AIDS PREVENTION AMONG YOUNG INNER-CITY WOMEN

预防干预强调艾滋病相关信息 行为能力将针对孕妇进行内城 妇女 孕妇被选中是因为她们是 最高风险的异性恋群体，因为艾滋病毒感染危及 他们和他们的胎儿/婴儿。 干预措施的设计基于 表明个人行动计划重要性的健康模型 自我能力和基于压力模型，建议需要 社会支持在采取新的应对行为中的作用。 这些发明是 也被设计来解决强化新行为的一般问题 在训练环境之外。 两个艾滋病小组的妇女将 接受1）四次艾滋病能力培训， 怀孕期间的一般健康和艾滋病的具体问题或2） 通过四份艾滋病通讯加强同样的艾滋病能力培训 根据目标人群的兴趣和阅读水平设计， 主意了 两个对照组将接受1）一般健康 能力培训（不针对艾滋病）或2）相同的一般 通过四份卫生通讯加强卫生能力培训。这些 对照组允许检查一般 健康能力可能足以改变艾滋病患者的行为， 鉴于艾滋病信息越来越多地通过媒体获得。 四个干预组各有一半的妇女还将 接受同伴干预者的四次家访， 加强学习能力。 第三个对照组将接受 只有问卷调查，没有干预，以控制 历史和问卷本身的影响。 问卷 将在干预之前、之后和干预后6个月进行给药。 预测：1）艾滋病能力培训将更有效 在影响采用安全性行为， 能力培训或没有培训; 2）接受进一步培训的群体 加强训练（例如，新闻通讯、社会支持） 更有可能采取更安全的性行为比那些谁不接受 这种强化; 3）那些拥有更多资源的人（例如，更大 掌握、自然社会支持、年龄、收入和教育）将 从干预中受益更多，而不是那些资源较低的人;以及4） 那些资源匮乏的国家只会从更密集的 社会干预。 生态学视角指导一般 干预策略。

A preventive intervention emphasizing both AIDS information related behavioral competencies will be conducted targeting pregnant inner-city women. Pregnant inner-city women were chosen because they are on of the highest risk heterosexual groups and because HIV infection endangers them and their fetus/infant. The interventions were designed based on health models that indicate the importance of personal action plans nd self-competency and based on stress models that suggest the need for social support in adopting new coping behaviors. The inventions were also designed to address in general problem of reinforcing new behaviors outside of the training environment. Women in the two AIDS groups will receive either 1) four sessions of AIDS competency training that focus on than general health during pregnancy and AIDS specific concerns or 2) the same AIDS competency training reinforced by four AIDS newsletters designed with interests and reading level of the target population in mind. Two yoked control groups will receive either 1) general health competency training (that does not target AIDS) or 2) the same general health competency training reinforced by four health newsletters. These control groups allow for examination of the possibility that general health competencies may be sufficient in producing AIDS behavior change, given that AIDS information is increasingly available through the media. Half of the women in each of the four intervention groups will also receive four home visits by peer interventionists aimed at further reinforcing learned competencies. A third control group will receive only the questionnaires and no intervention in order to control for the effects of history and the questionnaires themselves. Questionnaires will be administered before, following, and 6 months after intervention. It is predicted that:1) AIDS competency training will be more effective in influencing adoption of safer sex behaviors that general health competency training or no training; 2) that groups that receive further reinforcement of training (e.g., newsletters, social support) will be more likely to adopt safer sex practices than those who do not receive such reinforcement; 3) that those with greater resources (e.g., greater mastery, natural social support, age, income, and education) will benefit more from intervention that those with lower resources; and 4) that those with low resources will only benefit form the more intensive social intervention. An ecological perspective guides the general intervention strategy.