《生命之环》对美国印第安中学生艾滋病预防效果的影响：北普拉特部落的一项群组随机试验
Effectiveness of Circle of Life, an HIV-preventive intervention for American Indian middle school youths: a group randomized trial in a Northern Plains tribe.
机构信息
Carol E. Kaufman, Nancy Rumbaugh Whitesell, Ellen M. Keane, and Christina M. Mitchell are with the Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora. At the time of the study, Jennifer A. Desserich was with the Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus. Cindy Giago and Angela Sam were with the Northern Plains Field Office, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus.
出版信息
Am J Public Health. 2014 Jun;104(6):e106-12. doi: 10.2105/AJPH.2013.301822. Epub 2014 Apr 22.
OBJECTIVES
We assessed the effectiveness of Circle of Life (COL), an HIV-preventive intervention developed specifically for American Indian and Alaska Native (AI/AN) middle school youths.
METHODS
By partnering with a tribal community, we conducted a longitudinal wait-listed group randomized trial with 635 seventh and eighth graders in 13 schools of a Northern Plains tribe. We surveyed participants at baseline, 3 months, and 12 months from 2006 to 2007.
RESULTS
COL was found to increase HIV knowledge in the short term, but had no effect on sexual activity compared with those who did not receive it. However, COL was found to be effective for delaying the onset of sexual activity, with the greatest reduction in risk occurring for those receiving COL at early ages.
CONCLUSIONS
Community partnership was key to successful project design, implementation, and analysis. The project confirmed the importance of the timing of interventions in early adolescence. COL may be a key resource for reducing sexual risk among AI/AN youths.
目的
我们评估了 Circle of Life（COL）的有效性，这是一种专门为美国印第安人和阿拉斯加原住民（AI/AN）中学生开发的艾滋病毒预防干预措施。
方法
通过与部落社区合作，我们在一个北平原部落的 13 所学校对 635 名 7 至 8 年级学生进行了纵向候补组随机试验。我们在 2006 年至 2007 年期间对参与者进行了基线、3 个月和 12 个月的调查。
结果
与未接受 COL 的参与者相比，COL 短期内增加了 HIV 知识，但对性行为没有影响。然而，COL 被发现对延迟性活动的发生有效，对于在早期接受 COL 的人来说，风险降低最大。
结论
社区伙伴关系是成功项目设计、实施和分析的关键。该项目证实了在青少年早期进行干预的时机的重要性。COL 可能是减少 AI/AN 青少年性风险的关键资源。
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