DEVELOPMENT AND TESTING OF A JAMAICAN MOTHER-DAUGHTER HIV RISK-REDUCTION PROGRAM

牙买加母女艾滋病毒风险降低计划的制定和测试

• 批准号: 7650379
• 负责人: MARY KATHERINE HUTCHINSON
• 金额: $ 58.05万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-29 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7650379
• 关键词: AIDS prevention; AIDS/HIV problem; Abstinence; Adolescent; Adult; Affect; Africa South of the Sahara; Age; Behavior; Behavior monitoring; Behavioral; Belief; Caregivers; Caribbean region; Child; Coitus; Communication; Communities; Control Groups; Daughter; Development; Effectiveness; Effectiveness of Interventions; Exhibits; Family; Female; Female Adolescents; Gender; HIV; Incidence; International; Intervention; Jamaica; Knowledge; Measures; Mediation; Mediator of activation protein; Methods; Mothers; Multiple Partners; Parenting behavior; Parents; Patient Self-Report; Pennsylvania; Pilot Projects; Planning Theory; Population; Randomized; Recruitment Activity; Reporting; Research; Research Methodology; Research Personnel; Risk; Risk Reduction; Risk-Taking; Schedule; School Nursing; Sex Behavior; Sexual Abstinence; Sexual Partners; Sexually Transmitted Diseases; Teenagers; Testing; Training; Universities; Unsafe Sex; West Indies; Woman; Wood material; Work; base; community based participatory research; community organizations; condoms; design; follow-up; girls; health disparity; high risk; improved; instrument; interest; intervention effect; intervention program; male; parental monitoring; primary outcome; programs; research study; safer sex; secondary outcome; sex risk; skills; social; teacher; theories

DESCRIPTION (provided by applicant): Caribbean nations, including Jamaica, exhibit HIV rates that are second only to sub-Saharan Africa. Jamaican young women and adolescent girls are at particularly high risk due to a number of cultural factors, gender norms, partnering with older male partners, and lack of knowledge and skills related to sexual refusal and HIV prevention. U.S. studies have shown that mothers may act as a key influence of their daughters' sexual risk beliefs and behaviors. However, no studies have documented these effects outside of the U.S. and no studies have evaluated HIV risk-reduction interventions with Jamaican adolescent girls and their mothers. Hence, the purpose of the proposed project is to partner with the University of the West Indies, Jamaican community based organizations (CBOs) and families in order to develop and test a culture-specific mother-daughter HIV risk-reduction intervention in a randomized pilot field experiment. Specifically, we propose to test whether a culture-specific, theory-based, skill-building intervention with Jamaican adolescent girls and their mothers can directly and/or indirectly reduce these girls' HIV risk-associated sexual behaviors. Jamaican girls, ages 14-18, and their mothers/female guardians will be recruited from CBOs and randomly assigned to either: (a) a mother-daughter HIV risk-reduction intervention condition or (b) a "no intervention" control condition. The HIV risk-reduction intervention includes 8 modules scheduled over 2 days and implemented by trained adult Jamaican women recruited from among CBO staff. The mother component is designed to increase parenting behaviors (e.g., parental monitoring, parent-child sexual communication [PCSC]) associated with reduced adolescent sexual risk-taking; the teen component is designed to improve girls' beliefs and skills related to abstinence, sexual negotiation and condom use. A "no intervention" control condition is being employed as the proposed project is a pilot study of the HIV risk-reduction intervention. Primary outcomes include mothers'/daughters' reports of parenting behaviors and daughters' self-reports of sexual risk behaviors (sexual intercourse, unprotected sex, condom use, number of partners). Secondary outcomes include mothers' beliefs regarding parenting behaviors and daughters beliefs regarding sexual risk behaviors-the theoretical mediators of intervention effects. Findings from this study will contribute to the development of effective HIV risk-reduction programs for Jamaican adolescent girls and young women.

描述（由申请人提供）：包括牙买加在内的加勒比国家的艾滋病毒感染率仅次于撒哈拉以南非洲。牙买加青年妇女和少女的风险特别高，这是由于一些文化因素、性别规范、与年长男性伴侣的伙伴关系以及缺乏与性拒绝和艾滋病毒预防有关的知识和技能。美国的研究表明，母亲可能对女儿的性风险信念和行为产生关键影响。然而，没有研究记录了美国以外的这些影响，也没有研究评估了牙买加青春期女孩及其母亲的艾滋病毒风险降低干预措施。因此，拟议项目的目的是与西印度群岛大学、牙买加社区组织和家庭结成伙伴关系，以便在一个随机试点实地实验中制定和测试一种针对特定文化的母女减少艾滋病毒风险的干预措施。具体来说，我们建议测试是否与牙买加青春期女孩和她们的母亲的文化特定的，以理论为基础的，技能建设的干预可以直接和/或间接地减少这些女孩的艾滋病毒风险相关的性行为。将从社区组织中招募14-18岁的牙买加女孩及其母亲/女性监护人，并随机分配到：（a）减少艾滋病毒风险的母女干预条件或（B）“无干预”对照条件。减少艾滋病毒风险的干预措施包括8个模块，安排在两天内实施，由从社区组织工作人员中招聘的受过培训的牙买加成年妇女实施。母亲部分旨在增加养育行为（例如，父母监督、父母与子女之间的性交流[PCSC]）与减少青少年的性风险有关;青少年部分旨在提高女孩在禁欲、性谈判和使用避孕套方面的信念和技能。由于拟议项目是一项艾滋病毒风险降低干预的试点研究，因此采用了“不干预”的控制条件。主要结果包括母亲/女儿对养育行为的报告和女儿对性风险行为（性交、无保护性行为、避孕套使用、伴侣数量）的自我报告。次要结果包括母亲对养育行为的信念和女儿对性风险行为的信念-干预效果的理论中介。这项研究的结果将有助于为牙买加少女和年轻妇女制定有效的减少艾滋病毒风险方案。