Testing the Efficacy of Safe South Africa: An Intervention to Prevent HIV Risk and Interpersonal Violence Among Adolescent Boys

项目摘要/摘要 青春期是以预防为目标的综合干预的理想发展过渡期 艾滋病毒危险行为和亲密伴侣暴力(IPV)，包括性暴力。尤其是青春期的男孩 感染艾滋病毒和实施IPV的风险很高。然而，很少有行为干预将艾滋病毒-IPV预防结合在一起 并为青春期男孩的独特发展需求量身定做。在这项研究中，我们在以前的基础上 科学工作证明了安全的南非，一个综合的艾滋病毒-IPV的可接受性和可行性 采用以社会规范理论为基础的针对发展和性别的方法的干预措施 预防青少年艾滋病毒危险行为和IPV。我们在南非工作，这是一个艾滋病毒流行最严重的国家 以及一些世界上最高的IPV比率。我们提出了以下具体目标：(1)量身定做外管局 南非干预内容旨在解决推动艾滋病毒和艾滋病的独特行为和社会规范数据 男孩在社会生态环境中的IPV行为。(二)检验平安南方建设成效 非洲干预预防艾滋病毒/性传播感染和减少N=836名青春期男孩(15岁至 17)，我们的工作假设是，相对于通常的护理条件，干预将显示(A)较低 任何性传播感染(包括艾滋病毒)的发病率；和(B)减少发生IPV的频率和减少 支持知识产权组织的支持态度。(3)确定实施“平安南方”的障碍和促进者 在学校环境中的非洲提供数据以供未来传播(假设安全的南非是 有效)。我们通过以下方式检查对未来传播至关重要的流程：(A)检查遵从性的保真度数据 以标准化干预手册的核心活动部分为指导，始终如一地提供干预； 和(B)关于青少年和利益攸关方在实施过程中和实施后的经验的定性数据 采用N=20次深度访谈。

PROJECT SUMMARY/ABSTRACT Adolescence presents an ideal developmental transition period for an integrated intervention targeting prevention of HIV risk behaviors and intimate partner violence (IPV), including sexual violence. Adolescent boys in particular are at high risk for HIV and perpetration of IPV. Yet, few behavioral interventions integrate HIV-IPV prevention and are tailored for the unique developmental needs of adolescent boys. In this study, we build on previous scientific work that demonstrated the acceptability and feasibility of Safe South Africa, an integrated HIV-IPV intervention that uses a developmentally- and gender-tailored approach grounded in social norms theory to prevent adolescent HIV risk behavior and IPV. We work in South Africa, a country with the largest HIV epidemic and some of the highest rates of IPV in the world. We propose the following specific aims: (1) Tailoring Safe South Africa intervention content to address the unique behavioral and social norms data that drives HIV and IPV behaviors among boys in their socioecological environments. (2) Testing the efficacy of the Safe South Africa intervention in preventing HIV/STIs and reducing IPV frequency among N=836 adolescent boys (ages 15- 17), with our working hypothesis that the intervention, relative to the usual care condition, will show (a) lower incidence of any STI (including HIV); and (b) reductions in IPV perpetration frequency and decreased endorsement of IPV supportive attitudes. (3) Identifying barriers and facilitators to implementing Safe South Africa within a school setting to provide data for future dissemination (presuming Safe South Africa is efficacious). We examine processes critical to future dissemination through (a) fidelity data examining adherence to core active components of the standardized intervention manual guiding consistent delivery of the intervention; and (b) qualitative data on the experience during and post-implementation from adolescents and stakeholders using N=20 in-depth interviews.