REDUCING AIDS IN BLACK MOTHERS--COMPARISON OF 3 PROGAMS

说明(摘自申请者摘要)：建议的研究 寻求比较传统的艾滋病教育计划，强调 个人风险(以欧洲为中心)，另一项计划强调 为城市少数群体设计的家庭和社区风险(非中心) 俄亥俄州克利夫兰的孕妇。该计划旨在满足 日益迫切地需要发展符合种族标准和有效的艾滋病 对美国市中心社区的干预。测试课程 源于资源守恒理论，其原理 采纳了许多关于障碍的意见 城市黑人减少艾滋病行为的研究。课程设置 强调母亲感染艾滋病毒对客户健康的影响 并支持母亲作为婴儿的主要保护者的角色 她的孩子和家庭的福利。 教育项目将在四个地点进行管理，形成一个 现有的、非常成功的和有资金支持的计划，围产期项目， 它让被剥夺选举权的怀孕的内城妇女参加产前 和婴儿护理。艾滋病教育研究将招收并实现 完成对每个课程300名妇女的跟踪调查(总计600人)。 基本上，这项研究包括随机两组的前测和后测 设计，并在6个月和12个月后采取测试后措施 孩子的出生。除了自我报告数据外，还有三个代理 成功的标志，即意外怀孕、其他 性传播疾病和避孕套的使用将在 同样的时间。中介变量(技能、掌握程度和社会人口统计) 也将被审查。分析包括标准的多变量测试， 包括分层回归、逻辑回归和 多因素方差重复测量分析。

DESCRIPTION (Adapted from Applicant's Abstract): The proposed study seeks to compare a conventional AIDS education program emphasizing personal risk (Eurocentric) with an alternative program highlighting risk to family and community (Afrocentric) designed for urban minority pregnant women in Cleveland, OH. The program is designed to meet the growing, urgent need to develop ethnically appropriate and effective AIDS interventions in American inner-city neighborhoods. The test curriculum is derived from the Conservation of Resources Theory, whose principles accommodate many observations that have been made concerning the barriers to AIDS reduction behaviors among urban Blacks. The curriculum emphasizes the implications of maternal HIV infection upon the clients' babies and support the mother's role as a principal protector of the welfare of her children and family. The education program will be administered at four sites into an existing, highly successful and funded program, the Perinatal Project, which enrolls disenfranchised, pregnant, inner-city women into prenatal and infant care. The AIDS education study will enroll and achieve complete follow-up of 300 women per curriculum (total n = 600). Fundamentally, the study comprises a randomized two group pre-post-test design, with post-test measures taken at 6 and 12 months following the birth of the child. In addition to self-report data, three surrogate markers of success, namely unplanned pregnancy, contraction of other sexually transmitted diseases, and condom use, will be measured over the same time. Mediating variables (skills, mastery, and sociodemographics) also will be examined. Analyses comprise standard multivariate tests, including hierarchical regression, logistic regression, and multifactorial repeated measures analyses of variance.