AIDS PREVENTION AMONG YOUNG INNER CITY WOMEN II

描述（改编自申请人的摘要）：这是一个修改后的 继续申请，要求5年的支持，以测试 采取干预措施，减少800名市中心居民感染艾滋病毒的风险， 孕妇或寻求性病评估的妇女。 这两 选择妇女群体是因为她们接触的风险增加 艾滋病毒。 这些干预措施是基于健康模型，表明 个人行动和社区行动的重要性（非洲中心主义 观点）和应对威胁的模式， 发展个人和社会资源，以成功解决 威胁 干预措施还强调了加强 女性家庭生态中的行为。 妇女将被随机分配到条件。两名艾滋病妇女 预防小组将获得四个90分钟的讲座， 举办以艾滋病预防知识为重点的培训班， skills. 第1组中的受试者被分配接受干预 没有另一半的参与 第二组的人是 被分配与他们选择的另一半一起接受干预 (i.e.,伴侣、朋友或家庭成员）。 一半的妇女在 这两个群体中的每一个将获得：a）两个额外的 个性化的培训课程（有或没有重要的其他）或 B）两次额外的小组讨论会（有或没有重要的 其他）。 比较妇女将接受一般健康培训，而不是 具体到艾滋病预防。 对照-1将包括目标组 仅限女性，对照组-2将包括目标女性群体及其 重要的其他人。 Control-1和Control-2参与者还将 接受1）两个额外的个性化会话或2）两个 增加小组讨论会。 第五组（对照-3）将 不接受任何干预。 将在给药前、给药后立即给药， 干预后6个月。 性病检测和避孕套“信用卡” 将提供项目成功的额外指标。 据预测 1）艾滋病能力培训将比一般的 健康或没有训练，2）个性化的关注将提高 干预效果，3）个人和社会资源， 行为改变所必需的，4）有重要他人的群体将 比只针对妇女的团体更有效，以及5） 在“标志性”艾滋病事件发生后，个人风险评估将增加 在社会上

DESCRIPTION (Adapted from Applicant's Abstract): This is an amended continuation application requesting 5 years of support to test interventions to reduce the risk of HIV infection among 800 inner-city women who are pregnant or who seek evaluation for an STD. These two groups of women were chosen because of their increasing risk for exposure to HIV. The interventions were based on health models that indicate the importance of personal action and communal action (an Afrocentric viewpoint) and on models of coping with threat that stress the development of personal and social resources to successfully address threat. The interventions also emphasize the importance of reinforcing behaviors in women's home ecology. Women will be randomly assigned to conditions. Women in the two AIDS prevention groups will receive four 90-minute curriculum-based, health training sessions focusing on AIDS-specific prevention knowledge and skills. Those in Group-1 are assigned to receive the intervention without the participation of a significant other. Those in Group-2 are assigned to receive the intervention with their chosen significant other (i.e., partner, friend, or family member). One-half of the women in each of these two groups will receive either: a) two additional individualized training sessions (with or without significant other) or b) two additional group discussion sessions (with or without significant other). Comparison women will receive general health training, not specific to AIDS prevention. Control-1 will include groups of target women only, and Control-2 will include groups of target women and their significant others. Control-1 and Control-2 participants will also receive either 1) two additional individualized sessions or 2) two additional group discussion sessions. A fifth group (Control-3) will receive no intervention. Questionnaires will be administered before, immediately following, and 6 months following intervention. STD testing and condom "credit cards" will provide additional indications of program success. It is predicted that 1) AIDS competency training will be more effective than general health or no training, 2) individualized attention will enhance intervention effectiveness, 3) personal and social resources are necessary for behavioral change, 4) groups with significant others will be more effective than will groups with target women only, and 5) evaluation of personal risk will increase following "marker" AIDS events in society.