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

描述(申请人提供)：在被诊断为艾滋病毒携带者中，拉美裔占了不成比例的比例，拉美裔青少年面临着从事可能导致艾滋病毒的性行为的风险。然而，与其他族裔群体不同的是，关于针对拉丁裔青少年的艾滋病毒预防干预措施的数据迄今很少。这项R01将进行一项随机对照试验，将专门针对拉丁裔家庭的基于家庭的艾滋病毒预防干预措施与基于家庭的一般健康促进干预措施进行比较。艾滋病毒预防干预解决了与拉丁裔有关的家庭背景问题，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名拉丁裔父母-青少年夫妇的性活跃青少年年龄在14岁至17岁之间，他们将被随机分为以家庭为基础的艾滋病毒预防干预(艾滋病毒)或侧重于饮食和锻炼等健康行为的一般健康促进(HP)条件。小组由6至8名家长和青少年组成，为期一天，时长7小时。这两种干预措施分别为青年和家长开展活动(例如，关注青少年的脆弱性)，并将家长和青少年放在一起。该项目将通过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、亲子沟通和父母监督的变化，来评估以拉丁裔家庭为基础的艾滋病毒预防干预措施的效果。措施将在基线以及干预后3、6、12和18个月完成。拉美裔社区迫切需要对文化敏感、有效的艾滋病毒预防干预措施。 公共卫生相关性：艾滋病毒/艾滋病是拉美裔社区的一个重大问题。特别是为性行为活跃的拉丁裔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美裔人口的欢迎。因此，该项目将审查针对拉美裔青年和父母的以家庭为基础的艾滋病毒预防干预措施的有效性，以降低拉美裔艾滋病毒的发病率。

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.