HIV/AIDS Education Program For Vietnamese Adolescents

越南是一个拥有7 500万人口的国家，其中80%生活在农村地区。1995年，越南59%的人口在25岁以下。越南直到1990年才发现第一例艾滋病。该疾病的发病率迅速上升，保守的估计表明，2000年艾滋病毒呈阳性的累计人数为160 000人。艾滋病毒呈阳性的人中有近一半年龄在15至24岁之间。高危人群中的病例数迅速增加，预计异性接触将是通过一般人群传播的主要方式。受艾滋病毒/艾滋病影响的青少年和年轻人的数量强烈表明，有必要为这一人群制定预防方案。该提案寻求支持马里兰州巴尔的摩大学和庆和省卫生服务部门之间的合作努力。该项目是在庆和省（N=480）的8个农村社区进行的一项随机、治疗-对照有效性试验，采用了马里兰州大学制定的青少年艾滋病毒预防方案“关注儿童”的修改方案。与“关注儿童”项目共同开发的评价工具-青年健康危险行为工具的修改版将成为主要的定量评价工具。半结构化面试也将用于定性评价部分。该提案建立在马里兰州巴尔的摩大学和庆和省卫生服务部门目前的合作努力基础上，包括收集定性数据，以修改“关注儿童”方案和评估工具。将于2000年5月/6月在160名青年中试行经修改的课程和评价工具。拟议的项目是在越南全国扩大实施减少艾滋病毒/艾滋病风险方案的重要下一步。该项目提供了一个机会，研究青少年发展和参与与艾滋病毒/艾滋病有关的保护和风险行为方面的跨文化共性和差异，以及成功修改方案所需的机制和理论基础，并从一种文化适应另一种文化。

Viet Nam is a nation of 75 million, 80 percent of whom live in rural areas. In 1995, 59 percent of the population of Viet Nam was under 25 years. The first case of AIDS was not identified in Viet Nam until 1990. The rate of the disease has increased rapidly, and conservative estimates suggest that in 2000 the cumulative number of individuals who are HIV positive is 160,000. Nearly half of those who are HIV positive are between the ages of 15 and 24 years. There have been rapid increases in numbers of cases among high-risk populations, and it is anticipated that heterosexual contact will be the primary mode of transmission through the general population. The number of adolescents and young adults affected by HIV/AIDS strongly suggests the need for prevention programs for this population. This proposal seeks support for a collaborative effort between the University of Maryland Baltimore and the Khanh Hoa Provincial Health Services. The project is a randomized, treatment-control effectiveness trial in eight rural communes in Khanh Hoa Province (N=480) utilizing a modification of `Focus on Kids', an HIV prevention program for adolescents developed at the University of Maryland. A modified version of the Youth Health Risk Behavior Instrument, the evaluation instrument developed in conjunction with `Focus on Kids', will be the primary quantitative evaluation tool. Semi- structured interviews will also be employed for a qualitative evaluation component. The proposal builds on current collaborative efforts between the University of Maryland Baltimore and Khanh Hoa Provincial Health Services including collection of qualitative data for the modification of the `Focus on Kids' program and the evaluation tool. A pilot of the modified curriculum and evaluation tool will be conducted with 160 youth in May/June 2000. The proposed project is an important next step toward the expansion of HIV/AIDS risk-reduction program implementation throughout Viet Nam. The project provides an opportunity for research regarding commonalities and differences across cultures in adolescent development and engagement in protective and risk behaviors related to HIV/AIDS, as well as on mechanisms and theoretical underpinnings necessary for programs to be successfully modified and adapted from one culture to another.