AIDS PREVENTION AMONG INNER-CITY WOMEN: FOCUS ON CONFLIC

超出所提供的空间。我们提出了一项随机对照临床试验研究，包括3组混合的一级/二级预防干预措施。我们将比较一般艾滋病能力（GAC）的培训，旨在减少冲突恐惧和提高冲突解决能力的认知行为干预，称为冲突暴露谈判训练（ACCENT）的加速能力。市中心妇女的艾滋病预防工作在解决一般艾滋病能力问题方面取得了适度的成功。然而，由于这一人群中有很高比例（估计高达60%）的妇女一生中有过性虐待和身体虐待的经历，因此更加强调面对冲突的恐惧和学习解决冲突可能会更有效。此外，即使妇女没有受到性虐待，学习解决冲突的技能也将起到预防作用，减少今后的风险。我们的目标是1128个单身，内城妇女谁有性病感染的风险增加。女性将被随机分配到2个干预条件之一或教学干预对照。在GAC条件下，妇女将接受6次基于技能的干预，重点是艾滋病知识和安全性行为技能。在ACCENT条件下，妇女将接受6次培训，传授艾滋病知识，但重点是解决冲突。第三组将接受关于艾滋病和性传播疾病的两次教育干预。将在干预前、干预后立即、干预后6个月和12个月给予药物。性病图表审查、性病实验室检测、行为观察评级和使用避孕套“信用卡”的药房报告将提供项目成功的额外客观指标。据预测，1）ACCENT将更有效地促进安全性行为比GAC培训，2）GAC培训将更有效的教学干预，3）谁的历史性虐待和身体虐待的妇女将受益最多的ACCENT干预，和4）ACCENT将有预防性风险和暴力受害风险的影响。进一步假设5）性虐待和身体虐待的历史将与低个人（例如，自尊、自我效能）和社会资源（例如，社区掌握，社会支持），这反过来又与创伤后应激障碍相关的症状和高风险性行为有关。性能现场=

EXCEED THE SPACE PROVIDED. We propose a randomized, controlled clinical trials study with 3-arms of a mixed primary/secondary prevention intervention. We will compare General AIDS Competency (GAC) training to a cognitive behavioral intervention aimed at reducing conflict fears and raising conflict resolution competency, called Accelerating Capacity for Conflict Exposure Negotiation Training (ACCENT). AIDS prevention with inner-city women has addressed general AIDS competencies with modest to moderate success. However, because of the high percentage (estimated as high as 60%) of women from this population with a lifetime history of sexual and physical abuse, greater emphasis onconfronting fears, of conflict and learning conflict resolution may prove more efficacious. Moreover, even if women have not been sexually abused, learning conflict resolution skills will serve a preventive function to reduce future risk. We target 1128 single, inner-city women who have heightened risk for STD infection. Women will be randomly assigned to 1 of 2 intervention conditions or a didactic-intervention control. In the GAC condition women will receive a 6-session skill- based intervention that focuses on AIDS knowledge and safer-sex skills. In the ACCENT condition women will receive 6-session training that imparts AIDS knowledge, but with a central, concentrated emphasis on conflict resolution. A third group will receive a 2-session didactic intervention about AIDS and STDs. Questionnaires will be administered before, immediately following, and 6 and 12months following intervention. STD chart review, laboratory testing for STDs, behavioral observation ratings, and pharmacy reports of use of condom "credit cards" will provide additional objective indications of program success. It is predicted that 1) ACCENT will be more effective in promoting safer-sex than GAC training, 2) GAC training will be more effective than didactic-intervention, 3) women who have a history of sexual and physical abuse will benefit most from the ACCENT intervention, and 4) that ACCENT will have a preventive impact both on sexual risk and violence-victimization risk. It is further hypothesized that 5) history of sexual andphysical abuse will be related to low personal (e.g., self-esteem, self-efficacy) and social resources (e.g., communal-mastery, social support), which, in turn, are related to PTSD - related symptoms and high risk sexual behavior. PERFORMANCE SITE ========================================Section End===========================================