Dancy Barbara L, Crittenden Kathleen S, Talashek Marie L
University of Illinois at Chicago, College or Nursing, USA.
J Health Care Poor Underserved. 2006 Feb;17(1):218-39. doi: 10.1353/hpu.2006.0012.
Low-income African American inner city adolescent females continue to be at disproportionately high risk for contracting HIV. Though it has been speculated that mothers' involvement in HIV risk reduction may be helpful in the fight against HIV, very few interventions involve mothers. The Mother/Daughter HIV Risk Reduction intervention (MDRR), an innovative community-based intervention, trains mothers to be their daughters' primary HIV educators. A split-plot repeated measures design was used to test the effectiveness of the MDRR in decreasing daughters' sexual activity over a 2-month period. The mediating variables were daughters' HIV transmission knowledge, self-efficacy and intention to refuse sex. The sample consisted of 262 daughters with a mean age of 12.4 years. The results revealed that mothers were effective in increasing the mediating variables and in reducing their daughters' level of sexual activity. Active involvement of mothers is cost-effective and should be integrated into HIV intervention programs.
低收入的美国非裔城市中心青少年女性感染艾滋病毒的风险仍然高得不成比例。尽管有人推测母亲参与降低艾滋病毒风险可能有助于抗击艾滋病毒，但很少有干预措施涉及母亲。母女艾滋病毒风险降低干预措施（MDRR）是一种创新的基于社区的干预措施，培训母亲成为女儿的主要艾滋病毒教育者。采用裂区重复测量设计来测试MDRR在两个月内降低女儿性活动的有效性。中介变量是女儿的艾滋病毒传播知识、自我效能感和拒绝性行为的意图。样本包括262名女儿，平均年龄为12.4岁。结果显示，母亲在增加中介变量和降低女儿的性活动水平方面是有效的。母亲的积极参与具有成本效益，应纳入艾滋病毒干预计划。
