Developing Computer-Based STI/HIV Prevention Interventions for Hispanic Women

摘要 自艾滋病毒/艾滋病开始流行以来，拉丁美洲人受到艾滋病毒/艾滋病的影响不成比例。感染艾滋病毒/艾滋病的妇女中有近19%是拉丁裔，尽管拉丁裔只占美国妇女的16%，艾滋病毒/艾滋病是35-44岁拉丁裔人的第四大死因。2006年，拉丁裔占女性新感染艾滋病毒的四分之一，艾滋病毒感染率是白人妇女的四倍。虽然一些为拉丁裔量身定做的行为预防干预措施在降低性风险方面显示出了有效性，但它们的成功复制受到了成本、实施挑战和参与保留的阻碍。与此同时，过去几年出现了新一波由计算机提供的干预措施，但这些项目都不是为拉丁裔成年人量身定做的，也没有西班牙语版本。该项目将通过继续开发和进行针对文化定制的英语和西班牙语计算机交付版本的Project Safe的随机对照疗效试验来解决这些差距，Project Safe是一种现有的针对少数族裔妇女的有效艾滋病毒预防计划。由此产生的产品将(1)使服务机构以低成本广泛获得有效的艾滋病毒预防干预措施；(2)促进忠实的计划实施(即通过计算机)，最大限度地减少工作人员的参与；(3)通过允许私下(即与计算机一对一)并根据灵活的时间表处理敏感话题，促进目标人群的参与；以及(4)降低受艾滋病毒/艾滋病疫情影响较大的拉丁裔人的性冒险行为和艾滋病毒感染率。

ABSTRACT Latinas have been disproportionately affected by HIV/AIDS since the beginning of the epidemic. Nearly 19% of women living with HIV/AIDS are Latina, even though Latinas constitute only 16% of US women, and HIV/AIDS is the fourth leading cause of death in Latinas aged 35-44. In 2006, Latinas represented one-quarter of new HIV infections in women, a rate of HIV infection four times higher than that of white women. While some behavioral prevention interventions tailored for Latinas have shown efficacy in reducing sexual risk, their successful replication has been hampered by cost, implementation challenges, and participation retention. At the same time, a new wave of computer-delivered interventions has emerged in the past few years, but none of these programs are tailored for adult Latinas or available in Spanish language versions. This project will address these gaps by continuing development of and conducting a randomized controlled efficacy trial on culturally tailored, English and Spanish language, computer-delivered versions of Project SAFE, an existing efficacious HIV prevention program for minority women. The resulting product will (1) make an efficacious HIV prevention intervention widely available to service agencies at low cost; (2) facilitate faithful program implementation (i.e., by means of a computer) with minimal staff involvement; (3) promote target population participation by permitting sensitive topics to be addressed privately (i.e., one-on-one with the computer) and according to a flexible schedule; and, (4) reduce sexual risk-taking behavior and HIV infection rates among Latinas, who are disproportionately affected by the HIV/AIDS epidemic.