DEVELOPMENT AND TESTING OF A JAMAICAN MOTHER-DAUGHTER HIV RISK-REDUCTION PROGRAM

包括牙买加在内的加勒比国家的艾滋病毒感染率仅次于撒哈拉以南非洲。 由于一些文化因素，牙买加年轻妇女和少女的风险特别高， 性别规范、与年长男性伴侣的伙伴关系以及缺乏与性拒绝有关的知识和技能 和艾滋病毒预防。美国的研究表明，母亲可能会对女儿的生活产生重要影响 性风险信念和行为。然而，在美国以外的地方，还没有研究记录这些影响。 而且还没有研究评估对牙买加少女和她们的艾滋病毒风险降低干预 母亲们。因此，拟议项目的目的是与西印度群岛大学合作， 牙买加以社区为基础的组织(CBO)和家庭，以开发和测试特定文化 母女减少艾滋病毒风险干预的随机试点现场实验。具体来说，我们 建议对牙买加青少年进行针对特定文化、以理论为基础的技能培养干预 女孩及其母亲可以直接和/或间接减少这些女孩与艾滋病毒风险相关的性行为。 14-18岁的牙买加女孩和她们的母亲/女性监护人将从CBO和随机招募 分配给：(A)母女减少艾滋病毒风险干预条件或(B)“不干预” 控制条件。艾滋病毒风险降低干预包括计划在2天内进行的8个单元和 由从国会预算办公室工作人员中招聘的训练有素的牙买加成年妇女执行。主组件是 旨在增加育儿行为(例如，父母监测、亲子性交流 [PCSC])与减少青春期性风险有关；青少年部分旨在改善 女孩与禁欲、性谈判和避孕套使用有关的信仰和技能。“不干预”控制 由于拟议的项目是艾滋病毒降低风险干预措施的试点研究，因此正在采用这一条件。 主要结果包括母亲/女儿对育儿行为的报告和女儿对父母行为的自我报告 性危险行为(性交、无保护措施的性行为、使用避孕套、性伴侣数量)。次要的 结果包括母亲对育儿行为的信念和女儿对性风险的信念 行为--干预效果的理论中介。这项研究的发现将有助于 为牙买加青春期女孩和年轻妇女制定有效的艾滋病毒风险降低方案。

Caribbean nations, including Jamaica, exhibit HIV rates that are second only to sub-Saharan Africa. Jamaican young women and adolescent girls are at particularly high risk due to a number of cultural factors, gender norms, partnering with older male partners, and lack of knowledge and skills related to sexual refusal and HIV prevention. U.S. studies have shown that mothers may act as a key influence of their daughters' sexual risk beliefs and behaviors. However, no studies have documented these effects outside of the U.S. and no studies have evaluated HIV risk-reduction interventionswith Jamaican adolescent girls and their mothers. Hence, the purpose of the proposed project is to partner with the University of the West Indies, Jamaican community based organizations (CBOs) and families in order to develop and test a culture-specific mother-daughter HIV risk-reduction intervention in a randomized pilot field experiment. Specifically, we propose to test whether a culture-specific, theory-based, skill-building intervention with Jamaican adolescent girls and their mothers can directly and/or indirectly reduce these girls' HIV risk-associated sexual behaviors. Jamaican girls, ages 14-18, and their mothers/female guardians will be recruited from CBOs and randomly assigned to either: (a) a mother-daughter HIV risk-reduction intervention condition or (b) a "no intervention" control condition. The HIV risk-reduction intervention includes 8 modules scheduled over 2 days and implemented by trained adult Jamaican women recruited from among CBO staff. The mother component is designed to increase parenting behaviors (e.g., parental monitoring, parent-child sexual communication [PCSC]) associatedwith reduced adolescent sexual risk-taking; the teen component is designed to improve girls' beliefs and skills related to abstinence, sexual negotiation and condom use. A "no intervention" control condition is being employed as the proposed project is a pilot study of the HIV risk-reduction intervention. Primary outcomes include mothers'/daughters' reports of parenting behaviors and daughters' self-reports of sexual risk behaviors (sexual intercourse, unprotected sex, condom use, number of partners). Secondary outcomes include mothers' beliefs regarding parenting behaviors and daughters beliefs regarding sexual risk behaviors-the theoretical mediators of intervention effects. Findings from this study will contribute to the development of effective HIV risk-reduction programs for Jamaicanadolescent girls and young women.