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This article describes the objectives, theoretical bases, development process, and evaluation efforts to-date for the Circle of Life (COL) curricula, HIV/AIDS prevention interventions designed for American Indian and Alaska Native (AI/AN) youth. The curricula are based on Indigenous models of learning and behavior encompassing concepts of Western theories of health behavior change. The curricula underwent extensive national and community review. Subsequent advances include the development of a computer-based version of the intervention.
This report represents the findings of the second cross-sectional study conducted in 2006, one years after the first study. The behavioral study is conducted among Intravenous Drug Users, Sex Workers, Men having Sex with Men, prisoners, STI patients including the group of young people aged 15-24 and Roma population.