A risky sex prevention intervention for middle school age minority girls

项目总结(见说明)： 黑人青春期女孩经常从事危险的性行为。这些行为是黑人女孩感染艾滋病毒的主要原因。危险行为包括早年性行为、不使用避孕套的性行为、多性伴侣以及在性行为前饮酒或吸毒。已经对解决这些行为的干预措施进行了测试；然而，没有一项干预措施影响到黑人女孩和妇女中不成比例的艾滋病毒感染率。这项拟议的研究的目标是推迟黑人女孩的性行为开始或减少危险的性行为。这项建议是为了测试一种多成分的、家庭层面的、适合发展的、以社区为基础的干预措施，以在以下方面受益：(AIM1)延迟或减少危险的性行为，(AIM2)增加艾滋病毒知识、与母亲的沟通、种族自豪感、赋权、自尊和性自信，以及(Aim3)改善母亲与女儿的沟通和纽带以及母亲的监测：两组设计将比较干预组和注意控制组。样本将包括96名黑人中学女孩和96名她们的母亲。将提供为期12周的干预，加强母女关系，建立种族/民族自豪感，帮助黑人女孩培养自尊和自信，并增强抵御艾滋病毒的能力。干预母亲的会议重点是青春期发展，与女儿公开交流的价值，以及女孩面临的与性有关的社会压力。注意对照组女孩和母亲接受为期12周的一般健康教育干预，重点是改善女孩的健康(如糖尿病、吸烟)。数据将在基线、后、3个月和9个月的结果随访时收集。分析：为了检查干预是否降低了性行为开始或从事危险性行为的可能性(Aim1)，在实现这一目标方面的成功或失败将被确定。对于AIMS 2，将为两组中的每一组计算3个平均数，并对每项措施进行比较。将使用同时合并的t可信区间来调整多个测量，以估计组间差异的大小。影响：一项有益干预的结果将被用于改变艾滋病毒预防科学，并在社区环境中进行翻译，以减少黑人女孩的危险性行为。

PROJECT SUMMARY (See instructions): Black adolescent girls often engage in risky sex behaviors. These behaviors are the primary reason that black girls contract HIV. Risky behaviors include having sex at an early age, sex without condoms, multiple partners, and using alcohol or drugs prior to sex. Interventions to address these behaviors have been tested; yet none has affected the disproportionate rate of HIV among black girls and women. The goal of the proposed study is to delay sex initiation or reduce risky sex behaviors among black girls. This proposal is to test a multi-component, family-level, developmentally appropriate, community-based intervention for benefit in: (Aim1) delaying or decreasing risky sex, (Aim2) increasing HIV knowledge, communication with mothers, racial pride, empowerment, self-esteem and sexual assertiveness, and (Aim3) improving mother's communication and bonding with daughters and maternal monitoring: A 2-group design will compare intervention and attention control groups. The sample will include 96 black middle school-aged girls and 96 of their mothers. A 12-week intervention will be provided enhancing mother-daughter relationships and building racial/ethnic pride to help black girls develop self-esteem and assertiveness and be empowered to protect against HIV. Intervention mothers have sessions focused on adolescent development, the value of open communication with daughters, and social pressures related to sex that girls face. Attention control group girls and mothers receive a 12-week general health education intervention focused on improving health (e.g., diabetes, smoking) in girls. Data will be collected at baseline, post, 3 and 9 month follow-up on outcomes. Analysis: To examine whether the intervention reduces the likelihood of sexual initiation or engaging in risky sex (Aim1), success or lack of success in achieving this will be determined. For Aims 2+3 means will be calculated for each of the two groups and compared for each measure. Simultaneous pooled-t confidence intervals to adjust for multiple measures will be used to estimate the magnitude of the difference between groups. Impact: The findings of a beneficial intervention will be used to change HIV prevention science and for translation across community settings to decrease risky sex among black girls.