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

基本信息

批准号：
8702933
负责人：
Mario R De La Rosa
金额：
$ 19.19万
依托单位：
FLORIDA INTERNATIONAL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-07-01 至 2017-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8702933
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 HIV risk 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 Behaviors Risk Reduction Risk Reduction Behavior Self Efficacy Staging Testing Theoretical Studies Time United States United States National Institutes of Health Unsafe Sex Woman Work 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

项目摘要

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 of the 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 HIV related health disparities.

这项拟议研究的主要目标是继续努力开发最有效的组合行为干预措施，以优化最被忽视和研究不足的人群之一的健康状况该国受艾滋病毒/艾滋病流行影响的人群：拉丁移民工人。调查结果来自目前对该人群的研究证实了认知行为干预措施在短期内的效用减少与艾滋病毒相关的危险行为，同时提高认识、自我效能和应对技能。这拟议的研究将扩展这些发现，以确定是否暴露于认知 HIV 行为预防干预 (A-SEMI II) 可以显着产生长期改善拉丁裔移民工人利用健康行为改变计划的能力，鼓励采用和维持更健康的生活方式（即更安全的性行为和减少饮酒）使用/滥用）对于最佳健康和预防艾滋病毒感染至关重要。为了完成这些目标，来自 Homestead 和佛罗里达城（南佛罗里达州）社区的 250 名拉丁裔移民工人将入组并随机分配到一项实验干预组 (A-SEMI II) 和一个对照组 (HPC) 并在 6、12 和 24 个月进行随访，以评估 A-SEMI II 干预措施的长期有效性改善健康状况并减少艾滋病毒相关的高危行为。拟议的研究遵循社区基于参与式研究（CBPR）的方法。这种 CBPR 方法响应了 NIH 的优先事项在社区成员和研究人员之间建立公平的伙伴关系，最终目标是增加社区对研究过程的参与，改善社区健康，并减少与艾滋病毒相关的健康差异。