial outcomes, including selfefficacy for safer sex negotiation and discussions with partners regarding HIV/STI testing and risk, the impact ofthe FemAALES intervention on the use of new media for social support and networking, obtaining health information, and identifying resources and services.