Behavioral Social and Cultural Determinants of HIV Risk in Hispanic Women

这项研究的主要目的是识别和更好地理解流行病学、心理社会、 与艾滋病毒/性病传播和感染有关的文化、结构和行为因素 迈阿密文化多元化的高危西班牙裔女性。我们的目标包括：！)建立外展计划 招募艾滋病毒感染高危人群，2)评估社会、文化和环境因素 与危险行为有关；3)评估和监测艾滋病毒咨询、检测和治疗的影响 转介危险行为；4)将参与者与适当的医疗、预防和心理社会支持联系起来 社区中的服务。 在美国东南部，迈阿密-戴德县拥有最高和最多样化的地区之一 说西班牙语的人口：在230万人中，61%是西班牙裔。总人口的50%是 外国出生(77%出生在拉丁美洲)。2003年，佛罗里达州的艾滋病毒流行率位居美国第一 在女性中。2004年，迈阿密-达德报告了13,903例艾滋病毒病例，其中34%是西班牙裔。这个 2004年，迈阿密-戴德的艾滋病毒流行率超过每10万人中有30人感染艾滋病毒。 使用有针对性的抽样，我们将招募500名高危西班牙裔女性代表各种 南部的西班牙裔亚群(例如古巴人、墨西哥人、波多黎各人、加勒比海人、中美洲人和南美洲人) 并确定与艾滋病毒/性传播疾病感染和传播有关的因素。我们将评估 环境(贫穷、获得护理、社会支持和家庭暴力)和个人因素(文化、 自我效能感、沟通、性障碍可接受性以及酒精和药物使用)作为促进者 降低风险的障碍。与与该合作社有关的其他受赠人合作 协议和疾病预防控制中心，信息和战略的共享将促进双方的发展 通用和特定地点的评估，以更好地了解与高风险相关的潜在因素 行为。与我们的合作伙伴CBO、关怀资源一起，我们将通过焦点小组收集定性数据 以及对西班牙裔卫生专业人员、社区领袖和社区服务接受者的采访， 为了实现在HIV+和高危拉美裔之间建立牢固联系的最终目标 妇女以及社区中的社会、医疗和心理健康资源。

The overallaims of the study are to identify and better understandthe epidemiologic,psychosocial, cultural, structural and behavioral factors associated with HIV/STD transmission and infection among culturally diverse high-risk Hispanicwomen in Miami. Our goals include:!) establishing an outreach program to enroll participants at high risk for HIV infection, 2) assessing social, cultural and environmental factors associated with risk behaviors; 3) evaluatingand monitoringthe impact of HIV counseling,testing, and referral on risk behaviors; 4) linking participants to appropriate medical, preventive and psychosocial support services in thecommunity. Among the Southeastern United States, Miami-Dade County has one of the highest and most diverse Spanish speaking populations:of 2.3 million, 61% are Hispanic. Fifty percent of the general population is foreign born (77% born in Latin America). In 2003, Florida ranked first in the US for prevalence of HIV cases among women. In 2004, Miami-Dadeaccountedfor 13,903 HIV cases, of which 34% were Hispanic. The prevalence of HIV in Miami-Dade was over 30 per 100,000 in 2004. Using targetedsampling,we will recruit 500 high risk Hispanic women representative of the various Hispanic subgroups (e.g., Cuban, Mexican, Puerto Rican, Carribean, Central and South American) in South Florida and identify factorsassociatedwith HIV/STD infection and transmission.We will assess environmental (poverty, access to care, social support and domestic violence) and individual factors (culture, self efficacy, communication,sexual barrier acceptability,and alcohol and drug use) as facilitatorsor impediments to risk reduction. In collaboration with the other grantees associated with this cooperative agreement and the CDC, sharingof informationand strategieswill facilitate the developmentof both common and site-specific assessments to better understand the underlying factors associated with high-risk behaviors. Along with our partner CBO, Care Resource, we will collect qualitative data through focusgroups and interviews with Hispanic health professionals, community leaders and recipients of community services, in an effort to achieve the ultimate goal of establishingstrong links between HIV+ and high risk Hispanic women and social, medical, and mental health resources in the community.