Can Church Schools Reduce Risk of HIV Infection for Orphan Girls in Zimbabwe?

教会学校能否降低津巴布韦孤女感染艾滋病毒的风险？

• 批准号: 7777418
• 负责人: DENISE Dion HALLFORS
• 金额: $ 64.51万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-06 至 2011-09-26
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7777418
• 关键词: AIDS prevention; AIDS/HIV problem; Achievement; Acquired Immunodeficiency Syndrome; Address; Administrator; Adolescent; Adult; Africa South of the Sahara; Age; Arts; Attitude; Behavior; Caring; Cessation of life; Child; Church; Clinical Trials Design; Contracts; Data; Decision Making; Drops; Education; Educational process of instructing; Emergency Situation; Experimental Designs; Face; Family; Female; Female Adolescents; Funding; Future; Government; HIV; HIV Infections; HIV Seropositivity; High Prevalence; Human Resources; Intervention; Journals; Life; Maps; Marriage; Methodist Church; Methods; Mission; Mothers; Nature; Orphan; Outcome; Parents; Persons; Prevalence; Prevention; Preventive Intervention; Primary Schools; Province; Psychological reinforcement; Puberty; Public Health; Randomized; Randomized Controlled Trials; Recommendation; Religion and Spirituality; Reporting; Research; Research Activity; Research Infrastructure; Research Personnel; Risk; Risk Behaviors; Role; Running; Safe Sex; Schools; Science; Secondary Schools; Self-Administered; Services; Sex Behavior; Sexual abuse; Student Dropouts; Students; Surveys; Techniques; Teenagers; Testing; Virginity; Vulnerable Populations; Woman; Zimbabwe; delay sexual debut; girls; high risk; high school; knowledge base; pandemic disease; programs; response; sex; sex risk; sexual debut; sexual relationship; teacher; trend

DESCRIPTION (provided by applicant): The AIDS pandemic has led to the illness and death of millions of adults, and has also resulted in millions of orphans. This study examines the context of schooling and sexual debut among a particularly vulnerable group, adolescent orphan girls in Zimbabwe. The study uses a rigorous randomized controlled trial design to test whether modest support can retain orphan girls in school through the transition to high school and whether religious schooling adds greater protection than secular schooling for HIV risk behaviors. The Methodist Church provides an important infrastructure for education, as well as services for orphans, in Zimbabwe. The study specifically focuses on young female orphans because of their greater likelihood of HIV infection, greater likelihood of school dropout, and greater vulnerability to sexual abuse due to loss of parental protection. Specific aims for the proposed study are: 1) To test experimentally whether modest assistance can help orphan girls stay in school through the transition to high school, and whether attending a church-run high school is more protective against HIV risk behaviors than attending a secular school; 2) To compare the content and consistency of sex and HIV-related messages taught through church-sponsored versus secular secondary schools; and 3) To examine how female orphans perceive HIV messages from church-sponsored compared to secular secondary schools, and to explore the context in which the girls make decisions about sexual behavior. For Aim 1, methods include use of an experimental design and self- administered surveys completed by orphan adolescent girls in Manicaland Province, Zimbabwe. For Aims 2 and 3, concept mapping techniques are used to gather and analyze information from adults (church personnel, teachers and administrators) and orphan teen girls. Research activities will be jointly conducted by U.S. and Zimbabwean collaborators. The research addresses a problem of the highest public health significance. HIV prevalence in Zimbabwe is among the highest in the world, as is the proportion of AIDS orphans. The study will contribute to the knowledge base concerning the extent and nature of religious organizations' involvement in HIV-related activities, mechanisms by which the United Methodist Church and its schools influence orphan risk and protective factors, and the context in which young Zimbabwean women make decisions about sex.

描述（由申请人提供）：艾滋病的流行导致了数百万成年人的疾病和死亡，也导致了数百万孤儿。本研究探讨了一个特别脆弱的群体，青少年孤儿女孩在津巴布韦的学校和首次性行为的背景。该研究采用了严格的随机对照试验设计，以测试适度的支持是否可以通过过渡到高中来留住孤儿女孩，以及宗教学校教育是否比世俗学校教育更能保护艾滋病毒风险行为。卫理公会为津巴布韦的教育和孤儿服务提供了重要的基础设施。这项研究特别关注年轻的女孤儿，因为她们感染艾滋病毒的可能性更大，辍学的可能性更大，而且由于失去父母的保护，更容易受到性虐待。拟议研究的具体目标是：（1）以实验方式检验适度援助是否能帮助孤儿女孩在过渡到高中期间留在学校，以及上教会开办的高中是否比上世俗学校更能防止艾滋病毒危险行为;（2）比较教会赞助的中学与世俗中学教授的有关性和艾滋病毒的信息的内容和一致性;（3）比较教会学校和非教会学校的女孤儿对艾滋病信息的认知情况，并探讨女孤儿在何种背景下做出性行为决定。对于目标1，方法包括使用实验设计和津巴布韦马尼卡兰省孤儿少女完成的自我管理调查。对于目标2和3，使用概念绘图技术收集和分析来自成年人（教会人员、教师和管理人员）和孤儿少女的信息。研究活动将由美国和津巴布韦合作者联合进行。这项研究解决了一个具有最高公共卫生意义的问题。津巴布韦的艾滋病毒流行率是世界上最高的，艾滋病孤儿的比例也是最高的。这项研究将有助于建立一个知识库，了解宗教组织参与艾滋病毒相关活动的程度和性质、联合卫理公会及其学校影响孤儿风险和保护因素的机制，以及津巴布韦年轻妇女作出性决定的背景。