HIV Risk Reduction in High Risk Latina Migrant Workers in South Florida

这项拟议研究的主要目标是继续努力开发最有效的组合 行为干预，以优化健康状况的一个最被忽视和研究不足 受艾滋病毒/艾滋病流行影响的人口：拉丁裔移民工人。Findings from the 目前对这一人群的研究证实了认知行为干预在短期内的效用 减少与艾滋病毒有关的危险行为，同时提高认识、自我效能和应对技能。的 拟议的研究将扩展这些发现，以确定是否暴露于认知 艾滋病毒行为预防干预（A-SEMI II）可以显著改善艾滋病毒感染者的健康状况。 拉丁裔移民工人利用健康行为改变计划的能力， 采用和维持更健康的生活方式行为（即，更安全的性行为和减少饮酒 使用/滥用）对最佳健康和预防艾滋病毒感染至关重要。完成这些 目标，250名来自宅基地和佛罗里达城（南佛罗里达）社区的拉丁移民工人将 入组并随机分配至一个实验干预组（A-SEMI II）和一个对照组（HPC） 并在6个月、12个月和24个月进行随访，以评价A-SEMI II干预的长期有效性， 改善健康状况，减少与艾滋病毒有关高危行为。这项研究遵循了一个社区 参与式研究（CBPR）。这种CBPR方法响应了NIH的优先事项， 在社区成员和研究人员之间建立平等的伙伴关系，最终目标是 增加社区参与研究过程，改善社区健康，减少与艾滋病毒有关的 健康差距。

The principal objective of this proposed study is to continue efforts to develop the most effective combination of behavioral interventions to optimize the health status of one of the most neglected and understudied populations affected by the HIV/AIDS epidemic in this country: Latina migrant workers. Findings from the current study with this population affirm the utility of cognitive-behavioral interventions in the short-term reduction of HIV-related risk behaviors, while improving awareness, self-efficacy, and coping skills. The proposed study will extend these findings in seeking to determine whether exposure to a Cognitive Behavioral HIV Prevention Intervention (A-SEMI II) can significantly produce long-term improvements in the ability of Latina migrant workers to take advantage of a health behavior change program encouraging the adoption and maintenance of healthier lifestyle behaviors (i.e., safer sexual practices and reduced alcohol use/abuse) essential for optimal health and in the context of preventing HIV infection. To accomplish these objectives, 250 Latina migrant workers from the Homestead and Florida City (South Florida) communities will be enrolled and randomized to one experimental intervention (A-SEMI II) and one comparison group (HPC) and followed at 6, 12, and 24 months to evaluate the long term effectiveness of the A-SEMI II intervention to improve health status and reduce HIV related high risk behavior. The proposed study follows a community based participatory research (CBPR) approach. This CBPR approach responds to the NIH priority on establishing equitable partnerships between community members and researchers with the final goal of increasing community participation in the research process, improving community health, and reducing HIV related health disparities.