Implementing Tobacco Use Treatment in HIV Clinics In Viet Nam

在越南艾滋病毒诊所实施烟草使用治疗

基本信息

批准号：
10393869
负责人：
Nam Truong Nguyen
金额：
$ 17.95万
依托单位：
NEW YORK UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-05-01 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10393869
关键词：
AIDS/HIV problem Abstinence Address Anxiety Awareness Behavior Behavioral Cancer Control Clinic Complex Continuity of Patient Care Country Coupled Data Development Evaluation Funding Goals HIV Health High-Risk Cancer Income Individual Influentials Intervention Interview Investigation Knowledge Life Malignant Neoplasms Malignant neoplasm of lung Measures Mental Depression Outcome Population Prevention Guidelines Process Property Psychometrics Research Resources Risk Risk Behaviors Risk Factors Sampling Screening for cancer Self Efficacy Services Shapes Smoke Smoking Tobacco Use Cessation Tobacco use Tobacco-Related Carcinoma Validity and Reliability Vietnam Work antiretroviral therapy anxiety treatment arm base cancer care cancer prevention cancer risk care seeking cognitive interview compare effectiveness design effectiveness-implementation RCT experience health seeking behavior help-seeking behavior high risk population interest low and middle-income countries mortality parent grant psychological symptom psychosocial response screening guidelines smoking cessation social stigma tool treatment adherence uptake

项目摘要

ABSTRACT This application is being submitted in response to the Notice of Special Interest (NOSI) identified as NOT-CA-21-026. Cancer stigma presents a key barrier to cancer control and prevention efforts globally, but especially in low- and middle-income countries (LMICs) and among populations who are at high risk for cancer such as people living with HIV/AIDS (PLWH) and those who smoke. Cancer and cancer stigma’s disproportionate impact on people in LMICs and PLWH warrants intervention to reduce cancer stigma and increase engagement in cancer prevention and care for PLWH living in LMICs; however, little to no research has investigated the unique aspects of cancer stigma among PLWH in an LMIC. In this supplemental study, which is integrated into a three-arm tobacco cessation implementation-effectiveness randomized control trial among PLWH in Viet Nam, we propose to develop a multi-component cancer stigma scale for use among PLWH in an LMIC context. First, a qualitative investigation will be conducted to understand how cancer stigma—and specifically lung cancer stigma—manifests among two groups of PLWH at differentially augmented risks of cancer: PLWH who smoke and PLWH who do not smoke. In this investigation, three theorized components of cancer stigma (i.e., public, internalized, and enacted stigma) and related concepts such as cancer awareness, intersecting stigmas such as HIV stigma and smoking stigma, and salient cultural considerations will be explored. Findings from this qualitative work and cognitive interviewing will inform the selection of items to create a multi-component cancer stigma scale that can be used among PLWH in Viet Nam. The draft scale will be piloted among a sample of Vietnamese PLWH (N=100; n=50 PLWH who smoke and n=50 PLWH who do not smoke). Pilot data will be used to conduct psychometric evaluation of the multi- component cancer stigma scale and explore correlations and associations between cancer stigma, cancer awareness, HIV and smoking stigma, and various related psychosocial and behavioral factors such as harmful psychological symptoms (e.g., depression, anxiety), timing of health-seeking, HIV treatment adherence, smoking cessation, cancer knowledge, and self-efficacy. Developing and validating a multi-component cancer stigma scale in the context of Viet Nam in a way that accounts for culturally salient expressions of stigma is a crucial step towards better understanding and addressing cancer stigma to promote cancer control and prevention across diverse LMIC and low-resource settings.

抽象的该申请是为了响应特殊利益通知（NOSI）而提交非CA-21-026。癌症的污名在全球范围内构成了癌症控制和预防工作的关键障碍，但特别是在低收入和中等收入国家（LMIC）以及处于癌症高风险的人群中例如患有艾滋病毒/艾滋病（PLWH）的人和吸烟的人。癌症和癌症的污名对LMIC和PLWH中的人的不成比例影响，需要干预以减少癌症的污名和增加参与癌症预防和护理LMIC中的PLWH；但是，几乎没有研究 LMIC中PLWH中癌症污名的独特方面。在这项补充研究中，它被整合到三臂烟草戒烟效果随机控制试验中在越南的PLWH中，我们建议开发一个多组分的癌症污名量表，以在在LMIC的情况下。首先，将进行定性调查，以了解癌症如何污名 - 特别是肺癌的污名 - 在差异化的两组PLWH中的污名增强癌症风险：不吸烟的PLWH和PLWH。在这项调查中，三个癌症污名的理论组成部分（即公共，内部化和制定的污名）和相关概念例如癌症意识，与HIV污名和吸烟污名等污名和显着的文化考虑因素将被探讨。这项定性工作和认知访谈的发现将告知选择项目以创建多组分的癌症污名量表，该量表可在越野纳。草稿量表将在越南PLWH的样本中进行试验（n = 100; n = 50 plwh烟雾 n = 50不吸烟的PLWH）。试验数据将用于进行多个多的心理测量评估成分癌症的污名量表并探索癌症污名，癌症之间的相关性和关联意识，艾滋病毒和吸烟污名以及各种相关的社会心理和行为因素，例如有害心理症状（例如抑郁症，动画），寻求健康的时间，艾滋病毒治疗依从性，戒烟，癌症知识和自我效能感。开发和验证多组分癌症在越南的背景下，污名量表是一种说明污名的文化显着表达的方式至关重要的一步朝着更好地理解和解决癌症的污名，以促进癌症控制和跨潜水员LMIC和低资源环境的预防。