HIV Prevention with HIV+ Incarcertated Men

艾滋病毒被监禁男性的艾滋病毒预防

• 批准号: 7226940
• 负责人: Larry D. Icard
• 金额: $ 29.11万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7226940
• 关键词: AIDS education /prevention; African American; HIV infections; Hispanic Americans; caucasian American; clinical research; cooperative study; correctional institutions; human subject; male

DESCRIPTION (provided by applicant): This feasibility study will test the efficacy of a peer led group level intervention primarily targeting African American, Latino American, and White HIV+ inmates (200 men, 100 randomized per condition), age 18 and older. The intervention is designed to reduce HIV transmission by promoting abstinence, monogamy, and using condoms as well as increase access to appropriate medical treatment, and prevention services after release from prison. The intervention will be compared against the PA Dept of Corrections standard of care. The proposed study is guided by 6 aims, to: (1) Test the efficacy of an intervention designed to reduce HIV risk behavior compared to the standard of care among HIV+ men soon to be released (within 6 months) from a state prison; (2) Test the efficacy of the intervention to increase access to appropriate substance abuse treatment and relapse prevention services after release from prison; (3) Test the intervention to increase attitudes and skills related to partner counseling referral services (PCRS); (4) Test the efficacy of the intervention to increase access to care, including social services and medical treatment; (5) Test the efficacy of the intervention to increase the abilities of men in the intervention condition to utilize services to promote adherence to medical treatment; and (6) Compare the intervention's costs and benefits to the standard of care. Participants will receive non-monetary incentives to minimize attrition, and complete assessments before the intervention, at 2 weeks, 3, and 6 months post. Measures include (1) HIV transmission risks; (2) communicating with sexual partners; (3) access and utilization of substance abuse treatment, and, (4) access and utilization of AIDS-related health and social services. The aims will be evaluated statistically with multiple regression and logistic regression.

描述(由申请人提供)：这项可行性研究将测试同伴领导的小组水平干预的有效性，主要针对非裔美国人、拉丁裔美国人和白人HIV+囚犯(200名男性，每种情况随机分配100人)，年龄在18岁及以上。这项干预措施旨在通过促进禁欲、一夫一妻制和使用避孕套来减少艾滋病毒的传播，并增加出狱后获得适当医疗和预防服务的机会。干预措施将与PA惩教部的护理标准进行比较。这项拟议的研究以6个目标为指导：(1)测试旨在减少艾滋病毒风险行为的干预措施的有效性，对照即将从国家监狱释放(在6个月内)的艾滋病毒+男性的护理标准；(2)测试干预措施的有效性，以增加出狱后获得适当药物滥用治疗和复发预防服务的机会；(3)测试干预措施，以增加与伴侣咨询转介服务(PCRs)相关的态度和技能；(4)测试干预措施的有效性，以增加获得护理的机会，包括社会服务和医疗；(5)测试干预的有效性，以提高处于干预条件下的男子利用服务促进坚持医疗的能力；以及(6)将干预的成本和收益与护理标准进行比较。参与者将在干预前、干预后2周、3个月和6个月接受非货币激励，以最大限度地减少人员流失，并完成评估。措施包括(1)艾滋病毒传播风险；(2)与性伴侣交流；(3)获得和使用药物滥用治疗；以及(4)获得和使用与艾滋病有关的卫生和社会服务。采用多元回归和Logistic回归对各指标进行统计评价。