Can Church Schools Reduce Risk of HIV Infection for Orphan Girls in Zimbabwe?

教会学校能否降低津巴布韦孤女感染艾滋病毒的风险？

基本信息

批准号：
7576699
负责人：
DENISE Dion HALLFORS
金额：
$ 61.84万
依托单位：
PACIFIC INSTITUTE FOR RES AND EVALUATION
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-06 至 2011-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7576699
关键词：
AIDS prevention AIDS/HIV problem Achievement Acquired Immunodeficiency Syndrome Address Administrator Adolescent Adult Africa South of the Sahara Age Arts Attitude Behavior Caring Cessation of life Child Church Clinical Trials Design Contracts Data Decision Making Drops Education Educational process of instructing Emergency Situation Experimental Designs Face Family Female Female Adolescents Funding Future Government HIV HIV Infections HIV Seropositivity High Prevalence Human Resources Intervention Journals Life Maps Marriage Methodist Church Methods Mission Mothers Nature Orphan Outcome Parents Persons Prevalence Prevention Preventive Intervention Primary Schools Province Psychological reinforcement Puberty Public Health Randomized Randomized Controlled Trials Recommendation Religion and Spirituality Reporting Research Research Activity Research Infrastructure Research Personnel Risk Risk Behaviors Role Running Safe Sex Schools Science Secondary Schools Self-Administered Services Sex Behavior Sexual abuse Student Dropouts Students Surveys Techniques Teenagers Testing Virginity Vulnerable Populations Woman Zimbabwe delay sexual debut girls high risk high school knowledge base pandemic disease programs response sex sex risk sexual debut sexual relationship teacher trend

项目摘要

DESCRIPTION (provided by applicant): The AIDS pandemic has led to the illness and death of millions of adults, and has also resulted in millions of orphans. This study examines the context of schooling and sexual debut among a particularly vulnerable group, adolescent orphan girls in Zimbabwe. The study uses a rigorous randomized controlled trial design to test whether modest support can retain orphan girls in school through the transition to high school and whether religious schooling adds greater protection than secular schooling for HIV risk behaviors. The Methodist Church provides an important infrastructure for education, as well as services for orphans, in Zimbabwe. The study specifically focuses on young female orphans because of their greater likelihood of HIV infection, greater likelihood of school dropout, and greater vulnerability to sexual abuse due to loss of parental protection. Specific aims for the proposed study are: 1) To test experimentally whether modest assistance can help orphan girls stay in school through the transition to high school, and whether attending a church-run high school is more protective against HIV risk behaviors than attending a secular school; 2) To compare the content and consistency of sex and HIV-related messages taught through church-sponsored versus secular secondary schools; and 3) To examine how female orphans perceive HIV messages from church-sponsored compared to secular secondary schools, and to explore the context in which the girls make decisions about sexual behavior. For Aim 1, methods include use of an experimental design and self- administered surveys completed by orphan adolescent girls in Manicaland Province, Zimbabwe. For Aims 2 and 3, concept mapping techniques are used to gather and analyze information from adults (church personnel, teachers and administrators) and orphan teen girls. Research activities will be jointly conducted by U.S. and Zimbabwean collaborators. The research addresses a problem of the highest public health significance. HIV prevalence in Zimbabwe is among the highest in the world, as is the proportion of AIDS orphans. The study will contribute to the knowledge base concerning the extent and nature of religious organizations' involvement in HIV-related activities, mechanisms by which the United Methodist Church and its schools influence orphan risk and protective factors, and the context in which young Zimbabwean women make decisions about sex.

描述（由申请人提供）：艾滋病大流行已导致数百万成年人患病和死亡，并造成数百万孤儿。这项研究调查了津巴布韦一个特别脆弱的群体——青少年孤女——的上学和首次性行为的背景。该研究采用严格的随机对照试验设计来测试适度的支持是否能让孤女在学校过渡到高中，以及宗教学校是否比世俗学校对艾滋病毒危险行为提供了更大的保护。卫理公会为津巴布韦的教育和孤儿服务提供了重要的基础设施。该研究特别关注年轻女性孤儿，因为她们感染艾滋病毒的可能性更大，辍学的可能性更大，并且由于失去父母的保护而更容易遭受性虐待。拟议研究的具体目标是：1）通过实验测试适度的援助是否可以帮助孤儿女孩在高中过渡期间留在学校，以及就读教会开办的高中是否比就读世俗学校更能预防艾滋病毒危险行为。学校; 2) 比较教会资助的中学和世俗中学教授的性和艾滋病毒相关信息的内容和一致性； 3) 与世俗中学相比，研究女性孤儿如何看待教会资助的艾滋病毒信息，并探讨女孩做出性行为决定的背景。对于目标 1，方法包括使用实验设计和由津巴布韦马尼卡兰省孤儿少女完成的自我管理调查。对于目标 2 和 3，概念图技术用于收集和分析来自成人（教会人员、教师和管理人员）和孤儿少女的信息。研究活动将由美国和津巴布韦合作者联合进行。该研究解决了具有最高公共卫生意义的问题。津巴布韦的艾滋病毒感染率是世界上最高的国家之一，艾滋病孤儿的比例也是如此。该研究将有助于建立以下知识库：宗教组织参与艾滋病毒相关活动的程度和性质、联合卫理公会及其学校影响孤儿风险和保护因素的机制，以及津巴布韦年轻妇女的背景。关于性的决定。