HIV Risk Reduction in High Risk Latina Migrant Workers in South Florida

这项拟议研究的主要目标是继续努力开发最有效的组合 行为干预以优化最被忽视和研究最少的人的健康状况 这个国家受艾滋病毒/艾滋病影响的人口：拉丁裔移徙工人。研究结果： 目前对这一人群的研究肯定了认知-行为干预在短期内的效用 减少与艾滋病毒相关的危险行为，同时提高认识、自我效能和应对技能。这个 拟议中的研究将扩展这些发现，以寻求确定接触认知能力 行为HIV预防干预(A-SEMI II)可以显著改善 拉美裔移民工人利用健康行为改变计划的能力 采用和维持更健康的生活方式(即更安全的性行为和减少饮酒 使用/滥用)对最佳健康和预防艾滋病毒感染至关重要。要实现这些目标 目标，来自Homestead和佛罗里达州(南佛罗里达州)社区的250名拉丁裔移民工人将 入选并随机分为一个实验干预组(A-SemII)和一个对照组(HPC) 并在6个月、12个月和24个月时评估A-SemII干预的长期效果 改善健康状况，减少艾滋病相关高危行为。这项拟议的研究跟踪了一个社区 基于参与性研究(CBPR)的方法。这种CBPR方法响应了NIH的优先事项 在社区成员和研究人员之间建立平等的伙伴关系，最终目标是 增加社区在研究过程中的参与，改善社区健康，减少与艾滋病毒有关的 健康差距。

The principal objective of this proposed study is to continue efforts to develop the most effective combination of behavioral interventions to optimize the health status of one of the most neglected and understudied populations affected by the HIV/AIDS epidemic in this country: Latina migrant workers. Findings from the current study with this population affirm the utility of cognitive-behavioral interventions in the short-term reduction of HIV-related risk behaviors, while improving awareness, self-efficacy, and coping skills. The proposed study will extend these findings in seeking to determine whether exposure to a Cognitive Behavioral HIV Prevention Intervention (A-SEMI II) can significantly produce long-term improvements in the ability of Latina migrant workers to take advantage of a health behavior change program encouraging the adoption and maintenance of healthier lifestyle behaviors (i.e., safer sexual practices and reduced alcohol use/abuse) essential for optimal health and in the context of preventing HIV infection. To accomplish these objectives, 250 Latina migrant workers from the Homestead and Florida City (South Florida) communities will be enrolled and randomized to one experimental intervention (A-SEMI II) and one comparison group (HPC) and followed at 6, 12, and 24 months to evaluate the long term effectiveness of the A-SEMI II intervention to improve health status and reduce HIV related high risk behavior. The proposed study follows a community based participatory research (CBPR) approach. This CBPR approach responds to the NIH priority on establishing equitable partnerships between community members and researchers with the final goal of increasing community participation in the research process, improving community health, and reducing HIV related health disparities.