An Integrated Risk Reduction Intervention for Abused African Caribbean Women

项目总结（见说明）： 该子项目与维尔京群岛大学加勒比探索研究中心（UVI）的续期申请一起提交，以响应NIMHD探索卓越中心（P20），RFA-MD-11-002。该项目是一项随机临床试验（RCT），旨在测试一种干预措施，旨在减少美属维尔京群岛非洲加勒比妇女的亲密伴侣暴力风险和相关的性传播感染风险，包括艾滋病毒感染。具体目标是：（1）联合收割机和调整亲密伴侣暴力赋权干预与艾滋病毒预防 干预2）建立治疗忠诚程序和3）在美属维尔京群岛对妇女进行综合干预的初步测试。拟议的干预研究建立在一项正在进行的亲密伴侣暴力研究的基础上，该研究是一个合作项目，由UVI加勒比探索研究中心的调查人员与大陆几所主要大学的研究人员进行。正在进行的研究题为“非裔美国人和非裔加勒比妇女的虐待状况和健康后果”。这是一个病例对照比较妇女生活在美属维尔京群岛与妇女 大陆（巴尔的摩，美国）谁正在寻求医疗保健。正在进行的研究是在美属维尔京群岛进行的第一次此类研究。亲密伴侣暴力（IPV）包括亲密伴侣（现任或前任配偶，约会或其他伴侣）的身体和/或性侵犯或威胁。调查人员将在我们关于美属维尔京群岛亲密伴侣暴力行为的工作基础上，通过制定和进行基于文化的卫生保健系统干预措施的初步测试，增加受虐待妇女感染艾滋病毒和其他性传播感染的风险。研究设计将首先让受虐待妇女、保健专业人员和家庭暴力方案工作人员（居住在维尔京群岛和/或维尔京群岛土著居民）参加重点小组，以帮助调查人员调整和整合针对这一人群的文化和语言适当的干预措施。然后，我们将在随机临床试验中进行干预的初步测试。

PROJECT SUMMARY (See instructions): This subproject is submitted with the renewal application of the Caribbean Exploratory Research Center University of the Virgin Islands (UVI)in response to the NIMHD Exploratory Centers of Excellence (P20),RFA-MD-11-002. This project is a randomized clinical trial (RCT) to test an intervention designed to reduce the risk of intimate partner violence and associated risks of sexually transmitted infections (STIs) including HIV infection in African Caribbean women in the US Virgin Islands. The specific aims are to 1) combine and adapt an intimate partner violence empowerment ilntervention with an HIV prevention intervention 2) establish treatment fidelity procedures and 3) conduct a preliminary test of the combined intervention with women in the US Virgin Islands. The proposed intervention study builds on an ongoing study of intimate partner violence (IPV) being conducted as a collaborative project by investigators at the Caribbean ExploratoryResearch Center, UVI with researchers at several major mainland universities. The study in progress is titled Abuse Status and Health Consequences for African American and African Caribbean Women. It is a case control comparison of women living in the US Virgin Islands with women on the mainland (Baltimore, USA) who are seeking health care. The ongoing study is the first of its kind conducted in the US Virgin Islands. Intimate partner violence (IPV) includes physical, and/or sexual assault or threats by an intimate partner (current or former spouse, dating or other partner). The investigators will build on our work on intimate partner violence (IPV) in the US Virgin Islands and the increased risk it poses for abused women for HIV and other sexually transmitted infections by developing and conducting a preliminary test of a culturally tailored health care system based intervention. The research design will first engage abused women, health care professionals and domestic violence program workers (living in and/or native Virgin Islanders) in focus groups to help the investigators with the adaptation and integration of a cultural and linguistically appropriate intervention tailored for this population. We will then conduct a preliminary test of the intervention in a randomized clinical trial.