一项针对墨西哥裔美国女性青少年的基于社区的艾滋病毒预防干预措施的准实验评估:“女英雄”项目。
A quasi-experimental evaluation of a community-based HIV prevention intervention for Mexican American female adolescents: the SHERO's program.
作者信息
Harper Gary W, Bangi Audrey K, Sanchez Bernadette, Doll Mimi, Pedraza Ana
机构信息
Department of Psychology, DePaul University, Chicago, IL 60614, USA.
出版信息
AIDS Educ Prev. 2009 Oct;21(5 Suppl):109-23. doi: 10.1521/aeap.2009.21.5_supp.109.
This article describes a quasi-experimental evaluation of a community-based, culturally and ecologically tailored HIV prevention intervention for Mexican American female adolescents grounded in the AIDS risk reduction model. A total of 378 Mexican American female adolescents (mean age = 15.2) participated in either the nine-session SHERO's (a female-gendered version of the word hero) intervention or a single session information-only HIV prevention intervention. Assessment data were collected at pretest, posttest, and 2-month follow up. Significant improvements across all time points were revealed on measures of self-esteem, condom attitudes, beliefs regarding a woman's control of her sexuality, beliefs regarding sexual assault, perceived peer norms, and HIV/AIDS and STI knowledge. At posttest SHERO's participants were more likely to carry condoms and to report abstaining from vaginal sex in the previous 2 months; and at 2-month follow up they reported using condoms more often in the preceding 2 months and planned on using them more frequently in the coming 2 months. Findings support the development of community-based adolescent HIV prevention interventions that address culturally specific ecological factors.
本文描述了一项基于社区、针对文化和生态因素量身定制的针对墨西哥裔美国女性青少年的艾滋病毒预防干预措施的准实验评估,该干预措施基于艾滋病风险降低模型。共有378名墨西哥裔美国女性青少年(平均年龄=15.2岁)参与了为期九节的“女英雄”(“英雄”一词的女性版本)干预课程或仅包含一次课程的艾滋病毒预防信息干预。在干预前、干预后和2个月随访时收集评估数据。在自尊、对避孕套的态度、关于女性对自身性行为控制的信念、关于性侵犯的信念、感知到的同伴规范以及艾滋病毒/艾滋病和性传播感染知识等指标上,所有时间点均显示出显著改善。在干预后,“女英雄”课程的参与者更有可能携带避孕套,并报告在过去2个月内 abstaining from vaginal sex;在2个月随访时,她们报告在过去2个月内更频繁地使用避孕套,并计划在未来2个月内更频繁地使用避孕套。研究结果支持开发基于社区的青少年艾滋病毒预防干预措施,以应对特定文化背景下的生态因素。