Strategies for Identifying At-Risk African American MSM

识别高危非裔美国人 MSM 的策略

• 批准号: 7492937
• 负责人: Rashi Rohatgi
• 金额: $ 36.84万
• 依托单位: HARLEM UNITED COMMUNITY AIDS CENTER, INC
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2010-02-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7492937
• 关键词: Strategies; Identifying; Risk; African; American

DESCRIPTION (provided by applicant): Soaring rates of infection within the African-American MSM community make it necessary to identify effective HIV testing strategies specifically for this population. An epidemiological study focusing on five large cities-including New York-revealed that almost half of all African American MSM tested were HIV- positive (McKeller, et al 2006). In addition, 67% of these men were unaware of their sero-status prior to testing. Recent NYC epidemiological data indicate that 41% of all new infections among black men resulted from unsafe same sex behaviors (NYCDHMH 2005). This same source suggests that a disproportionate number of HIV infected MSM live in Central Harlem and the South Bronx, areas that continue to have some of the highest prevalence rates in the city. The major objective of our investigation, then, is to initiate a prospective program of research to fill gaps in knowledge concerning effective intervention strategies for African American MSM in high-risk communities such as ours. More specifically, our aims are: 1) to compare the efficacy of three strategies-Partner Counseling and Referral Services (PCRS), social networking, and alternative testing venues-for identifying and testing previously-undiagnosed, 18-64 year old, African American MSM by determining the total number tested by each strategy, the risk behaviors reported for persons tested by each strategy, and the total number of previously undiagnosed, HIV-positive African American MSM who are linked to appropriate medical care and prevention services by each strategy; 2) to conduct a cost/resource analysis to evaluate the relative cost of identifying each previously undiagnosed, HIV-positive African American MSM for each of these strategies; and 3) 3) to determine the key variables associated with resistance and barriers to HIV testing in African American MSM, which will contextualize the cost efficacy of each recruitment strategy. This investigation will employ both qualitative and quantitative research methodologies. Quantitative work will focus on extracting socio-demographic, risk-assessment, testing, and medical data, from program records for study participants, who will have self-selected into each recruitment strategy. Cost data will also be tracked for these programs. These data will be used to generate a unit cost for each strategy. Qualitative research, in the form of formal focus groups with randomly selected members of the target population who have received services through this initiative, will examine service quality and client perspective and feelings about the recruitment strategy through which they came to be tested for HIV and connected to care. Feedback from participants will also identify ways of improving testing and care services.

描述（由申请人提供）：非洲裔美国男男性接触者社区内的感染率飙升，有必要确定专门针对这一人群的有效艾滋病毒检测策略。一项针对包括纽约在内的五个大城市的流行病学研究显示，在所有接受检测的非洲裔美国MSM中，几乎有一半是HIV阳性（McKeller等人，2006年）。此外，这些男性中有67%在检测前不知道自己的血清状态。纽约市最近的流行病学数据表明，在所有新感染的黑人男子中，41%是由于不安全的同性性行为造成的（纽约市儿童保健和卫生部，2005年）。同一来源表明，不成比例数量的艾滋病毒感染的男男性行为者生活在中央哈莱姆和南部布朗克斯，这些地区仍然是该市流行率最高的地区。因此，我们调查的主要目标是启动一项前瞻性研究计划，以填补有关非裔美国男男性行为者在像我们这样的高风险社区中的有效干预策略的知识空白。更具体地说，我们的目标是： 1)比较三种策略-伴侣咨询和转介服务（PCRS）、社交网络和替代测试场所-通过确定每种策略测试的总人数、每种策略测试的人报告的风险行为以及先前未诊断的18-64岁非裔美国人MSM的总人数来识别和测试先前未诊断的18-64岁非裔美国人MSM的功效，艾滋病毒阳性的非洲裔美国男男性行为者，他们通过每项战略与适当的医疗保健和预防服务联系在一起; 2)进行成本/资源分析，以评估确定每个以前未确诊的相对成本，艾滋病毒阳性非洲裔美国男男性行为者为这些战略的每一个; 3)3）确定与非洲裔美国男男性行为者对艾滋病毒检测的抵抗和障碍相关的关键变量，这将使每种招募策略的成本效益成为背景。 这项调查将采用定性和定量研究方法。定量工作将侧重于从研究参与者的项目记录中提取社会人口统计学、风险评估、测试和医疗数据，这些参与者将自行选择进入每种招募策略。还将跟踪这些方案的成本数据。这些数据将用于计算每项战略的单位成本。定性研究的形式是正式的重点小组，由通过这一举措接受服务的目标人口中随机挑选的成员组成，将审查服务质量和客户的观点以及对招聘战略的感受，客户通过招聘战略接受艾滋病毒检测并获得护理。参与者的反馈也将确定改进检测和护理服务的方法。