Harnessing the power of text messaging to reduce HIV incidence in adolescent males across the United States

利用短信的力量降低美国青少年男性的艾滋病毒发病率

基本信息

项目摘要

Sexual minority male youth face disparate risk for HIV acquisition. Disparities are even starker for African American/Black and Hispanic sexual minority male youth, who account for 51% and 25% of new HIV infections, respectively. Youth living in southern states and in rural settings also face elevated risk for HIV acquisition. As such, access to HIV testing and counseling remains a critical component of prevention, and effectively extending these services to sexual minority male youth is a priority. The wide adoption of text messaging provides novel opportunities to go where youth “are” across socio- demographically different groups, and overcomes structural challenges of traditional interventions. Moreover, being able to access sensitive content when and where one chooses facilitates safe spaces for youth to engage with the content, which is important for those who are not ‘out’. Importantly too, reviews suggest that programs delivered via text messaging can affect complex behavior change, including HIV testing among sexual minority adolescent boys. Thus, we have the opportunity to utilize the power and reach that text messaging affords to deliver an HIV prevention program across the country to a diverse population of youth. To this end, we propose to test the impact of #GrowingUpGuy (#GUY) on new HIV infections among 13-20 year-old sexual minority male youth across the United States. #GUY will be an adaptation of the research team’s previous text messaging-based HIV prevention/healthy sexuality programs developed at the national level for sexual minority youth. Given the epidemiology of HIV infections in the United States, we plan to target youth 13-20 years of age. Because of the lack of accessible programs for younger youth, our recruitment effort will place an emphasis on those 18 years of age and younger. Sample diversity will be ensured using recruitment targets and a complex enrollment strategy that we have developed and refined over our intervention endeavors such that half will self-identify as Black/African American, Latino, and/or of mixed race; and at least 20% will be living in a rural area or southern state. Specifically, we aim to: Specific Aim 1: Finalize the GrowingUpGuy (#GUY) intervention and protocol for sexually active, HIV negative, cisgender, sexual minority boys and men up to 20 years of age across the United States. Specific Aim 1a. Adapt previous intervention content to create GrowingUpGuy (#GUY), a salient, technologically delivered HIV prevention program. Specific Aim 1b: Finalize the intervention protocol, including confirmation of HIV test results. Specific Aim 2: Test the #GUY intervention for impact on HIV incidence (n=5,000). Our main outcome measures will be: 1) OraQuick-confirmed HIV incidence; and self-reported 2) PrEP and PEP use, 3) HIV status, and 4) number of STIs. Secondary outcomes include: 1) information about and 2) motivation for uptake of PrEP; and 3) the impact of the intervention on mental health indicators.
性少数男性青年面临着不同的感染艾滋病毒的风险。差距甚至更为明显, 非洲裔美国人/黑人和西班牙裔性少数男性青年,分别占新感染艾滋病毒人数的51%和25% 感染,分别。生活在南部各州和农村地区的青年也面临着更高的艾滋病毒风险 采集因此,获得艾滋病毒检测和咨询仍然是预防的一个关键组成部分, 将这些服务有效地扩展到性少数男性青年是一个优先事项。 短信的广泛采用提供了新的机会,让年轻人在社会中”在“哪里, 人口结构不同的群体,并克服传统干预措施的结构性挑战。此外,委员会认为, 能够随时随地访问敏感内容有助于为青年提供安全空间, 参与内容,这对那些没有“出局”的人来说很重要。同样重要的是,审查表明, 通过短信传递的程序可以影响复杂的行为改变,包括艾滋病毒检测, 性少数青少年男孩。因此,我们有机会利用这种力量,达到这一文本 信息传递提供了一个艾滋病毒预防计划在全国各地的青年人口的多样化。 为此,我们建议测试#GrowingUpGuy(#GUY)对新的艾滋病毒感染的影响, 美国13-20岁的性少数男性青年。#GUY将改编自 研究小组以前在纽约大学开发的基于短信的艾滋病毒预防/健康性行为项目, 性少数青年的国家一级。考虑到美国艾滋病毒感染的流行病学,我们计划 以13-20岁的青年为目标。由于缺乏针对年轻人的无障碍项目, 征聘工作将侧重于18岁及以下的人。样本多样性将是 确保使用招聘目标和复杂的招生策略,我们已经制定和完善了 我们的干预努力,使一半将自我认同为黑人/非洲裔美国人,拉丁美洲人,和/或混合 种族;至少20%将生活在农村地区或南部各州。具体而言,我们的目标是: 具体目标1:最终确定性活跃的GrowingUpGuy(#GUY)干预和方案, 艾滋病毒阴性,顺性别,性少数的男孩和男子高达20岁的美国各地。 具体目标1a。调整以前的干预内容,以创建GrowingUpGuy(#GUY),一个突出的, 艾滋病预防计划。 具体目标1b:最后确定干预方案,包括确认艾滋病毒检测结果。 具体目标2:测试#GUY干预措施对HIV发病率的影响(n= 5,000)。我们的主要 结果指标将包括:1)OraQuick确认的HIV发病率;和自我报告2)PrEP和PEP使用,3) 艾滋病毒感染状况; 4)性传播感染的数量。次要结果包括:1)信息和2)动机 PrEP的吸收;和3)干预对心理健康指标的影响。

项目成果

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Michele L. Ybarra其他文献

Comparisons of Bully and Unwanted Sexual Experiences Online and Offline Among a National Sample of Youth
全国青少年样本中线上和线下欺凌和不想要的性经历的比较
  • DOI:
  • 发表时间:
    2012
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Michele L. Ybarra;K. Mitchell;D. Espelage
  • 通讯作者:
    D. Espelage
Adolescents’ perceptions of sexual coercion in Uganda
乌干达青少年对性强迫的看法
  • DOI:
    10.2989/16085906.2011.646664
  • 发表时间:
    2011
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Ruth Birungi;Dennis Nabembezi;J. Kiwanuka;Michele L. Ybarra;S. Bull
  • 通讯作者:
    S. Bull
Low Rates of HIV Testing among Adolescent Gay, Bisexual, and Queer
青少年同性恋、双性恋和酷儿的艾滋病毒检测率较低
  • DOI:
  • 发表时间:
    2015
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Gregory Phillips;Michele L. Ybarra;Tonya L. Prescott;J. Parsons;Brian;Mustanski
  • 通讯作者:
    Mustanski
Mobile Health Intervention Development Principles: Lessons from an Adolescent Cyberbullying Intervention
移动健康干预发展原则:青少年网络欺凌干预的经验教训
  • DOI:
    10.24251/hicss.2018.422
  • 发表时间:
    2018
  • 期刊:
  • 影响因子:
    2.2
  • 作者:
    M. Ranney;Sarah K. Pittman;A. Riese;Michele L. Ybarra;Jeff Huang;A. Spirito;R. Rosen
  • 通讯作者:
    R. Rosen
Youth engaging in online harassment: associations with caregiver-child relationships, Internet use, and personal characteristics.
青少年参与网络骚扰:与照顾者与儿童的关系、互联网使用和个人特征有关。
  • DOI:
  • 发表时间:
    2004
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Michele L. Ybarra;K. Mitchell
  • 通讯作者:
    K. Mitchell

Michele L. Ybarra的其他文献

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{{ truncateString('Michele L. Ybarra', 18)}}的其他基金

Harnessing the power of technology to develop a population-based HIV prevention program for trans girls
利用技术的力量为跨性别女孩制定基于人口的艾滋病毒预防计划
  • 批准号:
    10308350
  • 财政年份:
    2021
  • 资助金额:
    $ 181.5万
  • 项目类别:
Harnessing the power of technology to develop a population-based HIV prevention program for trans girls
利用技术的力量为跨性别女孩制定基于人口的艾滋病毒预防计划
  • 批准号:
    10634678
  • 财政年份:
    2021
  • 资助金额:
    $ 181.5万
  • 项目类别:
Understanding how alcohol use affects adolescent COVID-19 acquisition and disease course overtime
了解饮酒如何影响青少年 COVID-19 感染和病程
  • 批准号:
    10393439
  • 财政年份:
    2021
  • 资助金额:
    $ 181.5万
  • 项目类别:
Harnessing the power of text messaging to reduce HIV incidence in adolescent males across the United States
利用短信的力量降低美国青少年男性的艾滋病毒发病率
  • 批准号:
    10703231
  • 财政年份:
    2021
  • 资助金额:
    $ 181.5万
  • 项目类别:
Developing a bullying prevention program that transcends physical boundaries
制定超越物理界限的欺凌预防计划
  • 批准号:
    10412097
  • 财政年份:
    2021
  • 资助金额:
    $ 181.5万
  • 项目类别:
Capitalizing on the power of the Internet to survey Ugandan LGBT nationally
利用互联网的力量在全国范围内调查乌干达 LGBT
  • 批准号:
    9154454
  • 财政年份:
    2016
  • 资助金额:
    $ 181.5万
  • 项目类别:
Course and Prediction of Sexual Perpetration in Adolescence through Young Adulthood
青春期至青年期性犯罪的过程和预测
  • 批准号:
    9637259
  • 财政年份:
    2015
  • 资助金额:
    $ 181.5万
  • 项目类别:
Course and Prediction of Sexual Perpetration in Adolescence through Young Adulthood
青春期至青年期性犯罪的过程和预测
  • 批准号:
    9403961
  • 财政年份:
    2015
  • 资助金额:
    $ 181.5万
  • 项目类别:
Affecting the epidemiology of HIV in Uganda through older adolescents
通过老年青少年影响乌干达艾滋病毒的流行病学
  • 批准号:
    9267536
  • 财政年份:
    2015
  • 资助金额:
    $ 181.5万
  • 项目类别:
Identifying opportunities to integrate technology into HIV prevention for South A
寻找将技术融入南 A 艾滋病毒预防的机会
  • 批准号:
    8141070
  • 财政年份:
    2011
  • 资助金额:
    $ 181.5万
  • 项目类别:

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