Mid-life Women: Preventing Unintended Pregnancy & STIs

项目简介（由申请人提供）：建议项目将以光碟、DVD-ROM、互联网/内联网和VHS录像带的形式，为中年妇女发展和评估一种理论上的预防性传播感染和意外怀孕的干预措施。选择中年人群是因为缺乏针对这一亚人群的干预材料。互动式视频课程将是完全多元文化的（即，为非裔美国人、亚洲/太平洋岛民、高加索和西班牙裔妇女量身定制）。它将侧重于：预防意外怀孕和性传播感染的战略；性伴侣对降低风险的决定和行为的影响；预防策略选择的决策支持；培训购买和使用避孕套的技能，以及与合作伙伴沟通和谈判以降低风险的技能。

DESCRIPTION (provided by applicant): The proposed project will develop and evaluate a theoretically based intervention for mid-life women regarding the prevention of sexually transmitted infections and unintended pregnancy in CD-ROM, DVD-ROM, Internet/Intranet and VHS videotape formats. The mid-life population was selected because there is a paucity of intervention materials for this sub-population. The interactive video-based program will be fully multicultural (i.e., tailored for African American, Asian/Pacific Islander, Caucasian and Hispanic women). It will focus on: prevention strategies for unintended pregnancy and STIs; the influence of sexual partners on risk reduction decisions and behaviors; decision support in choosing among prevention strategies; and skill-building in buying and using condoms, and in communicating and negotiating with partners to reduce risk. In Phase I an interactive CD-ROM program will be developed and evaluated in a randomized controlled trial. The intervention will be designed to increase knowledge about: 1) pregnancy risk in mid-life; 2) STI risk in mid-life; 3) strategies to prevent STIs and unintended pregnancy in mid-life; and 4) influences of sexual partners on risk reduction decisions and behaviors. The Phase I program will target African American females ages 35-55 who are in non-monogamous sexual relationships or sexual relationships of equal to or less than 3 months duration. The outcome measures will include: knowledge, beliefs, attitudes, normative expectations, behavioral intentions, and perceived environmental constraints regarding prevention of STI/HIV and unintended pregnancy.