EVALUATION OF AIDS PREVENTION MODELS FOR MINORITY WOMEN

该申请要求资助评估两个社区艾滋病 预防模式，以协助低收入非洲裔美国妇女减少 艾滋病毒感染风险的活动，并评估其结果 与社会支持自助模式相比较 城市地区的少数民族妇女 贫困、吸毒、高怀孕率和高性病 流行率代表艾滋病毒感染风险高的人群，但 艾滋病风险降低干预措施的控制性评价很少， 这个人口。 这项拟议的研究将从三个国家招募240名妇女， 为杰克逊的低收入居民服务的初级卫生保健诊所， 密西西比。80名女性将被随机分配参加一项 6-小组社会支持和自助干预（SS），80名妇女 将参加一个为期6天的社会支持加建模干预 根据社会学习理论（SS+M），将80名妇女随机 分配到一个社会支持和建模加行为排练 基于传统行为理论的条件（SS+M+BR）。 培训 将随后的助推器会议3个月和1年后， 加强维护的干预措施。 干预前，三个月 培训后，在12个月随访时，所有参与者将完成 艾滋病风险知识测量;社会规范感知;估计 个人脆弱性、自我效能和反应效能信念; 自我报告的性行为和物质使用行为， 控制、安全套使用和注射器清洁技能、行为技能 在涉及与伴侣进行性谈判的角色扮演模拟中， 报告与她讨论艾滋病预防措施的频率 在她的社交网络中。 作为佐证措施，性病数据将 从之前和之后12个月的医疗记录中收集 干预 多变量数据分析将对两者进行比较 实验组和社会支持组，以评估 干预措施。 假设所有参与者都将获得 更高的知识得分和社会支持得分， 各自的干预措施。 SS+M+BR组的参与者是 被预测为风险行为较低，在角色中更有行为技能， 玩游戏，更熟练地使用避孕套和清洁注射器 技能，认可更多的内部健康控制点信念， 干预后性病发病率降低。这项研究将提供 直接比较三种广泛提出的干预模式和产量 在城市卫生保健中实用和可行的信息 为城市贫困的非裔美国妇女服务的环境。

This application requests funding to evaluate two community-based AIDS prevention models to assist low income African-American women in reducing activities which confer HIV infection risk and evaluate their outcome against a social support self-help model. Minority women in urban areas characterized by poverty, drug use, high pregnancy rates, and high STD prevalence represent a population at high HIV infection risk, yet there are few controlled evaluations of AIDS risk reduction interventions for this population. The proposed study will recruit 240 women from three primary health care clinics serving low income residents in Jackson, Mississippi. 80 women will be randomly assigned to participate in a 6-session group social support and self-help intervention (SS), 80 women will participate in a 6-session social support plus modeling intervention based on social learning theory (SS+M), and 80 women will be randomly assigned to a social support and modeling plus behavior rehearsal condition (SS+M+BR) grounded in traditional behavior theory. Training will be followed by booster sessions 3 months and 1 year after the intervention to enhance maintenance. Before intervention, three months after training, and at 12-month followup, all participants will complete measures of AIDS risk knowledge; perceptions of social norms; estimates of personal vulnerability, self efficacy, and response efficacy beliefs; self -reported sexual and substance use behavior, health locus of control, condom application and syringe cleaning skill, behavioral skill in role-play simulations involving sexual negotiation with a partner, and report the frequency with which she has discussed AIDS precautions with others in her social network. As corroborative measures, STD data will be collected from medical records before and l2 months after the intervention. Multivariate data analysis will compare the two experimental groups and social support group to evaluate the interventions. It is hypothesized that all participants will obtain higher knowledge scores and social support scores following their respective interventions. Participants in the SS+M+BR groups are predicted to be lower in risk behavior, more behaviorally skilled in role play enactments, more skilled in condom application and syringe cleaning skills, endorse more internal health locus of control beliefs, and evidence lower STD rates after intervention . This research will provide direct comparison of three widely proposed intervention models and yield information that will be practical and feasible in urban health care settings which serve urban poor African American women.