PREVENTING HIV/AIDS IN TEEN MOTHERS AND THEIR PARTNERS

预防青少年母亲及其伴侣感染艾滋病毒/艾滋病

• 批准号: 6539390
• 负责人: Deborah Koniak-Griffin
• 金额: $ 73.09万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2005-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6539390
• 关键词: AIDS education /prevention; African American; Hispanic Americans; adolescence (12-20); behavioral /social science research tag; human subject; parents; sex behavior; sex partner

Adolescent mothers are at risk for acquiring HIV/AIDS through heterosexual sex. Their intimate partners are often teen fathers who engage in multiple HIV risk behaviors, including sexual behaviors, illicit drug use, and needle-sharing for body- piercing and tattoos. Many have a history of gang involvement and incarceration. Being in a monogamous relationship and fear of negative partner attitudes have been identified as important barriers to condom use for adolescent mothers. Yet, preliminary studies indicate that 1) young fathers do not perceive sexual activity outside their main relationship to conflict with their monogamous status; and 2) a 50 percent break-up rate within 12 months is reported for parenting adolescent couples. Despite teens' misperceptions about relationship stability, current romantic connections may provide the key to building skills needed to maintain safer sex with current and future partners. The exclusion of male partners from scientifically evaluated HIV prevention programs represents a serious research gap. This experimental study will evaluate the impact of a program attended by parenting adolescent couples on their safer sex practices. The sample of 286 couples will be composed of high-risk, predominantly Latino youth. Recruited from alternative schools in Los Angeles County, couples will be randomly assigned to the experimental or control condition. The experimental condition consists of a 12-hour HIV prevention program presented in 6 sessions. The curriculum, based on the CDC model "Be Proud! Be Responsible!" is adapted and expanded for the targeted population by using feelings of maternal protectiveness and paternal responsibility to promote safer sexual behaviors. Activities include small group discussions in combined and gender-separated groups, interactive games, skill-building exercises (conflict and sexual negotiation, condom use), and a presentation by an HIV- positive mother. Cultural issues related to gender and power are addressed throughout. The control condition is a 1-hour AIDS education session (videotape followed by a short discussion period). The programs will be offered in community-based settings (e.g., recreational facilities and libraries). Participants will be evaluated on primary outcomes (sexual risk behaviors) and intermediate outcomes (social cognitive factors related to HIV prevention) through individual interviews at baseline, immediately post-intervention, and at 3-, 6-, and 12- month follow-up. It is hypothesized that by addressing issues of gender and power while providing social-cognitive skill-building learning experiences within the context of a romantic relationship, sexual risk-taking will be reduced in adolescent mothers and fathers.

青春期母亲有可能通过异性性别获得艾滋病毒/艾滋病的风险。 他们的亲密伴侣通常是青少年父亲，他们从事多种艾滋病毒风险行为，包括性行为，非法吸毒以及用于身体刺穿和纹身的针刺。 许多人有帮派参与和监禁的历史。 一夫一妻制的关系和对负面伴侣态度的恐惧已被确定为对青少年母亲使用避孕套的重要障碍。 然而，初步研究表明，1）年轻的父亲不会在与一夫一妻制冲突的主要关系之外感知性行为； 2）据报道，育儿青少年夫妇在12个月内分手率达到50％。 尽管青少年对关系稳定性的误解，但当前的浪漫联系可能为与当前和未来合作伙伴保持更安全的性行为所需的建筑技能提供了关键。从科学评估的艾滋病毒预防计划中排除了男性伴侣，这是一个严重的研究差距。 这项实验研究将评估通过育儿青少年夫妇对他们更安全的性行为的计划的影响。 286对夫妇的样本将由高危，主要是拉丁裔青年组成。 夫妻将从洛杉矶县的替代学校招募，将随机分配到实验或控制状态。 实验条件由6个课程提出的12小时预防艾滋病毒预防计划组成。 基于CDC模型的课程“要骄傲！要负责！”通过使用母体保护和父亲责任来促进更安全的性行为，以适应目标人群。 活动包括小组讨论的组合和性别分离群体，互动游戏，技能建设练习（冲突和性谈判，使用安全套）以及艾滋病毒积极母亲的演讲。 整个过程中都解决了与性别和权力有关的文化问题。 控制条件是1小时的艾滋病教育课程（录像带，然后是简短的讨论期）。 这些程序将在基于社区的环境（例如娱乐设施和图书馆）中提供。参与者将通过在基线，干预后立即进行的个人访谈以及3个月，6个月和12个月的随访中评估参与者的主要结果（性风险行为）和中间结果（与HIV预防相关的社会认知因素）。 假设，通过解决性别和权力问题，同时在浪漫关系的背景下提供社会认知技能建设学习经验，则青少年的母亲和父亲将减少性冒险。