University of North Carolina at Greensboro, School of Nursing, Greensboro, North Carolina 27412-5001, USA.
Issues Ment Health Nurs. 2010 Nov;31(11):731-8. doi: 10.3109/01612840.2010.505313.
HIV is disproportionately prevalent among Blacks. Black women most often contract HIV from having risky sex, and adolescence is a time when risky sex behaviors peak. This study tested the feasibility and initial efficacy of an intervention designed to help Black adolescent girls avoid risky sex behaviors. The intervention included group education for girls followed by a service learning opportunity in which the girls practiced the assertiveness and communication skills they had learned in the education sessions, and individual education for the girls’ mothers. The intervention was guided by a risk and protective factors framework and by the goal of promoting racial/ethnic pride in the girls. We determined that the intervention was feasible. Schools allowed recruitment of potential participants and the use of their facilities for meeting with the girls. We encountered little participant dropout from the study, and the intervention was highly regarded by the girls who participated and their mothers. We found improvements in aspects of the girls’ relationships with their mothers, their sexual assertiveness, and their self-efficacy to use condoms.
艾滋病毒在黑人群体中更为普遍。黑人女性感染艾滋病毒最常见的途径是进行危险的性行为，而青春期是危险性行为达到高峰的时期。本研究测试了一种旨在帮助黑人少女避免危险性行为的干预措施的可行性和初步效果。该干预措施包括对女孩进行小组教育，然后为女孩提供服务学习机会，让她们练习在教育课程中学到的自信和沟通技巧，同时对女孩的母亲进行个别教育。该干预措施以风险和保护因素框架以及促进女孩种族/民族自豪感为指导。我们确定该干预措施是可行的。学校允许招募潜在参与者，并允许在其设施内与女孩会面。我们很少遇到参与者退出研究的情况，而且参与的女孩及其母亲对该干预措施评价很高。我们发现女孩与母亲的关系、性自信以及使用避孕套的自我效能感等方面都有所改善。
