Reducing Sexual Risk in Southern HIV-Positive Women

降低南方艾滋病毒阳性女性的性风险

• 批准号: 7497514
• 负责人: CATHERINE I, PHD, FOGEL
• 金额: $ 9.82万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2009-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7497514
• 关键词: Reducing; Sexual; Risk; Southern; HIV

The majority of reported recently HIV cases among women in the United States is in the South and minority women. Between 2000 and 2003, 35,241 women were diagnosed with HIV/AIDS and account for approximately 25% of those living the AIDS virus. Additionally, the disease is far more heavily concentrated young heterosexual women of color living in the Southeastern United States. In North Carolina, African- American women make up an growing proportion of newly reported HIV infectionswith infection rates 14 times higher for this population than that of white women. Further, the HIV epidemic is increasingly making an impact in girls aged 13 to 19 years, particularly in the South where 8% of new diagnoses occur in this age group, a rate four times higher than the rest of the United States. Nowhere is the HIV/AIDS epidemic more visible than in women prisoners who are 15 times more likely to be HIV-infectedcompared to women in the general population. Also of note, prison facilities located in the southern U.S. had the second largest number of newly identified HIV+ tests overall in 1999. Despite tremendous advances in reducing mortality from AIDS in the general population, AIDS remains a major cause of death for women who are or who have been incarcerated. The proposed study addresses the urgent need for enhanced HIV-prevention interventions in this population. Specifically, we will adapt and tailor an HIV risk reduction nurse-deliveredprevention intervention originally developed for HIV-negative women; deliver it to 330 HIV-positive women in North Carolina, 220 of whom attend a local health department HIV clinic and 110 of whom are incarcerated; and evaluate the efficacy of the intervention using a randomized wait list comparison design with a six-month follow-up period. Additionally, we will Identify behavioral, social, and contextual conditions that may have contribute to risk for HIV infection in a subgroup of recently diagnosed HIV-positive young women in the Southeastern US; and explore with the same subgroup, their ideas regarding ways to prevent HIV with the intent of identifying approaches other than individual-level approaches.Data sources include survey questionnaires for the sample of 330 subjects and an in-depth, semi-structured interview for a subgroup of 30 subjects. Data will be collected at enrollment into the study (T1), and at 1, 3 and 6 months following the intervention (T2, T3,T4). At Baseline, subjects receive the complete survey interview in the clinic in which they receive health care; at T2 and T3, subjects will be contacted by phone for information on the primary outcome variable (number of unprotected sexual intercourse and number of concurrent sexual partners); and at T4, they will receive the complete survey instrument administered in their home.

最近，美国妇女最近报告的艾滋病毒案件是南部和少数群体 女性。在2000年至2003年之间，有35,241名妇女被诊断出患有艾滋病毒/艾滋病 约有25％的人生活艾滋病病毒。此外，该疾病的浓度要高得多 年轻的异性恋妇女居住在美国东南部。在北卡罗来纳州，非洲 - 美国妇女在感染率14 该人群的倍数高于白人妇女。此外，艾滋病毒流行正在越来越多 对13至19岁的女孩产生影响，尤其是在该年龄段8％的新诊断的南部 组，比美国其他地区高四倍。艾滋病毒/艾滋病的流行无处不在 可见的是女性囚犯的艾滋病毒感染者比女性的15倍 一般人口。同样值得注意的是，位于美国南部的监狱设施是第二大的 在1999年全面确定的HIV+测试。尽管降低了艾滋病死亡率的巨大进展 在一般人口中，艾滋病仍然是妇女或曾经的妇女的主要死亡原因 被监禁。拟议的研究涉及迫切需要增强HIV预防干预措施 这个人口。具体来说，我们将适应和量身定制降低艾滋病毒风险护士延期。 最初针对HIV阴性妇女开发的干预措施；将其交付给北部的330名HIV阳性女性 卡罗来纳州，其中220人参加了当地的卫生部门艾滋病毒诊所，其中110人被监禁；和 使用随机等待列表比较设计，以六个月的时间评估干预措施的功效 后续期。此外，我们将确定可能拥有的行为，社会和上下文条件 在最近诊断出的HIV阳性年轻女性的亚组中导致艾滋病毒感染的风险 美国东南部；并以相同的子组进行探索，他们关于防止艾滋病毒的方法的想法 识别除个体级别方法以外的其他方法的意图。数据来源包括调查 针对330名受试者样本和深入的半结构访谈的调查表 30个受试者。数据将在入学时收集到研究（T1），在1、3和6个月之后 干预（T2，T3，T4）。在基线时，受试者在诊所接受了完整的调查采访 接受医疗保健；在T2和T3处，将通过电话与受试者联系以获取有关主要的信息 结果变量（未受保护的性交和并发性伴侣的数量）；和 在T4，他们将收到在家中管理的完整调查工具。