HIV Risk Behavior in Men Engaged in Recreational Travel

描述(申请人提供)：度假人士可能会寻求新的体验，包括一些对健康有负面影响的体验。越来越多的研究文献增加了休闲旅行者的物质使用和高危性行为。尽管现有的文献和我们自己的试点工作足以记录旅行者的危险行为，但对此类行为的心理社会相关性知之甚少。如果要为休闲旅行者制定有效的干预措施，就需要更多的信息，包括旅行动机、度假期间寻找新的性伴侣的意图、旅行时与艾滋病毒风险有关的信息、旅行时从事艾滋病毒预防行为的自我效能以及与休闲旅行相关的危险行为的其他背景和个人因素。此外，人们对这一人群在度假期间接受降低风险信息的开放程度知之甚少。本申请是根据PA-03-107项目公告，探索性/发展性研究拨款(R21)提交的，寻求为期两年的资金，用于研究前往佛罗里达州基韦斯特、洛杉矶新奥尔良和得克萨斯州雷霍博斯海滩三个热门旅游目的地的旅行者的这些问题。为了检验这些因素，我们提出了三个研究阶段：(1)形成性定性工作，包括对关键告密者和休闲旅行者的个别访谈；(2)对危险行为和风险的心理社会相关性的定量评估，包括物质使用和1MB模型的组成部分；(3)焦点小组，旨在从这些数据中获得关于关键主题的反馈和总结结论。主要研究目标包括：描述旅行者的性风险活动的特征，将度假风险行为与参与者家庭社区的行为进行比较，确定风险的关键相关因素，以及确定对预防干预的接受度。每年，数以百万计的人为了休闲而旅行，许多人从事可能危害他们健康的行为。如果得到资助，这项研究将收集有关度假旅行人员的物质使用和性危险行为的数据。这项研究的目的是更好地了解与旅行者风险相关的因素，并开始确定有效的风险降低策略。

DESCRIPTION (provided by applicant): Persons traveling on vacation may seek new experiences, including some experiences that have negative health effects. A growing body of research documents increased substance use and high-risk sexual behavior in leisure travelers. Although the existing literature and our own pilot work is sufficient to document risk behaviors in travelers, relatively little is known about the psychosocial correlates of such behaviors. If effective interventions are to be developed for leisure travelers, more information is needed about the motivations for travel, intentions to seek new sexual partners while on vacation, information related to HIV risk while traveling, self-efficacy for engaging in HIV preventative behaviors while traveling, and other contextual and individual factors related to risk behaviors associated with leisure travel. In addition, little is known about this population's openness to receiving risk-reduction information while on vacation. This application, submitted in response to Program Announcement PA-03-107, Exploratory/Developmental Research Grant (R21), seeks 2 years of funding to examine these issues in travelers to three popular tourist destinations: Key West, FL; New Orleans, LA; and Rehoboth Beach, DE. To examine these factors, we propose 3 stages of research: (1) formative qualitative work consisting of individual interviews with key informants and leisure travelers; (2) quantitative assessment of risk behaviors and psychosocial correlates of risk, including substance use and components of the 1MB model; (3) focus groups designed to obtain feedback about key themes and summary conclusions from these data. Primary study aims include: characterizing the sexual risk activities of travelers and comparing vacation risk behaviors to behaviors in participants' home communities, identifying key correlates of risk, and determining receptivity to prevention interventions. Each year, millions of people travel for leisure and many engage in behaviors that could jeopardize their health. If funded, this research will gather data concerning substance use and sexual risk behaviors in persons traveling on vacation. The purpose of the research is to better understand factors associated with risk in travelers, and to begin to identify effective risk-reduction strategies.