Expanding HIV Testing and Prevention to Reach Vulnerable Young Women

扩大艾滋病毒检测和预防范围，惠及弱势年轻女性

基本信息

批准号：
9312784
负责人：
WENDEE M WECHSBERG
金额：
$ 32.61万
依托单位：
RESEARCH TRIANGLE INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-01 至 2020-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9312784
关键词：
19 year old AIDS prevention AIDS/HIV problem Address Adolescent Africa Age-Years Alcohol consumption Alcohol or Other Drugs use Behavioral Belief Biological Caring Cities Cluster randomized trial Collaborations Communities Community Outreach Counseling Country Diagnosis Disadvantaged Drug usage Ensure Evidence based intervention Female Female Adolescents Financial Support Focus Groups Fright Gender Goals Government HIV HIV Infections HIV/STD Health Health Services Human immunodeficiency virus test Improve Access Incidence Inequality Intervention Interview Knowledge Learning Letters Methods Monitor Neighborhoods Outcome Participant Pharmaceutical Preparations Pharmacotherapy Population Pregnancy Pregnancy in Adolescence Prevalence Process Provider Public Health Randomized Recruitment Activity Reproductive Health Risk Risk Behaviors Risk Factors Risk Reduction School Drop-Outs Schools Science Services Side Social Development South Africa Student Dropouts Target Populations Testing Training Treatment Efficacy USAID Unemployment Update Victimization Violence Visit Vulnerable Populations Woman Women&apos s Health Work aged alcohol and other drug antenatal community center effective therapy efficacy testing evidence base experience follow-up gang gang violence gender difference gender-based violence health seeking behavior improved innovation men motherhood neighborhood disadvantage outreach peer peer coaching peer support post intervention primary outcome programs public health relevance reduced substance use response role model secondary outcome sex risk sexually active skills social stigma substance abuse rehabilitation substance abuse treatment substance using adolescents transmission process treatment adherence treatment program unintended pregnancy uptake vulnerable adolescent young man young woman

项目摘要

DESCRIPTION (provided by applicant): Vulnerable female adolescents in disadvantaged communities in Cape Town who use alcohol and other drugs (AOD) and have dropped out of school experience the greatest burden of new HIV infections in South Africa. The risk for acquiring HIV is perpetuated through intersecting factors of AOD use, gender inequality, sexual risk, victimization, unplanned pregnancy, and gang violence. Despite the pervasive ongoing transmission of HIV, this vulnerable population remains underserved by current HIV and drug treatment programs, with few providing HIV testing and counselling (HTC), antenatal care, or substance abuse rehabilitation, and none providing comprehensive HTC programs that address these intersecting risks for HIV among this population. Since 2001, we have adapted and conducted a comprehensive evidence-based intervention for women, the Women's Health CoOp (WHC), that addresses AOD use, sexual risk, and gender-based violence. The WHC was listed in the USAID Compendium of Gender Studies in Africa. The Young Women's CoOp (YWC) is an adaptation of the WHC that targets this vulnerable population of AOD using female adolescents. This proposed RFA project seeks to reach this hard-to-reach population and overcome barriers to improved health for female adolescents who have dropped out of school by increasing update of HTC through a comprehensive gender-focused HTC intervention with trained peer co-facilitators and outreach workers from each community. The study findings may provide knowledge that could be used to increase the uptake of services and improve treatment adherence among female adolescents through the use of peer-driven intervention methods. Specific Aims: Our specific aims including the following. In a cluster randomized trial conducted in 12 disadvantaged communities in Cape Town, South Africa, and with government collaboration, we propose: Aim 1. To train and evaluate adolescent peer role models to conduct community outreach with established outreach workers to recruit 500 out-of schools, substance-using female adolescents aged 15-19 for HTC, and to co-facilitate a gender-focused comprehensive HTC program. Aim 2. To test the efficacy of a young women's gender-focused comprehensive HTC program for reducing substance use, victimization, and sexual risk behavior (primary outcomes) and improving access to effective treatment and support services through linkages to care (substance abuse treatment, HIV, STIs, antenatal and reproductive health as secondary outcomes) relative to standard HTC for adolescent females. This study's collaboration with the Western Cape-Department of Social Development and the City of Cape Town will also empower peers trained to conduct outreach and co-facilitate the intervention within community centers will most likely ensure greater sustainability where it is needed most.

描述（由适用提供）：开普敦与灾难有关的社区中使用酒精和其他药物（AOD）的脆弱女性青少年（AOD），并退出了学校经验，是南非最大的新艾滋病毒感染中最大的伯恩。通过使用AOD，性别不平等，性风险，欺诈，计划外怀孕和帮派暴力的相交因素，获得艾滋病毒的风险是永久存在的。尽管艾滋病毒的持续传播普遍存在，但目前的艾滋病毒和药物治疗计划仍在为艾滋病毒和毒品治疗计划提供服务，少数人提供艾滋病毒测试和咨询（HTC），产前保健或滥用药物滥用康复，而没有人提供全面的HTC计划，以解决这些人群中艾滋病毒风险的相互作用。自2001年以来，我们对妇女（WHC）（WHC）的妇女（WHC）进行了改编并进行了全面的循证干预，该干预涉及AOD使用，性风险和基于性别的暴力。 WHC被列为非洲性别研究的USAID纲要。年轻妇女库（YWC）是对使用女性青少年对AOD群体的WHC的改编。该拟议的RFA项目旨在吸引这种难以触及的人群，并克服对女性青少年改善健康的障碍，这些女性通过通过训练有素的同伴共同领导者和来自每个社区的外展工作者的全面性别HTC干预来增加HTC的更新，从而改善了健康青少年的健康障碍。研究结果可能提供了可用于增加服务吸收并通过使用同伴驱动的干预方法来提高女性青少年的治疗依从性的知识。具体目的：我们的具体目的包括以下内容。在一项在南非开普敦的12个处境不利社区进行的群集随机试验中，通过政府合作，我们建议：目标1。培训和评估青少年同伴榜样，以与既定的外展工作者进行社区外展，以招募500名室外的户外活动，以培养女性青少年，以培养15-19个培养HTC的女性青少年，以培养HTC，并以HTC的态度培养了HEDERITTIT和HEDERITTIT，并招募了HEDERITTIT，并招募了HENDERITTIT。目的2。测试年轻女性以性别性别为中心的HTC计划的效率，以减少药物使用，欺诈和性风险行为（主要结果）（主要结果），并通过与CARANACACHY治疗（HIV，HIV，ETIS，ATIS，ATENATAL和生殖健康作为次要的健康）的联系，以改善有效治疗和支持服务的效率，相对于Adection HTC，通过滥用药物治疗，HIV，ETIS，ETIS，ATIS，ATNATAL和生殖健康）。这项研究与西开普省社会发展部门和开普敦市的合作还将授权接受培训以进行外展和共同利用社区中心内的干预措施，最有可能确保在最需要的情况下提供更大的可持续性。