HIV RISK REDUCTION AMONG LATINAS--PROJECT SEPA

降低拉丁美洲人的艾滋病毒风险——SEPA 项目

• 批准号: 6602124
• 负责人: Nilda P Peragallo Montano
• 金额: $ 7.23万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-30 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6602124
• 关键词: AIDS education /prevention; Hispanic Americans; behavior therapy; behavioral /social science research tag; clinical research; family structure /dynamics; female; health behavior; health care service evaluation; human middle age (35-64); human subject; interpersonal relations; low socioeconomic status; nursing intervention; sex behavior; violence; young adult human (21-34)

DESCRIPTION (Applicant's Abstract): HIV/AIDS prevention for Latinas is urgently needed. The AIDS pandemic has continued to increase among women, especially women of color. In Chicago, AIDS is the leading cause of death among Latinas age 25-44 years. No research has documented the effectiveness of a culturally-tailored intervention for adult Latinas. The specific aim of this study is to evaluate the effectiveness of a culturally-specific intervention, Project SEPA, in increasing HIV prevention behaviors for inner city Mexican and Puerto-Rican women. The content and learning strategies of Project SEPA are based on the integrated social learning model of AIDS prevention shown to be the most effective in increasing Aids prevention behaviors, modified to take into account the special needs of Latinas related to gender inequality and cultural values and practices. The culturally-relevant issues of unequal power, based on the cultural value of Machismo/Marianismo conflict management and prevention of violence, are specifically addressed. Community-based peer groups are especially compatible with Latino culture. The conceptual basis for the intervention aims to facilitate later replication of the intervention in different communities. The intervention will be using a randomized pre-test/post-test comparison design and follow-up assessments immediately and 3 and 6 months after completion of the intervention. Approximately 768 sexually-active Mexican and Puerto- Rican women aged 18 to 40 years will be recruited into the study. Because individual women (in the intervention condition) are nested within groups, the design requires the use of multi-level (or hierarchical analysis. Any initial group differences can be adjusted for using pre-test measures as co-variates in the regression models. The major aim of the study is having an intervention that is culturally specific to the needs of Latinas. Additional aims includes having a randomized control group and the longitudinal design with data collection points at pre-test, post-test, 3 month follow-up and 6 month follow-up. The design also controls for historical effects and language by randomizing within waves and within language groups.

描述（申请人的摘要）：艾滋病毒/艾滋病预防拉丁裔是 迫切需要。艾滋病大流行在女性中继续增加 特别是有色女人。在芝加哥，艾滋病是死亡的主要原因 在拉丁裔25-44岁之间。没有研究记录 对成人拉丁裔进行文化规定的干预措施的有效性。这 这项研究的具体目的是评估 在文化特定的干预措施中，SEPA项目增加了HIV 墨西哥内城和波多黎各妇女的预防行为。这 项目SEPA的内容和学习策略是基于 预防艾滋病的综合社会学习模型表明是最大的 有效增加艾滋病预防行为，被修改为 说明拉丁裔与性别不平等有关的特殊需求和 文化价值和实践。与文化相关的不平等问题 权力，基于大男子主义/玛丽安主义冲突的文化价值 专门解决了管理和预防暴力。 基于社区的同伴团体与拉丁裔文化特别兼容。 干预的概念基础旨在促进以后 复制不同社区的干预措施。干预 将使用随机的预测试/测试后比较设计和 立即进行后续评估以及完成后3和6个月 干预。大约有768个性活跃的墨西哥人和波多黎各 - 18至40岁的Rican妇女将招募该研究。因为 个别女性（在干预条件下）嵌套在组中， 该设计需要使用多层次（或分层分析。 可以调整初始组差异，以使用预测措施作为 在回归模型中的共同变化。该研究的主要目的是 在文化上针对拉丁裔需求的干预措施。 其他目的包括具有随机对照组和 带有数据收集点的纵向设计，测试，测试后，3 一个月随访和6个月的随访。设计还控制着 历史效果和语言通过在波浪内和内部随机化 语言群体。

项目成果

A randomized clinical trial of an HIV-risk-reduction intervention among low-income Latina women.

一项针对低收入拉丁裔女性降低艾滋病毒风险干预措施的随机临床试验。

• DOI: 10.1097/00006199-200503000-00005
• 发表时间: 2005
• 期刊: Nursing research
• 影响因子: 2.5
• 作者: Peragallo,Nilda;Deforge,Bruce;O'Campo,Patricia;Lee,SunMi;Kim,YoungJu;Cianelli,Rosina;Ferrer,Lilian
• 通讯作者: Ferrer,Lilian