Linking high-risk young women to HIV prevention and care for comorbid conditions

将高危年轻女性与艾滋病毒预防和共病护理联系起来

基本信息

批准号：
9040235
负责人：
Bronwyn Myers
金额：
$ 17.02万
依托单位：
MEDICAL RESEARCH COUNCIL OF SOUTH AFRICA
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：
2015-03-25 至 2018-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9040235
关键词：
18 year old 21 year old AIDS prevention Address Adherence Affect Age Age-Years Alcohol or Other Drugs use Attention Behavioral Caring Case Management Child Cognitive Communities Counseling Data Development Disadvantaged Distal Enrollment Ensure Focus Groups Foundations Goals HIV HIV Infections HIV risk Health Health Personnel Health Services Human immunodeficiency virus test Incidence Individual Infection Institutional Review Boards Intervention Interview Laws Letters Life Link Mental Health Methods Modeling Outcome Parental Consent Participant Perception Personal Satisfaction Population Populations at Risk Predisposition Pregnancy Preparation Prevention Prevention approach Prevention strategy Preventive Intervention Province Public Health Readiness Regulation Reproductive Health Reproductive Health Services Research Risk Risk Behaviors Risk Reduction Sampling Science Series Services Sexual abuse Sexually Transmitted Diseases South Africa South African Substance Use Disorder Target Populations Technology Testing Trauma Underserved Population United States National Institutes of Health Ursidae Family Vertical Disease Transmission Victimization Woman Women&apos s Health Work age group efficacy testing emerging adult emerging adulthood evidence base experience follow-up gender disparity high risk human subject protection improved innovation microbicide neglect novel outreach parental involvement physical abuse prevent response screening sexual victimization substance abuse treatment uptake young woman

18 year old 21 year old AIDS prevention Address Adherence Affect Age Age-Years Alcohol or Other Drugs use Attention Behavioral Caring Case Management Child Cognitive Communities Counseling Data Development Disadvantaged Distal Enrollment Ensure Focus Groups Foundations Goals HIV HIV Infections HIV risk Health Health Personnel Health Services Human immunodeficiency virus test Incidence Individual Infection Institutional Review Boards Intervention Interview Laws Letters Life Link Mental Health Methods Modeling Outcome Parental Consent Participant Perception Personal Satisfaction Population Populations at Risk Predisposition Pregnancy Preparation Prevention Prevention approach Prevention strategy Preventive Intervention Province Public Health Readiness Regulation Reproductive Health Reproductive Health Services Research Risk Risk Behaviors Risk Reduction Sampling Science Series Services Sexual abuse Sexually Transmitted Diseases South Africa South African Substance Use Disorder Target Populations Technology Testing Trauma Underserved Population United States National Institutes of Health Ursidae Family Vertical Disease Transmission Victimization Woman Women&apos s Health Work age group efficacy testing emerging adult emerging adulthood evidence base experience follow-up gender disparity high risk human subject protection improved innovation microbicide neglect novel outreach parental involvement physical abuse prevent response screening sexual victimization substance abuse treatment uptake young woman

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项目摘要

DESCRIPTION (provided by applicant): HIV is increasing in the Western Cape province of South Africa, with new infections occurring mostly among young women from poor communities. Substance use and victimization are key drivers of risk for HIV in this population, yet these conditions are rarely treated. As untreated substance use and victimization negatively impact on the uptake of HIV prevention, it is imperative to expand HIV prevention for young women to include linkage to treatment for these co-occurring conditions. Seek, test, treat and retain (STTR) approaches have been used to engage high-risk populations in HIV prevention and treatment, but have not yet been used as a model for engaging high-risk young women in HIV prevention and treatment for co-occurring substance use and victimization. The goal of this project is to address this gap by adapting a women-focused STTR HIV prevention model to include linkage to substance use and victimization services. Using the ADAPT-ITT framework to guide intervention adaptation, we will first conduct in-depth interviews with health providers and focus groups with young women with substance use disorders and victimization experiences to explore their perceptions of barriers to engagement and retention in services for HIV, substance use and victimization among young women. Findings will guide decisions about how to adapt the Women's Health CoOp, an STTR model for HIV prevention, to facilitate linkage to treatment for substance use and victimization. Next, we will administer the adapted intervention in a series of focus groups with high-risk young women. Findings will be used to further adapt the model to enhance relevance, fit, and acceptability for the target population. Finally, we will test the inital feasibility of this adapted STTR model for HIV prevention by seeking 60 high-risk young women through street outreach in selected communities and enrolling these young women into the STTR intervention where they will be tested for HIV, pregnancy and recent substance use and assessed for trauma related to victimization and HIV risk behavior. They will then receive the HIV prevention intervention that includes preparation and linkage to treatment for substance use and victimization. Immediately after receiving the last intervention session, they will complete a brief assessment. Thereafter, participants will receive case management services that provide ongoing support for service use and target structural barriers to retention in services. Participants will be assessed three months after the last assessment to examine whether the model has the potential for facilitating linkage to substance use and victimization services.

描述（由适用提供）：南非西开普省的艾滋病毒正在增加，新感染主要发生在贫困社区的年轻妇女中。在该人群中，药物使用和艾滋病毒风险的受害者很少受到治疗。由于未经治疗的药物使用和受害者对预防艾滋病毒的摄取产生负面影响，因此必须扩大预防艾滋病毒的预防，以使年轻妇女与这些同时发生的疾病有关。寻求，测试，治疗和保留（STTR）方法已被用来吸引高危人群进行艾滋病毒预防和治疗，但尚未用作吸引高风险的年轻女性预防艾滋病毒和治疗的模型，以进行同时发生的药物使用和胜利。该项目的目的是通过调整以妇女为中心的HIV预防模型来解决这一差距，包括与物质使用和受害服务的联系。我们将使用Adapt-ITT框架来指导干预适应，我们将首先与健康提供者和焦点小组进行深入的访谈，并与年轻妇女进行毒品使用障碍和受害经验，以探索他们对年轻妇女中艾滋病毒，毒品使用和受害的服务障碍和保留障碍的看法。调查结果将指导有关如何适应预防HIV的STTR模型的妇女健康库的决策，以促进与药物使用和胜利的治疗联系。接下来，我们将在与高风险年轻女性的一系列焦点小组中进行改编的干预措施。调查结果将用于进一步调整该模型，以增强目标人群的相关性，拟合度和可接受性。最后，我们将通过选定社区中的街头宣传来寻求60名高风险的年轻女性，并将这些年轻妇女纳入STTR干预措施，并将她们的艾滋病毒，怀孕和最近的药物使用测试，并评估与胜利和艾滋病毒风险行为有关的创伤，并将这些年轻妇女纳入STTR干预，并将这些年轻妇女纳入STTR干预措施，并将这些年轻妇女纳入STTR干预措施，从而测试这种适应性艾滋病毒预防的STTR模型的最初可行性。然后，他们将获得预防艾滋病毒的干预措施，其中包括准备和胜利的治疗方法。收到上次干预会议后，他们将立即完成简短的评估。此后，参与者将获得案例管理服务，以提供服务使用的持续支持，并针对保留服务的结构性障碍。最后一次评估后三个月将对参与者进行评估，以检查该模型是否有可能支持与物质使用和欺诈服务联系的潜力。