New HIV Intervention Approaches for African American Youth

非裔美国青年艾滋病毒干预新方法

基本信息

批准号：
7753821
负责人：
KARIN Kristina COYLE
金额：
$ 14.88万
依托单位：
EDUCATION, TRAINING, & RESEARCH ASSOCS
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7753821
关键词：
AIDS prevention AIDS/HIV problem Address Adolescence Adolescent Adolescent Development Affect African American Attitude Behavior Behavior Therapy Behavioral Belief Calculi Centers for Disease Control and Prevention (U.S.)Characteristics Childhood Clinic Communities Contraceptive Agents Contraceptive methods Data Development Disadvantaged Effectiveness Ensure Ethnic group Event Exploratory/Developmental Grant Fostering Future Goals HIV Health Infection prevention Intervention Knowledge Literature Longitudinal Studies Methods Play Population Population Group Prevention Research Prevention program Preventive Intervention Public Health Randomized Randomized Controlled Trials Reporting Research Resources Risk Risk Behaviors Risk-Taking Role Schools Self Efficacy Sex Behavior Sexual Partners Sexually Transmitted Diseases Students Testing Time Youth base condoms design disorder risk efficacy trial evidence base experience health disparity high school insight intervention effect novel strategies peer prevent programs psychosocial public health relevance racial and ethnic sex sex risk sexual relationship social social networking website transmission process

项目摘要

DESCRIPTION (provided by applicant): African American adolescents are disproportionately affected by HIV/AIDS and other sexually transmitted infections (STIs) (CDC, 2007a, 2007b, 2008a), highlighting the importance of further prevention research for this population. The goal of the proposed study is to address these disparities by developing and testing a new intervention approach that focuses on relationships (e.g., the different types of relationships, the context in which youth "hook up"), as well as factors that might reduce sexual risk taking (e.g., concurrency of sexual partners, norms about the sequencing of romantic and intimate events in relationships), potentially important behavioral aims for African American youth who tend to report having more sexual partners than other racial/ethnic groups (Eaton et al., 2006). The potential effects of the intervention will be tested using a matched pilot-test design involving 2 schools (approximately 400 students), in which the schools are randomly assigned to either the intervention or comparison condition. Youth will be assessed 3 times during the study: baseline, 3 and 6 months following the intervention, providing data on sexual risk taking behaviors (e.g., sexual partners, condom use) and related determinants, such as functional knowledge, attitudes, beliefs, perceived self efficacy, and perceived norms related to relationships and sexual behaviors. The study also will yield data on characteristics of adolescents' relationships (e.g., how romantic relationships are developed, what factors characterize different types of relationships, how adolescents view the quality of their relationships). Consistent with the R21 mechanism, the study findings would yield new data on the potential promise and feasibility of a relationship-based approach to HIV prevention that could be tested in a randomized controlled trial. PUBLIC HEALTH RELEVANCE: African American adolescents are disproportionately affected by HIV/AIDS and other sexually transmitted infections (STI). More effective and accessible interventions are needed to address the HIV/STI related health disparities experienced by these youth. The proposed project has the potential to be of public health significance in the following ways: 1) it provides an additional resource for schools to address HIV/STI risk among youth, particularly African American youth; 2) if effective, a relationships-based approach to HIV would have broad appeal to schools, community-based organizations, and clinics serving adolescents because of its developmental focus; and 3) the study results could yield new insights regarding adolescents' relationships, potentially leading to promising strategies for reaching African American adolescents, an important contribution given the alarming rates of HIV and other STIs among this population group.

描述（由申请人提供）：非洲裔美国青少年尤其容易受到艾滋病毒/艾滋病和其他性传播感染（STI）的影响（CDC，2007a、2007b、2008a），强调了针对这一人群开展进一步预防研究的重要性。拟议研究的目标是通过开发和测试一种新的干预方法来解决这些差异，该方法侧重于关系（例如，不同类型的关系、青少年“勾搭”的背景）以及可能减少影响的因素。性冒险（例如，性伴侣的同时性、关系中浪漫和亲密事件顺序的规范）、对于非裔美国青年来说潜在的重要行为目标，他们倾向于报告比其他种族/族裔群体拥有更多的性伴侣（伊顿等人） ., 2006）。将使用涉及 2 所学校（约 400 名学生）的匹配试点测试设计来测试干预措施的潜在效果，其中学校被随机分配到干预条件或比较条件。研究期间将对青少年进行 3 次评估：基线、干预后 3 个月和 6 个月，提供有关性冒险行为（例如性伴侣、安全套使用）和相关决定因素的数据，例如功能知识、态度、信仰、感知自我效能以及与人际关系和性行为相关的感知规范。该研究还将产生有关青少年关系特征的数据（例如，浪漫关系是如何发展的、不同类型关系的特征是什么、青少年如何看待他们的关系质量）。与 R21 机制一致，研究结果将产生新的数据，说明基于关系的艾滋病毒预防方法的潜在前景和可行性，可以在随机对照试验中进行测试。公共卫生相关性：非洲裔美国青少年尤其容易受到艾滋病毒/艾滋病和其他性传播感染 (STI) 的影响。需要采取更有效和更容易获得的干预措施来解决这些年轻人所经历的与艾滋病毒/性传播感染相关的健康差异。拟议的项目有可能在以下方面具有公共卫生意义：1）它为学校提供了额外的资源，以解决青少年，特别是非裔美国青少年的艾滋病毒/性传播感染风险； 2) 如果有效的话，基于关系的艾滋病毒治疗方法将因其发展重点而对学校、社区组织和为青少年提供服务的诊所产生广泛的吸引力； 3) 研究结果可能会产生关于青少年关系的新见解，有可能为接触非洲裔美国青少年提供有希望的策略，考虑到该人群中艾滋病毒和其他性传播感染的惊人发病率，这是一个重要的贡献。