HIV and Hispanic Men: Impact of Drugs and Culture

描述（由申请人提供）： 与男性发生性关系的西班牙裔男性（HMSM）感染艾滋病毒的风险增加。迫切需要采取干预措施，减少HMSM中的艾滋病毒风险。由于研究主要集中在同性恋身份的白色男子，数据，以指导干预措施的发展和战略，以确定和访问HMSM谁使用毒品和有风险的性行为是有限的。在这个应用程序中，我们建议比较的有效性和估计的经济成本的两个消息传递方式（互联网与面对面）招募药物使用的HMSM到预防研究。嵌入在这个比较，我们将收集定量和定性数据的文化，心理和背景因素与吸毒和危险性行为在这一人群。我们将利用这些发现来开发一个模型，并概述一个文化上适当的，特定的HMSM，艾滋病毒预防干预的关键组成部分。为了实现研究目标，我们将制定一个吸引人的招聘信息，旨在说服HMSM，18岁或以上，谁住在南佛罗里达来我们的两个社区评估网站之一。符合条件的男性谁出席这些网站，并同意参加将完成一个匿名的，音频计算机辅助自我采访（ACASI），以评估他们的药物使用和性行为，以及文化，社会心理和背景因素与这些行为。将对一部分男性进行深入的定性访谈，以协助制定招聘信息、问卷调查和干预模型。在第一阶段，我们将完善评估措施，并创建有说服力、文化上适当的招聘信息。在第二阶段，我们将实施研究，并收集定量和定性数据，以指导干预措施的制定。为尽量减少交叉感染的可能性，将依次采用两种招聘方式（互联网和面对面）。在第三阶段，我们将评估哪种方法在招募HMSM方面更成功，并估计每种策略的成本。我们将研究与药物使用和危险性行为相关的社会心理，文化和背景因素，并使用这些数据来开发一个模型，并确定HMSM艾滋病毒预防干预的关键概念组成部分。

DESCRIPTION (provided by applicant): Hispanic men who have sex with men (HMSM) are at increased risk of HIV infection. Interventions for reducing HIV risk among HMSM are urgently needed. Because studies have primarily focused on gay-identified White men, data to guide intervention development and strategies for identifying and accessing HMSM who use drugs and have risky sex are limited. In this application, we propose to compare the effectiveness and estimate the economic cost of two message delivery modalities (the internet versus face-to- face) for recruiting drug-using HMSM into prevention studies. Embedded within this comparison, we will collect quantitative and qualitative data on the cultural, psychosocial and contextual factors associated with drug use and risky sex in this population. We will use these findings to develop a model and outline the key components of a culturally appropriate, HMSM-specific, HIV prevention intervention. To achieve the study goals, we will craft an appealing recruitment message designed to persuade HMSM, 18 years of age or older, who live in South Florida to come to one of our two community assessment sites. Eligible men who present at these sites and agree to participate will complete an anonymous, audio-computer assisted self-interview (ACASI) to assess their drug use and sexual behaviors, as well as cultural, psychosocial and contextual factors associated with these behaviors. In-depth qualitative interviews with a subset of men will be conducted to assist with recruitment message development, questionnaire construction, and intervention model development. During Phase I, we will refine our assessment measures and create the persuasive, culturally appropriate recruitment message. In Phase 2, we will implement the study and gather the quantitative and qualitative data to guide intervention development. To minimize the potential for cross-contamination, the two recruitment approaches (internet and face-to-face) will be implemented sequentially. In Phase 3, we will assess which approach is more successful in recruiting HMSM and estimate the cost of each strategy. We will examine the psychosocial, cultural, and contextual factors associated with drug use and risky sex and use this data to develop a model and identify the key conceptual components of an HIV prevention intervention for HMSM.