Faith-Based HIV Prevention for Women

摘要 这项拟议的研究采取了一种创新的、文化上一致的方法来预防艾滋病毒， 非洲裔美国人是非洲裔美国人社区中最有影响力的社会结构之一， 教堂 这项拟议中的研究建立了埃默里大学罗林斯公共卫生学院与 新出生的传教士浸信会教堂在大都会亚特兰大，格鲁吉亚。 在过去的一年里，研究 小组与教会的平信徒领袖和教会事工的领袖合作， 发展基于信仰的艾滋病毒干预措施。 研究人员建议开发一种基于信仰的艾滋病毒 根据CDC定义的基于证据的SISTA青少年艾滋病毒干预措施改编的干预措施 非裔美国女性，18 - 29岁。1,2 中年和老年人口现在代表了 艾滋病毒感染者人数增长最快的群体。 不幸的是，中年和老年妇女 艾滋病毒感染率高于中年和老年男子。 此外，在成熟女性中，非洲 美国妇女受艾滋病毒影响的比例过高。 由于缺乏基于证据的艾滋病毒 针对这一人群的干预措施，拟议的研究旨在设计一种基于信仰的艾滋病毒干预措施， 40 - 60岁的非裔美国妇女要减少无保护性交。 资格 参与者将随机接受基于信仰的HIV干预（n = 240）或安慰剂 对照健康促进干预（n = 240），并将在基线、6和12时进行评估- 随访1个月，评价干预效果。 行为改变要有意义， 因此，我们还建议培训妇女部和卫生部的成员， 保持干预。

Abstract The proposed study takes an innovative, culturally congruent approach to HIV prevention by involving one of the most influential social structures in the African American community, African American churches. The proposed study forges a link between Emory University Rollins School of Public Health and New Birth Missionary Baptist Church in metropolitan Atlanta, Georgia. During the past year, the study team has collaborated with church lay leaders and with leaders of the church Ministries to initiate development a faith-based HIV intervention. The study investigators propose to develop a faith-based HIV intervention that is adapted from the CDC-defined evidence based SISTA HIV intervention for young African American women, 18 - 29 years of age. 1,2 Middle age and older populations now represent the fastest growing group of individuals living with HIV. Unfortunately, middle age and older women are acquiring HIV at a higher rate than middle age and older men. Moreover, among mature women, African American women are disproportionately affected by HIV. Given the absence of evidence-based HIV interventions for this population, the proposed study seeks to design a faith-based HIV intervention for African American women, 40 - 60 years of age to reduce unprotected sexual intercourse. Eligible participants will be randomized to receive either the faith-based HIV intervention (n = 240) or a placebo controlled health promotion intervention (n = 240) and assessments will be conducted at baseline, 6 and 12- month follow up to evaluate intervention efficacy. For behavior change to be meaningful it must be sustained, thus, we also propose to train members of the Women's Ministry and Health Ministry to maintain the intervention.