A Randomized Controlled Trial of Family-Based HIV Prevention for Latino Youth

描述（由申请人提供）：拉丁美洲人在被诊断患有艾滋病毒的人中所占比例不成比例，拉丁美洲青少年有可能参与可能导致艾滋病毒的性行为。然而，关于拉丁美洲青少年艾滋病毒预防干预措施的数据，与其他族裔群体不同，迄今为止很少。R 01将进行一项随机对照试验，比较以家庭为基础的一般健康促进干预措施和以家庭为基础的专门针对拉丁美洲家庭的艾滋病预防干预措施。艾滋病毒预防干预措施解决与拉丁美洲人有关的家庭环境问题，如文化适应、宗教信仰、性别角色和性社会化、亲子沟通和监测做法。320名14至17岁之间性活跃青少年的拉丁裔父母-青少年将被随机分为基于家庭的艾滋病毒预防干预（HIV）或一般健康促进（HP）条件，重点是健康行为，如饮食和锻炼。小组由6至8名家长和青少年组成，为期一天，7小时的工作坊。这两种干预措施分别为青年和家长开展活动（例如，重点关注青少年的脆弱性）以及父母和青少年的共同努力。该项目将从评估青少年与艾滋病毒有关的性行为和态度、性别和性社会化、亲子沟通和父母监测的变化来评估拉丁美洲家庭为基础的艾滋病毒预防干预的效果。将在基线和干预后3、6、12和18个月完成测量。拉丁裔社区迫切需要一种对文化敏感、有效的艾滋病毒预防干预措施。 公共卫生相关性：艾滋病毒/艾滋病是拉丁美洲社区的一个重大问题。特别是为性活跃的拉丁美洲青年制定对文化敏感的艾滋病毒预防干预措施是公共卫生的优先事项。以家庭为基础的干预措施可能会受到拉丁美洲人口的欢迎。因此，该项目将研究以家庭为基础的艾滋病毒预防干预措施对拉丁美洲青年和父母的有效性，以减少拉丁美洲人的艾滋病毒发病率。

DESCRIPTION (provided by applicant): Latinos are disproportionately represented among those diagnosed with HIV and Latino adolescents are at risk for engaging in sexual behaviors that can lead to HIV. However, data regarding HIV prevention interventions for Latino adolescents, as distinct from other ethnic groups, have been rare to date. This R01 will conduct a randomized controlled trial of a family-based HIV prevention intervention specifically for Latino families compared to a family-based general health promotion intervention. The HIV prevention intervention addresses family context issues relevant to Latinos such as acculturation, religiosity, gender role and sexual socialization, parent-child communication, and monitoring practices. Three hundred and twenty Latino parent-adolescent dyads with a sexually active adolescent between the ages of 14 and 17 will be randomized into either the family based HIV prevention intervention (HIV) or a general health promotion (HP) condition that focuses on healthy behaviors such as diet and exercise. Groups consist of 6 to 8 parent and youth dyads in a one-day, 7-hour workshop. Both interventions employ activities for youth and parents separately (e.g., focus on adolescent vulnerability) and parents and adolescents together. The project will estimate the efficacy of the Latino Family-based HIV prevention intervention from assessment of changes in the adolescents' HIV-related sexual behavior and attitudes, gender and sexual socialization, parent-child communication, and parental monitoring. Measures will be completed at baseline and at 3, 6, 12, and 18 months post-intervention. A culturally sensitive, efficacious HIV prevention intervention is urgently needed for Latino communities. PUBLIC HEALTH RELEVANCE: HIV/AIDS is a significant problem in the Latino community. Developing culturally sensitive HIV prevention interventions for sexually active Latino youth, in particular, is a public health priority. Family-based interventions are likely to be well-received by the Latino population. Therefore, this project will examine the efficacy of a family-based HIV prevention intervention for Latino youth and parents to decrease the incidence of HIV among Latinos.