ADOLESCENT NEIGHBORHOOD CROWDS--A LONGITUDINAL STUDY

青少年社区人群——一项纵向研究

• 批准号: 2675658
• 负责人: M. Margaret Dolcini
• 金额: $ 58.41万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 2000-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2675658
• 关键词: AIDS education /prevention; African American; adolescence (12-20); behavioral /social science research tag; chlamydial disease; clinical research; cognitive behavior therapy; communicable disease control; community mental health services; condoms; gonorrhea; health economics; high risk behavior /lifestyle; human subject; human therapy evaluation; interview; longitudinal human study; peer group; sex behavior; sexually transmitted diseases; urinalysis

African-American adolescents are at high risk for HIV and other sexually transmitted diseases. HIV prevention efforts have had limited success with this population. Using naturally occurring social groups such as crowd-based cliques, in the delivery of interventions may lead to improved effects. Advancement in this area is dependent on gleaning more information about African-American neighborhood crowd-based cliques, and on the development of theory-based interventions that incorporate cliques in the study design. We propose to conduct a longitudinal observational study of crowd-based cliques in an African-American neighborhood, and to conduct a pilot test of a theory-based intervention. This work will be conducted in a neighborhood with a large population of adolescents at high risk for HIV/STDs, and will include in- and out-of-school youths. We will: 1. Conduct a 12-month observational study of crowd-based cliques that focuses on characteristics of cliques and relationships among cliquemates, including general communication patterns, sexual behavior, and rates of STDs. 2. Examine the hypothesized determinants of risk-behavior, and mediators of these determinants as predicted by the AIDS Risk Reduction Model (ARRM). We will conduct a pilot test of a new HIV intervention based on the ARRM to evaluate acceptability and feasibility of the intervention in this community. The observational study will include 400 adolescents, age 15-19, from the participating community who will be interviewed four times over a 12 month period. The pilot study will include a three-session intervention based on the ARRM that draws heavily on the work of Jemmott and others. Standard pre- and post-measures, and process measures, will compare the new HIV intervention with a standard health education intervention in a sample of 100 teens. Findings will contribute to the development of future cliquebased HIV interventions based on the AIDS Risk Reduction Model.

非洲裔美国人的青少年对艾滋病毒和其他性行为有高风险 传播疾病。艾滋病毒预防努力的成功有限 与这个人群。使用自然发生的社会群体，例如 基于人群的集团，在提供干预时可能会导致 改善效果。该领域的进步取决于收集更多 有关非裔美国人社区人群集团的信息，以及 关于结合集团的基于理论的干预措施的发展 在研究设计中。 我们建议对基于人群的纵向观察研究 非裔美国人社区的集团，并进行试点测试 基于理论的干预措施。这项工作将在 有大量青少年的社区高风险 艾滋病毒/性病，将包括校内和校外青年。 我们将： 1。对基于人群的集团进行12个月的观察性研究 专注于集团的特征和关系 共产党，包括一般沟通模式，性行为， 和性病率。 2。检查风险行为和调解人的假设决定因素 这些决定因素是艾滋病风险降低模型的预测 （ARRM）。我们将对基于新的HIV干预的试点测试 评估干预措施的可接受性和可行性的ARRM 这个社区。 观察性研究将包括400名青少年，年龄15-19岁 参与社区将在12次接受四次接受采访的社区 月期。试点研究将包括三届课程干预措施 基于ARRM，大量借鉴了Jemmott和其他人的工作。 标准的预测量和后期测量方法将比较 新的艾滋病毒干预措施采用标准的健康教育干预措施 100个青少年样本。调查结果将有助于发展 基于艾滋病风险降低的未来集团艾滋病毒干预措施 模型。