The primary purpose of the project is to test the effectiveness of two different interventions on women's intent to become pregnant, use antiretroviral therapy, and their HIV/AIDS attitudes and beliefs. A secondary purpose is to examine correlates of reproductive decision making and intentions to use antiretroviral therapy among African American women with HIV who are at risk for pregnancy. The proposed sample will be 270 HIV-infected African American women aged 18-44 years who are at risk for pregnancy and who reside in two southern states. The women will be recruited from various community-based sites and clinics serving both rural and urban populations. The study will include face to face interviews using a modified health belief conceptual framework to assess specific correlates such as family structure, cognitive perceptions, HIV beliefs, intrapersonal variables, and health status. Prior experience with the health care system will also be addressed. The overall study will be three years in length with a quasi-experimental and descriptive correlational design with repeated measures. Interventions will be videotape and face-to-face delivery with peer discussion groups of peer education. The primary purposed hypotheses are that significant differences exist in HIV infected African American women's intent to become pregnant, use antiretroviral therapy, and in their HIV attitudes and beliefs within the proposed treatment groups and among treatment groups after the intervention when compared to baseline. The conceptual framework guiding this study is the modified Health Belief Model.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
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Study Section
AIDS and Related Research Study Section 6 (ARRF)
Program Officer
Sigmon, Hilary D
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University of South Carolina at Columbia
Schools of Nursing
United States
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Phillips, Kenneth D; Sowell, Richard L; Boyd, Mary et al. (2005) Sleep quality and health-related quality of life in HIV-infected African-American women of childbearing age. Qual Life Res 14:959-70
Sowell, R L; Seals, B F; Phillips, K D et al. (2003) Disclosure of HIV infection: how do women decide to tell? Health Educ Res 18:32-44
Sowell, Richard L; Phillips, Kenneth D; Seals, Brenda et al. (2002) Incidence and correlates of physical violence among HIV-infected women at risk for pregnancy in the southeastern United States. J Assoc Nurses AIDS Care 13:46-58
Sowell, R L; Murdaugh, C L; Addy, C L et al. (2002) Factors influencing intent to get pregnant in HIV-infected women living in the southern USA. AIDS Care 14:181-91
Sowell, R L; Phillips, K D; Seals, B F et al. (2001) HIV-infected women's experiences and beliefs related to AZT therapy during pregnancy. AIDS Patient Care STDS 15:201-9
Sowell, R L; Murdaugh, C L; Addy, C et al. (2001) Preventing perinatal human immunodeficiency virus transmission: factors influencing women's intentions toward zidovudine therapy. South Med J 94:1177-84
Murdaugh, C; Russell, R B; Sowell, R (2000) Using focus groups to develop a culturally sensitive videotape intervention for HIV-positive women. J Adv Nurs 32:1507-13