SEPA II:HIV intervention reducing health disparties among Hispanic

SEPA II：艾滋病毒干预减少西班牙裔人的健康差异

• 批准号: 7620047
• 负责人: Nilda Peragallo
• 金额: --
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7620047
• 关键词: AIDS prevention; AIDS/HIV problem; ARHGEF5 gene; Accounting; Acculturation; Acquired Immunodeficiency Syndrome; Address; Adoption; Age; Appendix; Attitude; Awareness; Behavior; Behavioral; Centers for Disease Control and Prevention (U.S.); Centers of Research Excellence; Chicago; Chlamydia; Cognitive; Communication; Communities; Complex; Conflict (Psychology); County; Diagnosis; Effectiveness; Family; Focus Groups; Foundations; Gender; Gender Role; HIV; Health; Health Promotion; Hispanics; Hour; Infection; Intervention; Knowledge; Lead; Learning; Mediation; Mexican; National Center on Minority Health and Health Disparities; Nurses' Health Study; Nursing Schools; Participant; Population; Prevention intervention; Problem Solving; Process; Puerto Rican; Randomized; Rate; Recruitment Activity; Reporting; Research; Risk; Risk Management; Risk Reduction; Role; Sample Size; Self Efficacy; Sex Behavior; Sexually Transmitted Diseases; Site; Stress; Target Populations; Testing; Time; United States; United States National Institutes of Health; Universities; Woman; aged; base; condoms; cultural values; design; follow-up; health disparity; high risk behavior; inner city; instrument; motherhood; peer; research clinical testing; research study; response; safer sex; skills; skills training; social; theories; transmission process; urban area; violence prevention

This 3-year experimental study will evaluate the effectiveness of an HIV risk reduction intervention led by Hispanic women, and tailored to the specific needs of Hispanic women. The proposed study is submitted as part of a P60 entitled "NCMHD Center for Culturally-Tailored Hispanic Health Disparities Research", in response to the NIH RFA-MD-06-002: Establishing Comprehensive NCMHD Research Centers of Excellence. Although Hispanics represent approximately 14% of the U.S. population they account for 20% of the AIDS cases diagnosed in 2004. Hispanic women represent 21% of AIDS cases diagnosed in 2004; by comparison white women represented 16% of AIDS cases diagnosed among Anglos. The intervention will be tested using a randomized design with follow-up assessments at 3, 6 and 12 months after completion of the intervention. Approximately 540 women aged 18 to 50, who report sexual activity during the past 3 months will be recruited into the study from multiple sites throughout Miami-Dade and Broward Counties. This group intervention is based on Social Cognitive Learning Theory and tailored to the needs of Hispanic women and culturally specific gender barriers faced by Hispanic women. There are two specific aims for the proposed study: 1. To evaluate the effectiveness of a refined and culturally-tailored specific intervention to increase HIV prevention behaviors for inner city Hispanic women. 2. To explore the role of acculturation, family, stress, and family functioning as risk and/or protective factors in the prevention of HIV/AIDS among Hispanic women. The adoption of HIV prevention behaviors involves a complex process for women. Knowledge alone cannot initiate or sustain behavioral change, so it is necessary to focus on behavioral skills, self-efficacy, social norms and attitudes of the target population.

这项为期三年的实验研究将评估由艾滋病毒风险降低干预措施的有效性 西班牙裔妇女，并根据西班牙裔妇女的特定需求量身定制。拟议的研究被认为 p60的一部分，标题为“ NCMHD文化范围的西班牙裔健康差异研究中心” 对NIH RFA-MD-06-002的回应：建立全面的NCMHD研究中心 卓越。尽管西班牙裔约占美国人口的14％，但仍占20％ 2004年诊断出的艾滋病病例。西班牙裔妇女占2004年诊断出的艾滋病案件的21％；经过 比较白人妇女占昂格勒斯诊断的艾滋病病例中的16％。干预会 在完成后3、6和12个月后使用随机设计进行随机设计进行测试 干预。大约有540名18至50岁的妇女在过去的3年中报告性活动 几个月将从迈阿密戴德和布劳沃德县的多个地点招募到研究中。 该小组干预基于社会认知学习理论，并根据西班牙裔的需求量身定制 西班牙裔妇女面临的妇女和文化特定的性别障碍。 拟议的研究有两个具体的目的： 1。评估精致和文化定制的特定干预措施的有效性以增加HIV 内城西班牙裔妇女的预防行为。 2。探索适应，家庭，压力和家庭的作用，充当风险和/或保护因素 在预防西班牙裔妇女中的艾滋病毒/艾滋病中。 采用艾滋病毒预防行为涉及妇女的复杂过程。仅知识就不能 发起或维持行为改变，因此有必要专注于行为技能，自我效能，社会 目标人群的规范和态度。