Male Concerns & Preventions of HIV/STDs in India

描述(由申请人提供)：本申请旨在解决 让男性参与生殖健康教育的难题 印度城市社区艾滋病毒/性传播疾病的风险降低和早期治疗，a 艾滋病毒/性传播疾病发病率正以惊人的速度增长的国家。我们建议 开发、测试、实施和评估以以下为中心的干预措施 文化界定的男性性健康对男子气概、活力、 性行为和生育能力。在印度，大多数男性定义他们的 性问题，包括与性病相对应的症状，在这些 传统的顾虑。此外，男性对性健康的担忧与 性传播疾病症状和危险的生活方式。然而，公共卫生提供者的 对这些问题的忽视和缺乏尊重导致男性避免 对抗疗法服务和寻求性健康问题的治疗，主要来自 不合格的从业者。印度的任何生殖健康服务机构都希望 在男性中及早识别性传播疾病/艾滋病毒并增加安全性行为 实践必须从解决这些男性性健康问题开始。 该项目旨在测试传统男性所关注的命题 预测更高的艾滋病毒/性传播疾病发病率；确定干预的程度 基于文化基础的性健康问题会吸引男性感染艾滋病毒/性传播疾病 教育和降低风险，并有效地促进积极的社会， 心理和健康结果，包括降低风险和发病率 艾滋病毒/性传播疾病；并测试实施的干预措施的不同影响 对抗对抗疗法和传统性医生。这项工作将在 孟买东北部的三个大型城市贫民窟社区 印度艾滋病毒/艾滋病的中心--马哈拉施特拉邦。这个项目是一个 康涅狄格大学理工学院研究人员的合作 美国医学和社区研究所以及 印度孟买国际人口科学研究所。这个 项目将在预试中同时使用定性和定量方法， 试验后控制组设计，以检查对社区和患者的影响 级别。这项研究的意义在于将研究人员和 干预者应对开发利用的方法的挑战 减少艾滋病毒/性传播疾病风险和制定科学和 政策结果，可以为在国家和地区扩大规模提供基础 国际水平。

DESCRIPTION (Provided by applicant): This application seeks to address the difficult problem of engaging males in reproductive health education, sexual risk reduction, and early treatment of HIV/STD in urban communities in India, a country where HIV/STD rates are increasing at a dramatic rate. We propose to develop, test, implement and evaluate an intervention that is centered on culturally defined male sexual health concerns about masculinity, vitality, sexual performance and fertility. A majority of men in India define their sexual problems, including symptoms that correspond to STDS, in these traditional concerns. Furthermore, men's sexual health concerns are linked to symptoms of STDs and risky lifestyle. However, public health providers' inattention to and lack of respect for these problems cause men to avoid allopathic services and seek treatment for sexual health problems mostly from unqualified practitioners. Any reproductive health service in India that hopes to introduce early identification of STDs/HIV in men and to increase safer sex practices must start by addressing these male sexual health concerns. This project seeks to test the propositions that traditional male concerns predict higher rates of HIV/STD; determine the degree to which an intervention based on culturally based sexual health concerns can attract men into HIV/STD education and risk reduction and is effective for promoting positive social, psychological and health outcomes, including reduced risk and incidence of HIV/STDs; and test the differential impact of the intervention implemented by allopathic versus traditional sex doctors. This work will be carried out in three large urban slum communities in the northeastern part of Mumbai in the State of Maharasthra, the epicenter of HIV/AIDS in India. This project is a collaboration of researchers at the University of Connecticut School of Medicine and the Institute for Community Research in the United States and the International Institute for Population Sciences in Mumbai (Bombay), India. The project will use both qualitative and quantitative methods in a pre-test, post-test control group design to examine the impact at community and patient levels. The study's significance lies in bringing together researchers and interventionists to address the challenge of developing methods for utilizing cultural factors in HIV/STD risk reduction and in developing the scientific and policy results, which can provide the basis for scaling up at the national and international level.