A risky sex prevention intervention for middle school age minority giris

针对中学生年龄段少数民族的危险性行为预防干预措施

• 批准号: 8551976
• 负责人: Robin Bartlett
• 金额: $ 9.17万
• 依托单位: UNIVERSITY OF NORTH CAROLINA GREENSBORO
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8551976
• 关键词: AIDS prevention; Address; Adolescent; Adolescent Development; Adult; Affect; Age; Alcohol consumption; Assertiveness; Attention; Behavior; Communication; Communities; Confidence Intervals; Contracts; Control Groups; Data; Daughter; Diabetes Mellitus; Educational Intervention; Face; Family; Female Adolescents; Goals; HIV; Health; Health education; Healthy People 2020; Incidence; Instruction; Intervention; Knowledge; Measures; Minority; Monitor; Mothers; Multiple Partners; Outcome; Pharmaceutical Preparations; Preventive Intervention; Research; Risk Behaviors; Sampling; School-Age Population; Science; Sex Behavior; Smoking; Testing; Translations; United States National Institutes of Health; Woman; base; community setting; condoms; delay sex; design; empowered; empowerment; follow-up; girls; health disparity; improved; middle school; pressure; prevent; protective behavior; racial and ethnic; refrain from sex; self esteem; sex; sexually active; social; success; therapy design; transmission process

PROJECT SUMMARY (See instructions): Black adolescent girls often engage in risky sex behaviors. These behaviors are the primary reason that black girls contract HIV. Risky behaviors include having sex at an early age, sex without condoms, multiple partners, and using alcohol or drugs prior to sex. Interventions to address these behaviors have been tested; yet none has affected the disproportionate rate of HIV among black girls and women. The goal of the proposed study is to delay sex initiation or reduce risky sex behaviors among black girls. This proposal is to test a multi-component, family-level, developmentally appropriate, community-based intervention for benefit in: (Aim1) delaying or decreasing risky sex, (Aim2) increasing HIV knowledge, communication with mothers, racial pride, empowerment, self-esteem and sexual assertiveness, and (Aim3) improving mother's communication and bonding with daughters and maternal monitoring: A 2-group design will compare intervention and attention control groups. The sample will include 96 black middle school-aged girls and 96 of their mothers. A 12-week intervention will be provided enhancing mother-daughter relationships and building racial/ethnic pride to help black girls develop self-esteem and assertiveness and be empowered to protect against HIV. Intervention mothers have sessions focused on adolescent development, the value of open communication with daughters, and social pressures related to sex that girls face. Attention control group girls and mothers receive a 12-week general health education intervention focused on improving health (e.g., diabetes, smoking) in girls. Data will be collected at baseline, post, 3 and 9 month follow-up on outcomes. Analysis: To examine whether the intervention reduces the likelihood of sexual initiation or engaging in risky sex (Aim1), success or lack of success in achieving this will be determined. For Aims 2+3 means will be calculated for each of the two groups and compared for each measure. Simultaneous pooled-t confidence intervals to adjust for multiple measures will be used to estimate the magnitude of the difference between groups. Impact: The findings of a beneficial intervention will be used to change HIV prevention science and for translation across community settings to decrease risky sex among black girls.

项目摘要（参见说明）： 黑人青春期女孩经常从事危险的性行为。这些行为是黑人女孩感染艾滋病毒的主要原因。危险行为包括过早发生性行为、不使用安全套的性行为、多个伴侣以及在性行为前饮酒或吸毒。针对这些行为的干预措施已经过测试；然而，这些措施都没有影响黑人女孩和妇女中艾滋病毒感染率过高的问题。拟议研究的目标是延迟黑人女孩的性行为开始或减少危险的性行为。该提案旨在测试多组成部分、家庭层面、适合发展、以社区为基础的干预措施，其益处包括：（目标 1）延迟或减少危险性行为，（目标 2）增加艾滋病毒知识、与母亲的沟通、种族自豪感、赋权、自尊和性自信，以及（目标3）改善母亲与女儿的沟通和联系以及母亲监测：两组设计将比较干预组和注意力对照组。样本将包括 96 名黑人中学生和 96 名她们的母亲。将提供为期 12 周的干预措施，以加强母女关系并建立种族/民族自豪感，帮助黑人女孩培养自尊和自信，并有权预防艾滋病毒感染。干预母亲举办的课程重点关注青少年发展、与女儿开放沟通的价值以及女孩面临的与性相关的社会压力。注意力对照组的女孩和母亲接受为期 12 周的一般健康教育干预，重点是改善女孩的健康（例如糖尿病、吸烟）。将在基线、术后、3 个月和 9 个月的随访结果中收集数据。分析：为了检查干预措施是否降低性起始或进行危险性行为的可能性（目标1），将确定实现这一目标的成功或失败。对于目标 2+3，将计算两组中每组的平均值，并针对每项测量进行比较。针对多个测量值进行调整的同步合并 t 置信区间将用于估计组间差异的大小。影响：有益干预措施的研究结果将用于改变艾滋病毒预防科学，并在社区环境中进行转化，以减少黑人女孩中的危险性行为。