Using Smart Phones to Understand the Link Between Social and Geographical Context and HIV Risk Behavior Among MSM

研究综述 这项研究探索了新的方法来评估地理和社会背景如何创造独特的风险概况 新出现的艾滋病毒阴性男性同性性行为者（MSM）。艾滋病毒危险行为（性风险， 物质使用）受到人们居住的社区的地理和社会背景的严重影响 并且频繁（例如，犯罪;贫困;酒类商店、公园、教堂、诊所的密度）。然而，大多数研究 评估地理影响，集中在一个固定的位置（例如，家）。然而，年轻的MSM并不呆在 一个地方，并前往不同的地方，以满足人们和从事风险行为（例如，酒吧派对性爱 俱乐部）。在试图理解这些问题时，需要采取一种更加动态和复杂的方法。 艾滋病毒风险的地理和社会背景。该提案探讨了新颖和创新的方法， 评估社交场所的影响及其对风险行为的影响（例如，性风险，物质使用） 在新兴的成年男男性接触者中为了理解这些机制，我们将使用一个独特的组合， 通过GPS监测和监测寻找伙伴的应用程序使用情况捕获的地理数据（例如，Grindr）， 以及使用移动的技术的情境感知体验采样， 关于他们的地理和社会环境的问卷调查由GPS定位或使用合作伙伴触发- 寻找应用程序在这个应用程序中，我们建议招募400名新兴的成年MSM（年龄18-29岁），并跟踪他们的 GPS坐标和使用伙伴寻求应用程序2个月，以创建活动空间地图，他们去哪里 以及他们在哪里从事冒险行为。他们活动空间地图上的GPS坐标 然后我们将进行情境感知体验抽样评估 30天内每天都有一次（由活动空间的GPS位置或使用寻找伙伴的应用程序触发）。 情境感知体验问题将评估与社交网络成员的人际互动， 地点环境、药物使用、酒精使用和性风险。结果将提供巨大的洞察力， MSM在社会环境中的人际互动将成为发展生态的基础。 瞬时干预（可以在真实的时间环境中提供定制的干预组件， 情况），以减少艾滋病毒的风险和新出现的成年男男性接触者的物质使用。生态瞬时干预 利用这项研究的数据开发的技术将使我们能够通过量身定制的方法提供精确的健康方法， 在参与者处于最高风险和最需要支持的时候进行真实的干预。本研究 为我们提供了独特的人际互动数据，这些数据在社会上有意义， 我们改善了社会和环境背景，使新兴的成年男男性接触者处于危险之中。

Research Summary This study explores novel methods to assess how geographic and social contexts create unique profiles of risk for emerging adult HIV-negative men who have sex with men (MSM). HIV risk behaviors (sexual risk, substance use) are heavily influenced by geographic and social context of the neighborhoods that people live and frequent (e.g., crime; poverty; density of liquor stores, parks, churches, clinics). However, most studies that assess geographic influence, focus on a fixed location (e.g., home). However, young MSM do not stay in one place, and travel to different places to meet people and engage in risk behavior (e.g., bars, parties, sex clubs). There is a need to take a more dynamic and complex approach when trying to understand the geographic and social contexts of HIV risk. This proposal explores novel and innovative methods of assessing the influence of social places and their impact on risk behavior (e.g., sexual risk, substance use) among emerging adult MSM. To understand these mechanisms we will use a unique combination of geographic data captured through GPS monitoring and monitoring of partner-seeking app use (e.g., Grindr), and context-aware experience sampling using mobile technology that has participants answer brief questionnaires about their geographic and social environment triggered by GPS location or use of partner- seeking apps. In this application we propose to enroll 400 emerging adults MSM (ages 18-29) and track their GPS coordinates and use of partner-seeking apps for 2 months to create activity space maps of where they go and where they engage in risk behavior. The GPS coordinates from their activity space maps will be programmed in their cell phone and then we will conduct context-aware experience sampling assessments daily for 30 days (triggered by the GPS location of activity spaces or the use of a partner-seeking app). Context-aware experience questions will assess interpersonal interactions with social network members, location environment, drug use, alcohol use, and sexual risk. Results will provide tremendous insight into MSM's interpersonal interactions in social settings that will serve as the foundation for developing ecological momentary interventions (which can deliver tailored intervention components in real time contexts and situations) to reduce HIV risk and substance use of emerging adult MSM. Ecological momentary interventions developed using data from this study would allow us to provide precision health approaches through tailored interventions in real time when participants were at highest risk and in most need of support. This study provides us with unique data on interpersonal interactions in places that are socially meaningful that can help us improve the social and environmental contexts that put emerging adult MSM at risk.