DISCLOSURE OF HIV STATUS AMONG LATINO GAY MEN

描述(改编自申请人摘要)：本申请描述了一种 为期五年的研究计划，以测试量身定做的披露理论模型 用于拉丁裔同性恋和双性恋男性。该模型规定了社会文化， 心理、社会和艾滋病毒相关因素，阻碍和促进披露 对社交网络的血清阳性状态，以及心理健康，依从性 关心，以及这一披露的性后果。社交网络是 被定义为家庭、朋友和主要的性伴侣。本研究由三部分组成 阶段。第一阶段包括试点研究和衡量标准的制定。在第二阶段， 基于理论模型的假设将在横截面中进行检验 对300名艾滋病毒阳性的拉丁裔男同性恋者和双性恋者的研究。心理学 幸福、受保护的性行为和坚持治疗将是结果。在……里面 第三阶段，横断面研究的结果将用于改进 并告知干预措施的发展情况，其目标是 是为了改善身心健康，增加更安全的性行为 艾滋病毒阳性男子的做法。这一干预措施将进行试点测试 和80名艾滋病毒阳性的拉丁裔男同性恋者。调查人员预计会有干预 提供有关 理论模型，以及为以拉丁裔为中心的 干预措施。这项横断面研究的目的是提炼其 HIV阳性拉美裔男同性恋者和双性恋者披露信息的理论模型 通过检验以下假设：a)社会文化因素会影响 心理社会因素，与艾滋病毒相关因素一起，将影响 向社交网络披露血清阳性状态的程度。b) 向社交网络披露血清阳性状态将促进 心理健康，这反过来将降低性风险，并将 促进对关怀的坚守。这项干预研究的目的是利用 开发和试行干预措施的横断面研究结果 用于HIV阳性的拉丁裔男同性恋者和双性恋者 的理论模型。横断面研究的结果将告诉我们 干预的结构和内容。调查人员将测试 信息披露干预是否促进心理健康，降低 性危险行为，并促进对艾滋病毒/艾滋病护理的坚持。

DESCRIPTION (Adapted from Applicant's Abstract): This application describes a five-year research program to test a theoretical model of disclosure tailored for use with Latino gay and bisexual men. The model specifies sociocultural, psychosocial, and HIV-related factors that impede and facilitate disclosure of seropositive status to the social network, as well as mental health, adherence to care, and sexual consequences of that disclosure. The social network is defined as family, friends, and main sex partner. This study consists of three phases. Phase I consists of a pilot study and measure development. In Phase II, hypotheses based on the theoretical model will be tested in a cross-sectional study of 300 HIV-positive Latino gay and bisexual men. Psychological well-being, protected sex, and adherence to treatment will be the outcomes. In Phase III, the results of the cross-sectional study will be used both to refine the model and to inform the development of an intervention, the goals of which are to improve the mental and physical health and to increase safer-sex practices of men who are HIV-positive. This intervention will be pilot tested with 80 HIV-positive Latino gay men. The investigators expect the intervention to provide additional information about causal relationships within the theoretical model, as well to provide guidelines for Latino-centered interventions. The aim of the cross-sectional study is to refine their theoretical model of disclosure among HIV-positive Latino gay and bisexual men by testing the following hypotheses: A) Sociocultural factors will influence psychosocial factors, which along with HIV-related factors, will influence degree of disclosure of seropositive status to the social network. B) Disclosure of sero-positive status to the social network will promote psychological well-being, which in turn will decrease sexual risk, and will promote adherence to care. The aim of the intervention study is to use the findings of the cross-sectional study to develop and pilot test an intervention for use with HIV-positive Latino gay and bisexual men building on the aspects of the theoretical model. Results from the cross-sectional study will inform the structure and content of the intervention. The investigators will test whether the disclosure intervention promotes psychological well-being, reduces sexual risk behaviors, and promotes adherence to HIVIAIDS care.