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

使用智能手机了解 MSM 中的社会和地理环境与 HIV 风险行为之间的联系

• 批准号: 10153830
• 负责人: NATHAN B HANSEN
• 金额: $ 73.02万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10153830
• 关键词: Age; Alcohol consumption; Area; Awareness; Cellular Phone; Characteristics; Church; Cities; Clinic; Communities; Complex; Crime; Cues; Data; Discrimination; Drug usage; Emerging Technologies; Emotional; Enrollment; Environment; Foundations; Geography; HIV; HIV Seronegativity; HIV risk; HIV/STD; Home; Incidence; Individual; Interpersonal Relations; Intervention; Knowledge; Link; Literature; Location; Maps; Mediating; Methodology; Methods; Monitor; Neighborhoods; Participant; Poverty; Precision Health; Prevention program; Questionnaires; Research; Resources; Risk; Risk Behaviors; Sampling; Sexual Partners; Social Environment; Social Network; Technology; Testing; Time; Travel; Unsafe Sex; Visit; base; cohesion; contextual factors; density; distilled alcoholic beverage; emerging adult; experience; geographic risk; high risk; high risk population; improved; innovation; insight; member; men; men who have sex with men; migration; mobile computing; nonmetropolitan area; novel; peer influence; sex; social; substance use; young men who have sex with men

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.

研究总结 这项研究探索了新的方法来评估地理和社会背景如何创建独特的风险概况 针对新出现的成年HIV阴性男男性行为者(MSM)。艾滋病毒危险行为(性危险、 物质使用)在很大程度上受到人们所居住社区的地理和社会背景的影响 (例如，犯罪；贫困；酒类商店、公园、教堂、诊所密度高)。然而，大多数研究 评估地理影响，专注于固定位置(例如，家)。然而，年轻的MSM不会留在家里 一个地方，旅行到不同的地方去认识人并从事危险行为(例如，酒吧、派对、性行为 俱乐部)。有必要采取更动态和复杂的方法来尝试理解 艾滋病毒风险的地理和社会背景。这项建议探索了新的和创新的方法 评估社交场所的影响及其对危险行为的影响(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监测和监测寻找合作伙伴的应用程序使用(例如Grindr)捕获的地理数据， 以及使用移动技术的情景感知体验采样，让参与者回答简短 关于他们的地理和社会环境的调查问卷，由GPS位置或使用合作伙伴- 寻找应用程序。在此应用程序中，我们建议招募400名新兴成年MSM(年龄18-29岁)，并跟踪他们的 GPS协调和使用寻找合作伙伴的应用程序2个月，以创建他们去哪里的活动空间地图 以及他们从事危险行为的地方。他们的活动空间地图上的GPS坐标将是 在他们的手机中编程，然后我们将进行情景感知体验抽样评估 每天30天(由活动空间的GPS定位或使用寻找伴侣的应用程序触发)。 情境感知体验问题将评估与社交网络成员的人际交互， 地点环境、药物使用、酒精使用和性风险。结果将为我们提供对 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(可在实时环境中提供量身定制的干预组件 情况)，以减少新出现的成年男男性接触者的艾滋病毒风险和物质使用。生态瞬时干预 使用这项研究的数据开发将使我们能够通过量身定做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实时干预。本研究 为我们提供有社会意义的地方的人际互动的独特数据，这有助于 美国改善了将新兴成年男男性接触者置于危险境地的社会和环境背景。