EVALUATION OF AIDS PREVENTION MODELS FOR MINORITY WOMEN

这个应用程序申请资金来评估两个基于社区的艾滋病 帮助低收入非裔美国妇女减少贫困的预防模式 增加艾滋病毒感染风险并评估其结果的活动 反对社会支持自助模式。城市地区的少数民族妇女 以贫穷、吸毒、高怀孕率和高性病为特征 流行率代表艾滋病毒感染风险较高的人群，但 对艾滋病减少风险干预措施的受控评估很少 这群人。这项拟议的研究将从三个国家中招募240名女性 为杰克逊低收入居民提供服务的初级卫生保健诊所， 密西西比州。80名女性将被随机分配参加一项 6次小组社会支持和自助干预(SS)，80名妇女 将参加为期6个疗程的社会支持和模特干预 根据社会学习理论(SS+M)，将80名女性随机 被分配到社会支持和模特儿以及行为彩排 基于传统行为理论的条件(SS+M+BR)。培训 之后将在3个月和1年后举行强化会议 加强维护的干预措施。干预前，三个月 培训结束后，在12个月的随访中，所有参与者都将完成 艾滋病风险知识的测量.社会规范的认知.估计 个人脆弱性、自我效能感和应对效能感信念； 自我报告的性行为和物质使用行为，健康来源 控制、使用避孕套和清洁注射器的技能、行为技能 在角色扮演模拟中，涉及与伴侣的性谈判，以及 报告她与她讨论艾滋病预防措施的频率 她社交网络中的其他人。作为佐证措施，性病数据将 在治疗前和治疗后12个月内收集病历 干预。多变量数据分析将对两者进行比较 试验组和社会支持组评估 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 预计风险行为较低，角色的行为技能较高 玩游戏，更熟练地使用避孕套和清洗注射器 技能，认可更多内部健康控制点的信念，以及 有证据表明，干预后性病发病率较低。这项研究将提供 三种广泛提出的干预模式和收益率的直接比较 在城市卫生保健中实用和可行的信息 为城市贫穷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.