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

项目总结/摘要 青春期是进行以预防为目标的综合干预的理想发展过渡期 艾滋病毒风险行为和亲密伴侣暴力（IPV），包括性暴力。尤其是青春期男孩 艾滋病毒和IPV的高风险。然而，很少有行为干预措施将HIV-IPV预防纳入其中 并为青春期男孩的独特发展需求量身定制。在这项研究中，我们建立在以前的基础上， 科学工作证明了安全南非的可接受性和可行性，这是一个综合的艾滋病毒-IPV 采用基于社会规范理论的适合发展和性别的方法进行干预， 预防青少年HIV危险行为和IPV。我们在南非工作，这是一个艾滋病流行最严重的国家。 也是世界上IPV发病率最高的国家之一。我们提出以下具体目标：（1）安全剪裁 南非的干预内容，以解决独特的行为和社会规范的数据，推动艾滋病毒和 社会生态环境中男孩的IPV行为(2)测试安全南方的效力 非洲在N=836名青春期男孩（15岁至18岁）中预防艾滋病毒/性传播感染和降低IPV频率的干预措施 17），与我们的工作假设，干预，相对于通常的护理条件，将显示（a）较低 任何性传播感染（包括艾滋病毒）的发病率;以及（B）IPV发病频率降低， 支持IPV的态度。(3)确定实施"安全南方“的障碍和促进因素 非洲在学校环境中提供数据，以供今后传播（假设安全南非是 有效）。我们通过（a）检查遵守情况的保真度数据来检查对未来传播至关重要的过程 标准化干预手册的核心积极组成部分，指导一致地提供干预; 以及（B）青少年和利益攸关方提供的关于实施期间和实施后经验的定性数据 使用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.