HIV Risk Reduction in Migrant Workers

减少移徙工人的艾滋病毒风险

• 批准号: 7458108
• 负责人: H VIRGINIA MCCOY
• 金额: $ 58.43万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7458108
• 关键词: AIDS prevention; Acculturation; Address; Affect; African American; Attitude; Behavior; Behavior Therapy; Behavioral; Cognition; Cognitive; Communities; Condition; Counseling; Drug usage; Effectiveness; Equation; Frequencies; Gender; HIV; Health Promotion; Health behavior; Hispanics; Individual; Intervention; Knowledge; Life; Link; Low income; Maintenance; Mediating; Mediator of activation protein; Migrant Workers; Modeling; Motivation; Nomads; Outcome; Outcome Study; Participant; Population; Prevention intervention; Randomized; Randomized Controlled Clinical Trials; Recording of previous events; Research; Risk; Risk Behaviors; Risk Reduction; Sampling; Staging; Translating; United States National Institutes of Health; Unsafe Sex; Woman; alcohol and other drug; base; cognitive function; design; efficacy trial; follow-up; health disparity; high risk behavior; improved; motivational enhancement therapy; peer; skills; social; transmission process

This proposed study targeting Alcohol and Other Drug-(AOD) using Migrant Workers (MWs) is a 5-year randomized trial of a Cognitive Behavioral HIV Prevention Intervention (CBI), enhanced/adapted (CBI-A) compared with a Health Promotion (HPC) condition. This application proposes to expand on current "effective" behavioral interventions to include contextual components (e.g., Peer Counseling and Motivational Enhancement) that are likely to produce long term maintenance of HIV risk reduction effects. The CBI-A integrates key contextual components targeting peer counseling and motivational interviewing linked to maintaining HIV risk reduction effects. Only two HIV prevention outcome studies of MWs, conducted by our research team, have assessed participants for longer than 6 months. Both studies used a CBI approach and documented a moderate short-term HIV risk reduction effect that diminished at the later follow-up points. The proposed sample (N=320) will be predominantly Hispanic and African-American, low income, sexually active, AOD-using MWs?a group disproportionately affected by HIV and other health disparities. We hypothesize that 1) the CBI-A will produce a greater beneficial effect than the HPC on HIV sexual risk behaviors of 'ratio of protected to unprotected sex following intervention' and frequency of unsafe sex; 2) that the CBI-A will produce more beneficial effects than the HPC in the mediator variables (social influence, stages of change, attitude-motivation-skills); and 3) that the CBI-A will be more effective for participants who are women, acculturated, have high levels of cognitive functioning and no history of traumatic abuse. Structural Equation Modeling analyses will be used to explore how study variables interrelate to affect outcomes. This project addresses the problem of health disparities in HIV risks and the potential to adapt "effective" interventions to reach this new population. The proposed project further responds to the NIH priority on rapidly translating and disseminating new knowledge, which emphasizes bringing intervention strategies developed during efficacy trials in a rigorous academic setting, into community settings in a manner adaptable to "real world" conditions. If successful, this research will delineate important HTV intervention strategies that can be practically implemented to improve maintenance of HIV risk behaviors of high-risk AOD-using MWs.

这项针对使用移民工人（MW）的酒精和其他药物（AOD）的拟议研究是一项为期5年的认知行为艾滋病预防干预（CBI），增强/适应（CBI-A）与健康促进（HPC）条件相比的随机试验。本申请提出扩展当前的“有效”行为干预以包括上下文组件（例如，同伴咨询和动机增强），这可能会产生长期的 长期维持降低艾滋病风险的效果。CBI-A整合了关键的背景组件，目标是与维持艾滋病毒风险降低效果相关的同伴咨询和动机访谈。我们的研究团队进行的两项关于MW的艾滋病毒预防结果研究对参与者进行了超过6个月的评估。这两项研究都使用了CBI方法，并记录了中度短期艾滋病毒风险降低效应， 后续要点。拟议的样本（N=320）将主要是西班牙裔和非洲裔美国人，低收入，性活跃，AOD使用MW？该群体受到艾滋病毒和其他健康差异的影响尤为严重。我们假设：（1）CBI-A比HPC对“干预后保护性行为与无保护性行为的比率”和不安全性行为的频率产生更大的有益影响;（2）CBI-A比HPC在中介变量中产生更大的有益影响（社会影响、变化阶段、态度-动机-技能）;和3）CBI-A将更有效地为参与者谁是妇女，文化适应，具有高水平的认知功能，没有创伤性虐待史。结构方程模型分析将用于探讨如何研究 变量相互关联，影响结果。该项目旨在解决艾滋病毒风险方面的健康差异问题，以及调整“有效”干预措施以覆盖这一新人群的可能性。拟议的项目进一步响应了美国国立卫生研究院关于快速翻译和传播新知识的优先事项，该优先事项强调将在严格的学术环境中进行疗效试验期间制定的干预策略以适应“真实的”的方式纳入社区环境。 世界”的条件。如果成功，这项研究将描绘重要的HIV干预策略，可以实际实施，以改善维持艾滋病毒的高危AOD使用工作人员的危险行为。