Adapting Project S.A.F.E.: Reducing STD/HIV Risk in Women Prisoners

调整 S.A.F.E 项目：降低女性囚犯的 STD/HIV 风险

• 批准号: 7392465
• 负责人: CATHERINE I, PHD, FOGEL
• 金额: $ 23.92万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2012-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7392465
• 关键词: Adapting; Project; S.A.F.E.; Reducing; STD

DESCRIPTION (provided by applicant): Women prisoners, many of whom are poor or of color, have disproportionately high rates of HIV and other sexually transmitted diseases. Women prisoners are 15 times more likely to be HIV-infected than women in the general population. Prison facilities in the south have among the highest rates of HIV in the nation. The proposed study will adapt and tailor the existing evidence-based behavioral intervention, "Project SAFE," for use with incarcerated women in the south. Project SAFE was originally developed for and tested with women in STD clinics in the urban Southwest. The specific aims of the project are to: (1) Assess the fit between intervention delivery and the needs and resources of the North Carolina Department Of Corrections and the fit between intervention materials and the behavioral, social, and contextual conditions of incarcerated women's lives that may contribute to continuing sexual risk behavior following release from prison; (2) Adapt and tailor the Project SAFE behavioral risk reduction intervention for HIV-negative, heterosexual women prisoners in the rural Southeastern U.S; (3) Pilot the adapted Project SAFE intervention; and (4) Test the adapted Project SAFE risk-reduction intervention with 598 incarcerated women to determine its efficacy in decreasing risk for non-viral STD infections (chlamydia, gonorrhea, and trichomonas), decreasing sexual risk behaviors and increasing risk reduction practices. A randomized two-group experimental design will be used: the experimental group will receive the adapted Project SAFE intervention and the control group will receive standard Department of Corrections counseling about STDs/HIV. Specific hypotheses to be tested are: (1) Women receiving the Project SAFE intervention will have a lower 12-month rate of non-viral STD infections (chlamydia, gonorrhea, and trichomonas) after release than women who did not receive the intervention; and (2) Women receiving the Project SAFE intervention will show greater improvement in enacting sexual protective practices (decreased number of unprotected sex acts, decreased number of concurrent sex partners) and decreased high risk sexual activities (sex with an infected partner, lack of mutual monogamy, unsafe sex, partner concurrency, douching after sex, sex exchange for drugs, sex while high) at 3, 6, and 12 months after release than women who did not receive the intervention. Approximately 30%-50% of participants are expected to live in rural communities and over 40% are expected to be African American. The proposed study will test an adaptation of an intervention that has been shown to effectively reduce risk behaviors and sexually transmitted diseases in women. The study will adapt the intervention for use with incarcerated women in the south, a population with very high rates of HIV and other sexually transmitted. The primary aim of the study is to develop an intervention that will effectively reduce HIV and STDs in this high risk population.

描述（由申请人提供）：女性囚犯，其中许多囚犯的艾滋病毒和其他性传播疾病的比例高。女性囚犯感染HIV的可能性是一般人群中女性的15倍。南部的监狱设施是全国艾滋病毒率最高的一项。拟议的研究将适应并量身定制现有的基于证据的行为干预“项目安全”，以与南方被监禁的妇女一起使用。 Safe Project Safe最初是针对西南城市的性病诊所的妇女开发和测试的。该项目的具体目的是：（1）评估北卡罗来纳州惩教局的干预措施与需求和资源之间的拟合度以及干预材料与行为，社会和背景条件之间的拟合度，这可能有助于从监狱释放后继续进行性风险行为； （2）适应和量身定制该项目的安全行为风险降低干预措施，以针对美国东南部农村的HIV阴性，异性妇女囚犯； （3）驾驶改编的项目安全干预； （4）测试适用于598名被监禁妇女的安全风险降低干预措施，以确定其在降低非病毒性病感染风险方面的疗效（衣原体，淋病和trichomonas），降低性风险行为和降低风险降低风险习惯。将使用随机的两组实验设计：实验组将接受改编的项目安全干预，对照组将获得有关性传播疾病/HIV的标准惩教咨询。要测试的具体假设是：（1）释放后，接受该项目安全干预的妇女的非病毒性病感染（衣原体，淋病和毛毛虫）的12个月率要低于未接受干预措施的妇女； and (2) Women receiving the Project SAFE intervention will show greater improvement in enacting sexual protective practices (decreased number of unprotected sex acts, decreased number of concurrent sex partners) and decreased high risk sexual activities (sex with an infected partner, lack of mutual monogamy, unsafe sex, partner concurrency, douching after sex, sex exchange for drugs, sex while high) at 3, 6, and 12 months after release than women who did not receive the 干涉。预计约30％-50％的参与者将居住在农村社区，预计将超过40％是非裔美国人。拟议的研究将测试一种已被证明可有效减少妇女中风险行为和性传播疾病的干预措施的适应。该研究将适应南方被监禁妇女使用的干预措施，艾滋病毒率很高和其他性传播的人群。该研究的主要目的是开发一种干预措施，该干预措施将有效地减少这种高风险人群中的艾滋病毒和性病。