HIV Risk Reduction among Young Incarcerated Females

降低年轻被监禁女性的艾滋病毒风险

• 批准号: 6805931
• 负责人: Angela A Robertson
• 金额: $ 36.09万
• 依托单位: MISSISSIPPI STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6805931
• 关键词: AIDS education /prevention; Chlamydiaceae; HIV infections; adolescence (12-20); behavior modification; behavioral /social science research tag; clinical research; condoms; correctional institutions; disease /disorder prevention /control; disease /disorder proneness /risk; female; gonorrhea; health behavior; health education; human subject; longitudinal human study; safe sex /sex abstinence; sex behavior; sexually transmitted diseases

DESCRIPTION (provided by applicant): This study is a longitudinal analysis of STD/HIV exposure among adolescent female offenders in Mississippi, a population that is disproportionately African American, and at higher risk than adolescents in general due to their propensity to engage in a variety of risk-taking behaviors, earlier onset of sexual behaviors, and the greater prevalence of mental disorders, substance abuse disorders, maltreatment, and family dysfunction. Based on social cognitive theory and Fisher and Fisher's (1992) IMB (Information, Motivation, and Behavioral skills) model, we request funding to evaluate a drug abuse related HIV risk reduction intervention and to compare outcomes against a STD/HIV information and health education control condition. Approximately 400 females committed to the state reformatory/training school for girls will be recruited for participation. The research design will consist of alternating cohort/waves of about 36 subjects each. One treatment condition will be administered at a time with a washout period between cohort/waves. Over a three-year period, one half of subjects will get 18 hours of HIV prevention and one half will get 18 hours of Health Education. Before and after the intervention, subjects' social competency skills and health knowledge will be measured. Before intervention and at 6-month and 12-month follow-up, self-report measures of alcohol and drug use, sexual risk behaviors, and impulsivity will be collected. Measures of condom attitudes, self-efficacy, sexual decision-making, and attitudes towards HIV prevention will be collected four times. Urine tests for the detection of 2 STDs (chlamydia and gonorrhea) will also be performed before intervention and at 6-month and 12- month follow-up. Multivariate data analyses will compare the experimental program against the Health Education control condition to evaluate the impact of the prevention program on lowering sexual risk behavior. It is hypothesized that the HIV prevention intervention will produce more favorable attitudes towards condoms and HIV prevention, more consistent use of condoms, and lower risk behavior post intervention and through the one-year follow-up period than the Health Education control condition. It is also hypothesized that the incidence of chlamydia and gonorrhea infection during the follow-up period will be lower for participants of HIV prevention than participants in the control group. The results will be useful to juvenile justice administrators and others that work with this high-risk population.

描述（由申请人提供）： 这项研究是对密西西比州青少年女性罪犯的性病/艾滋病毒暴露的纵向分析，非裔美国人的人口不成比例，并且风险高于一般的青少年，因为他们的倾向是由于他们从事各种风险冒险行为的倾向，更早的性行为发病，更早的性疾病毒品毒品毒品，毒品犯罪者，更大。基于社会认知理论和费舍尔（Fisher and Fisher）（1992）IMB（信息，动机和行为技能）模型，我们要求资金以评估与药物滥用相关的艾滋病毒风险降低干预措施，并将结果与​​STD/HIV信息信息和健康教育控制条件进行比较。将招募致力于国家改革/培训学校的大约400名女性参加。研究设计将包括大约36名受试者的交替队列/波浪。一个治疗条件将一次在队列/波之间进行冲洗周期一次。在三年的时间里，一半的受试者将获得18小时的预防艾滋病毒，其中一半将获得18小时的健康教育。干预之前和之后，将衡量受试者的社会能力和健康知识。在干预和6个月和12个月的随访之前，将收集对酒精和药物使用，性风险行为和冲动性的自我报告测量。避孕套态度，自我效能感，性决策和对艾滋病毒预防的态度的度量将被四次收集。在干预之前，在6个月和12个月的随访之前，还将进行2个性病（衣原体和淋病）检测的尿液测试。多元数据分析将将实验计划与健康教育控制条件进行比较，以评估预防计划对降低性风险行为的影响。假设艾滋病毒预防干预措施将对避孕套和艾滋病毒预防，避孕套的使用更加一致，在干预后的风险行为较低，而在一年后的随访期则比健康教育控制条件更加有利。还可以假设，随访期间，艾滋病毒预防参与者在随访期间的衣原体和淋病感染的发病率将比对照组的参与者低。结果将对少年司法管理人员和与此高风险人群合作的其他人有用。