Relationships, Sexual Norms, and HIV Prevention Among African American Youth

非裔美国青年的关系、性规范和艾滋病毒预防

基本信息

项目摘要

DESCRIPTION (provided by applicant): Urban minority youth, particularly African Americans, are disproportionately affected by HIV/AIDS and other sexually transmitted infections (STIs) (CDC, 2007a, 2007b, 2008a). Although early adolescence is a valuable window to focus prevention efforts, there are relatively few evidence-based HIV prevention interventions for middle school youth that have been tested and found effective in school settings. Consistent with the objectives of the NICHD RFA, the proposed study is designed to address these gaps by developing and testing a new theory-based intervention for urban, minority, middle school youth that builds on essential elements of sexuality development, sexual risk behavior prevention, and positive youth development. The proposed study will assess the effects of two theoretically based intervention components that aim to promote relationship development as an avenue of reducing sexual risk taking behaviors: (1) a skills- and norm-based HIV, other STI, and pregnancy prevention curriculum that will focus on relationships and related behaviors that may affect disease risk, such as developing healthy relationships, sexual partnering (e.g., multiple and concurrent partners), relationship norms (e.g., when to have sex in relationships), condom use and HIV/STI testing within relationships, and ending unhealthy relationships; and (2) a school-wide social norms component that will feature monthly peer-led activities (some delivered via electronic media) to permeate the school environment with pro-social norms regarding healthy relationships--reinforcing and extending the potential effects of the classroom curriculum, and providing positive models for other youth. The program will be evaluated to determine its efficacy in altering behavioral intentions and sexual risk taking behaviors (e.g., sexual initiation, number and type of partners, condom use) and related determinants, such as functional knowledge, attitudes, beliefs, perceived norms, parent-child communication, sexual limits, and awareness of risky situations. The evaluation will feature a randomized controlled design involving 10 schools (approximately 1,500 students). Five schools would receive the intervention; the other five would serve as comparison sites. Students would be assessed 3 times during the study--baseline, 6 and 18 months, using self report surveys administered with audio-enhanced personal digital assistants (APDAs). The proposed study would be among the first to evaluate an HIV prevention program for middle school youth that features relationships as a core theme. Further, resulting data would expand the limited literature on prevention activities for early adolescents; it would also add to a growing body of literature on adolescent relationship development, particularly among African American and other urban minority youth. PUBLIC HEALTH RELEVANCE: Urban minority youth, particularly African Americans, are disproportionately affected by HIV/AIDS and other sexually transmitted infections (STIs). Although early adolescence is a valuable window to focus prevention efforts, there are relatively few evidence-based HIV prevention interventions for middle school youth that have been tested and found effective in school settings. The proposed school-based project has several significant features that advance public health efforts to prevent HIV, other STI, and unplanned pregnancy for urban minority youth. It: 1) features a theoretically-based intervention that integrates essential elements drawn from sexuality development, evidence-based sexual risk behavior prevention programs, and positive youth development; 2) integrates HIV, other STI, and pregnancy prevention to enhance the relevance and salience of the program content; 3) addresses the characteristics of effective programs identified by Kirby (2007); and 4) centers on adolescent relationship development, an innovative approach to HIV prevention.
说明(由申请人提供):城市少数民族青年,特别是非裔美国人,受艾滋病毒/艾滋病和其他性传播感染的影响不成比例(CDC,2007a,2007b,2008a)。尽管青春期早期是集中预防工作的宝贵窗口,但在学校环境中经过测试并被发现有效的针对中学生的循证艾滋病毒预防干预措施相对较少。与NICHD RFA的目标一致,拟议的研究旨在通过开发和测试针对城市、少数民族和中学青年的基于理论的新干预措施来解决这些差距,该干预措施建立在性发展、性危险行为预防和积极青年发展的基本要素基础上。这项拟议的研究将评估两个旨在促进关系发展作为减少性行为风险的途径的干预措施的效果:(1)以技能和规范为基础的艾滋病毒、其他性传播感染和怀孕预防课程,重点关注可能影响疾病风险的关系和相关行为,例如发展健康的关系、性伙伴关系(例如,多个和同时存在的伴侣)、关系规范(例如,何时在关系中发生性行为)、安全套的使用和关系中的艾滋病毒/性传播感染检测,以及结束不健康的关系;以及(2)在全校范围内设立社会规范部分,每月举办同伴带头的活动(有些通过电子媒体进行),在学校环境中渗透有关健康关系的亲社会规范--加强和扩大课堂课程的潜在影响,并为其他青少年提供积极的榜样。将对该计划进行评估,以确定其在改变行为意图和性风险行为(例如,性初始、伴侣的数量和类型、避孕套的使用)以及相关决定因素方面的有效性,如功能知识、态度、信念、感知的规范、亲子交流、性限制和对危险情况的认识。评估将采用随机对照设计,涉及10所学校(约1500名学生)。五所学校将接受干预;其他五所学校将作为比较地点。学生将在研究期间接受3次评估--基线、6个月和18个月,使用音频增强型个人数字助理(APDA)进行自我报告调查。这项拟议的研究将是第一批评估以人际关系为核心主题的中学生艾滋病毒预防计划的项目之一。此外,由此产生的数据将扩大关于早期青少年预防活动的有限文献;它还将增加关于青少年关系发展的越来越多的文献,特别是在非裔美国人和其他城市少数群体青年中。 公共卫生相关性:城市少数民族青年,特别是非裔美国人,受艾滋病毒/艾滋病和其他性传播感染的影响不成比例。尽管青春期早期是集中预防工作的宝贵窗口,但在学校环境中经过测试并被发现有效的针对中学生的循证艾滋病毒预防干预措施相对较少。拟议的以学校为基础的项目有几个重要的特点,可以促进公共卫生努力,以预防艾滋病毒、其他性传播感染和城市少数民族青年的意外怀孕。它:1)以理论为基础的干预措施,整合了性发展、循证的性危险行为预防计划和积极的青年发展的基本要素;2)整合了艾滋病毒、其他性传播感染和怀孕预防,以增强计划内容的相关性和显着性;3)解决了Kirby(2007)确定的有效计划的特点;以及4)以青少年关系发展为中心,这是预防艾滋病毒的一种创新方法。

项目成果

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KARIN Kristina COYLE其他文献

KARIN Kristina COYLE的其他文献

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{{ truncateString('KARIN Kristina COYLE', 18)}}的其他基金

Formative Research for Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men (psh4ybmsm)
促进男男性行为的年轻黑人性健康的移动应用程序的形成性研究 (psh4ybmsm)
  • 批准号:
    8999759
  • 财政年份:
    2015
  • 资助金额:
    $ 52.27万
  • 项目类别:
Mobile App Promoting Sexual Health for Young Black Men who Have Sex with Men
促进男男性接触者年轻黑人性健康的移动应用程序
  • 批准号:
    9559328
  • 财政年份:
    2015
  • 资助金额:
    $ 52.27万
  • 项目类别:
New HIV Intervention Approaches for African American Youth
非裔美国青年艾滋病毒干预新方法
  • 批准号:
    7937721
  • 财政年份:
    2009
  • 资助金额:
    $ 52.27万
  • 项目类别:
Relationships, Sexual Norms, and HIV Prevention Among African American Youth
非裔美国青年的关系、性规范和艾滋病毒预防
  • 批准号:
    8089241
  • 财政年份:
    2009
  • 资助金额:
    $ 52.27万
  • 项目类别:
Relationships, Sexual Norms, and HIV Prevention Among African American Youth
非裔美国青年的关系、性规范和艾滋病毒预防
  • 批准号:
    8288029
  • 财政年份:
    2009
  • 资助金额:
    $ 52.27万
  • 项目类别:
Relationships, Sexual Norms, and HIV Prevention Among African American Youth
非裔美国青年的关系、性规范和艾滋病毒预防
  • 批准号:
    7923214
  • 财政年份:
    2009
  • 资助金额:
    $ 52.27万
  • 项目类别:
Relationships, Sexual Norms, and HIV Prevention Among African American Youth
非裔美国青年的关系、性规范和艾滋病毒预防
  • 批准号:
    8487260
  • 财政年份:
    2009
  • 资助金额:
    $ 52.27万
  • 项目类别:
New HIV Intervention Approaches for African American Youth
非裔美国青年艾滋病毒干预新方法
  • 批准号:
    7753821
  • 财政年份:
    2009
  • 资助金额:
    $ 52.27万
  • 项目类别:
Addressing Sexual Behavior Among Disadvantaged Youth
解决弱势青少年的性行为问题
  • 批准号:
    6745738
  • 财政年份:
    2004
  • 资助金额:
    $ 52.27万
  • 项目类别:
Addressing Sexual Behavior Among Disadvantaged Youth
解决弱势青少年的性行为问题
  • 批准号:
    7253876
  • 财政年份:
    2004
  • 资助金额:
    $ 52.27万
  • 项目类别:
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