Behavioral Invervention for Minority Adolescent Women

少数民族青春期妇女的行为干预

• 批准号: 7122154
• 负责人: JANE DIMMITT CHAMPION
• 金额: $ 2.13万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7122154
• 关键词: AIDS education /prevention; African American; Mexican Americans; adolescence (12-20); behavioral /social science research tag; clinical research; cognitive behavior therapy; communicable disease control; communicable disease transmission; contraceptives; culture; female; high risk behavior /lifestyle; human pregnant subject; human subject; human therapy evaluation; mental disorder prevention; patient oriented research; pregnancy; safe sex /sex abstinence; sex abuse; sex behavior; sexually transmitted diseases; substance abuse related behavior; violence; women' s health

DESCRIPTION (provided by applicant): There is a need for community-based, culturally sensitive, cognitive-behavioral interventions to reduce sexual risk behavior among minority adolescents for prevention of STD/HIV, unintended pregnancy and abuse. This study builds on our behavioral interventions developed in the studies, "Modifying STD Risk Behavior among Minority Women." (Study 1:1991-1995; Study 2:1995-2004). These studies are unique in that they designed and evaluated culturally relevant, minority-women-specific interventions based upon the AIDS Risk Reduction Model (ARRM), and were shown to be effective through controlled randomized trials (90,91,92). These interventions (88,94) are grounded in knowledge of the target populations' behavior and culture and use STD and detailed measures of sexual behavior as primary outcome variables. Results of the first trial demonstrated participants receiving intervention were significantly less likely to be re-infected with STD (90, 91). Although the intervention was successful with the sample as a whole, sexually abused 14-15 year olds were not helped (93). Subsequent studies indicated physically or sexually abused adolescents who used drugs or alcohol (14-18 years) had the highest STD and unintended pregnancy rates and were not benefiting from the intervention (27, 40). This study focuses on reducing rates of abuse recurrence, STD/HIV and unintended pregnancy among these women by changing high-risk sexual behaviors, decreasing substance use and encouraging contraceptive use. Its primary goal is to expand risk-reduction interventions created in previous studies to further increase intervention efficacy for this particularly vulnerable, high-risk group. An adolescent intervention has been created and pilot tested in developmental studies. Findings indicate greater contraceptive use and lower sexual risk behaviors, substance use, abuse recurrence, unintended pregnancy and STD rates than previous studies. Specific aims include: 1) To obtain a more in-depth understanding of configurations of psychosocial and situational factors associated with high-risk sexual behavior, substance use, STD/HIV and contraceptive use among abused minority adolescent women with STD; 2) To implement a controlled randomized trial of a risk-reduction intervention consisting of small group sessions, individual counseling and support groups for this group; 3) To evaluate the effects of the adolescent intervention model versus enhanced counseling for this group on ARRM-related constructs, high-risk sexual behavior, substance use, abuse recurrence, contraceptive use, unintended pregnancy and STD/HIV at 6 and 12 months follow-up. Participants will include a convenience sample of 600 Mexican-and African American adolescent women, aged 14-18 years with a history of sexual or physical abuse and current STD.

描述（由申请人提供）： 需要采取基于社区的、文化敏感的认知行为干预措施，减少少数族裔青少年的性危险行为，以预防性传播疾病/艾滋病毒、意外怀孕和虐待。 这项研究建立在我们在“改变少数族裔女性性病风险行为”研究中开发的行为干预措施的基础上。 （研究1：1991-1995；研究2：1995-2004）。 这些研究的独特之处在于，它们根据艾滋病风险降低模型（ARRM）设计和评估了文化相关的、针对少数族裔女性的干预措施，并通过随机对照试验证明是有效的（90,91,92）。 这些干预措施 (88,94) 以对目标人群的行为和文化的了解为基础，并使用 STD 和性行为的详细测量作为主要结果变量。 第一项试验的结果表明，接受干预的参与者再次感染 STD 的可能性显着降低 (90, 91)。 尽管对整个样本的干预是成功的，但遭受性虐待的 14-15 岁儿童却没有得到帮助 (93)。 随后的研究表明，遭受身体虐待或性虐待、使用毒品或酒精的青少年（14-18 岁）的性传播疾病和意外怀孕率最高，并且没有从干预措施中受益 (27, 40)。 这项研究的重点是通过改变高危性行为、减少药物使用和鼓励避孕措施的使用，降低这些妇女的虐待复发率、性病/艾滋病毒和意外怀孕率。 其主要目标是扩大先前研究中创建的降低风险干预措施，以进一步提高对这一特别脆弱的高风险群体的干预效果。 青少年干预措施已经制定并在发展研究中进行了试点测试。 研究结果表明，与之前的研究相比，避孕措施的使用更多，性风险行为、药物使用、滥用复发、意外怀孕和性病发生率更低。 具体目标包括： 1) 更深入地了解患有 STD 的受虐待少数民族青少年女性中与高危性行为、药物使用、STD/HIV 和避孕药具使用相关的心理社会和情境因素的结构； 2) 实施一项降低风险干预措施的随机对照试验，包括针对该群体的小组会议、个人咨询和支持小组； 3) 评估青少年干预模式与该群体强化咨询对 ARRM 相关概念、高危性行为、物质使用、滥用复发、避孕药具使用、意外怀孕和 6 个月和 12 个月时 STD/HIV 的影响-向上。 参与者将包括 600 名墨西哥和非裔美国青少年女性的方便样本，她们年龄在 14 至 18 岁之间，有性虐待或身体虐待史，并且目前患有性病。