Developing an Intervention to Promote API Women's Sexual and Mental Health
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 96
- 主要终点
- Change in Sexual Risk Behaviors
研究概览
简要总结
Our objective for this R34 is to develop gender/culture specific and trauma informed group psychotherapy intervention designed to treat Chinese-, Korean-, and Vietnamese-American young women with histories of interpersonal violence trauma. The intervention is called Asian Women's Action for Resilience and Empowerment (AWARE).
详细描述
Recent epidemiological studies document two emerging public health problems among Asian-Pacific Islander (API) women in the US:
- A growing incidence of HIV/AIDS. Although the prevalence of HIV/AIDS among APIs is low compared to those among Blacks, Whites, and Hispanics, HIV infection among APIs significantly increased (44%) between 2004 and 2007. Additionally, 75% of HIV transmission among API women is through heterosexual intercourse, which is substantially higher than percentages among other racial/ethnic groups of women.
- Poor mental health functioning exhibited by completed suicide rates. Young API women (ages 15 to 34) have not only the highest rates of completed suicide compared to other women of the same age in the US, but also experienced the largest growth in rates of suicide over the past decade.
Our preliminary studies using both quantitative and qualitative methods found strong links between past trauma and poor sexual and mental health outcomes. For API women, reporting a history of forced sex was associated with higher odds of severe depression, substance use, getting pregnant, and HIV risk behaviors compared to API women who did not report a history of forced sex. API women continue to be vulnerable given their lower rates of HIV testing, lower mental health utilization, and premature dropout rates in mental health treatment compared to other racial groups. So far, no existing intervention targets both sexual health and mental health problems among API women. Specifically, this study builds upon data on API women from prior NIMH-funded work as the foundation for our intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •self-identify as female;
- •are unmarried;
- •are between the ages 18 and 35;
- •are of Chinese, Korean, and/or Vietnamese descent;
- •are 1.5 (immigrated to the US before the age of 18) or 2nd (US-born children of 1st generation immigrants) generation;
- •are fluent in English;
- •have a mobile phone with text messaging;
- •have had penile-vaginal intercourse in their lifetime;
- •have a history of exposure to at least one of five selected criteria in the Traumatic Life Events Questionnaire (TLEQ). These criteria include: beaten by stranger, death threat, childhood physical abuse, family violence, and partner physical assault;
排除标准
- •at current significant risk of homicidal or suicidal behavior
- •having symptoms of psychosis;
- •have previously experienced natural disasters or other non-violent trauma;
- •are of mixed race other than Korean-, Chinese-, or Vietnamese-Americans;
研究组 & 干预措施
AWARE intervention
Group psychotherapy intervention for Asian-American women
干预措施: AWARE intervention (Behavioral)
Waitlist control
Delayed AWARE intervention for Asian-American women
干预措施: AWARE intervention (Behavioral)
结局指标
主要结局
Change in Sexual Risk Behaviors
时间窗: Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention
AIDS Risk Behavior Assessment (ARBA) was used. Sexual risk behaviors were defined as engaging in unprotected sex, having multiple sex partners, and engaging in anal sex. Engagement in unprotected sex was assessed by asking participants, "Of those times that you had vaginal sex in the past three months, how often did you or your partner use condoms/latex protection?'' Responses were scored 0 for "never used a condom," "some of the time," "half of the time," "more than half of the time" and 1 for "every time." Having multiple sex partners was assessed by the question: "How many female/male sex partners have you had in the past three months?" Responses were coded dichotomously as 0 for none or one sexual partner and 1 for more than one sexual partner. Engagement in anal sex was assessed by the question, "How many times in the past three months did you have anal sex?" Responses were dichotomized as 0 for none, and 1 for one or more times.
次要结局
- Change in Substance Use(Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention)
- Change in Mental Distress(Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention)
- Change in Depressive Symptoms(Outcomes will be measured at: baseline, up to 12 weeks after the baseline, 3 months post intervention)
研究者
Hyeouk Hahm
Associate Professor
Boston University Charles River Campus