HIV Risk Reduction in High Risk Latina Migrant Workers in South Florida

南佛罗里达州高危拉丁裔移民工人的艾滋病毒风险降低

• 批准号: 8352475
• 负责人: JESUS SANCHEZ
• 金额: $ 19.74万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-12-01 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8352475
• 关键词: AIDS prevention; AIDS/HIV problem; Acculturation; Adoption; Affect; Alcohol or Other Drugs use; Area; Attitude; Awareness; Back; Behavior; Behavior Therapy; Behavioral; Belief; Binding; Centers for Disease Control and Prevention (U.S.); Cities; Cognitive; Cognitive Therapy; Communities; Community Health; Community Participation; Consumption; Controlled Study; Coping Skills; Country; Data; Drug usage; Effectiveness; Enrollment; Epidemic; Exposure to; Florida; Frequencies; Gender Role; Goals; HIV; HIV Infections; HIV Seropositivity; Health; Health Promotion; Health Status; Health behavior; Health behavior change; Hispanics; Incidence; Infection; Instruction; Intervention; Knowledge; Latina; Latino; Lead; Life Style; Link; Literature; Maintenance; Mediating; Mediator of activation protein; Migrant Workers; Minority Groups; Motivation; Nomads; Outcome; Participant; Phase; Play; Population; Prevalence; Preventive Intervention; Process; Randomized; Relative (related person); Reporting; Research; Research Personnel; Research Project Grants; Risk; Risk Behaviors; Risk Reduction; Risk Reduction Behavior; Self Efficacy; Staging; Testing; Theoretical Studies; Time; United States; United States National Institutes of Health; Unsafe Sex; Woman; alcohol and other drug; austin; cognitive function; community based participatory research; comparison group; consistent condom use; contextual factors; design; ethnic minority population; farm worker; health disparity; high risk; high risk behavior; high risk sexual behavior; improved; intimate partner violence; male; member; migration; motivational enhancement therapy; neglect; post intervention; prevent; programs; racial and ethnic; reduced alcohol use; sex; sex risk; social; social skills; socioeconomics

The principal objective of this proposed study is to continue efforts to develop the most effective combination of behavioral interventions to optimize the health status of one of the most neglected and understudied populations affected by the HIV/AIDS epidemic in this country: Latina migrant workers. Findings from the current study with this population affirm the utility of cognitive-behavioral interventions in the short-term reduction of HIV-related risk behaviors, while improving awareness, self-efficacy, and coping skills. The proposed study will extend these findings in seeking to determine whether exposure to a Cognitive Behavioral HIV Prevention Intervention (A-SEMI II) can significantly produce long-term improvements in the ability of Latina migrant workers to take advantage of a health behavior change program encouraging the adoption and maintenance of healthier lifestyle behaviors (i.e., safer sexual practices and reduced alcohol use/abuse) essential for optimal health and in the context of preventing HIV infection. To accomplish these objectives, 250 Latina migrant workers from the Homestead and Florida City (South Florida) communities will be enrolled and randomized to one experimental intervention (A-SEMI II) and one comparison group (HPC) and followed at 6, 12, and 24 months to evaluate the long term effectiveness ofthe A-SEMI II intervention to improve health status and reduce HIV related high risk behavior. The proposed study follows a community based participatory research (CBPR) approach. This CBPR approach responds to the NIH priority on establishing equitable partnerships between community members and researchers with the final goal of increasing community participation in the research process, improving community health, and reducing HIVrelated health disparities.

这项拟议的研究的主要目标是继续努力发展最有效的组合 行为干预措施以优化最被忽视和研究的人的健康状况 在这个国家受艾滋病毒/艾滋病流行影响的人群：拉丁裔移民工人。来自 当前与该人群的研究确认了短期认知行为干预的实用性 降低与HIV相关的风险行为的降低，同时提高意识，自我效能和应对能力。这 拟议的研究将扩大这些发现，以确定是否暴露于认知 行为艾滋病毒预防干预（A-SEMI II）可以显着改善 拉丁裔移民工人利用健康行为改变计划的能力鼓励了 采用和维护更健康的生活方式行为（即更安全的性行为和减少酒精 使用/滥用）对于最佳健康和预防艾滋病毒感染至关重要。完成这些 目标，来自霍姆斯特德和佛罗里达市（南佛罗里达州）社区的250名拉丁裔移民工人将 被招募并随机分配给一个实验干预（A-SEMI II）和一个比较组（HPC） 紧随其后的是6、12和24个月，以评估A-Semi II干预的长期效果 改善健康状况并减少与HIV相关的高风险行为。拟议的研究跟随社区 基于参与性研究（CBPR）方法。这种CBPR方法对NIH的重点做出了回应 建立社区成员和研究人员之间的公平伙伴关系，最终的目标 增加社区参与研究过程的参与，改善社区健康并降低Hivreded 健康差异。