A Partnership Approach to Reducing HIV Disparities Among Latino Men

减少拉丁裔男性艾滋病毒差异的伙伴关系

• 批准号: 7493815
• 负责人: Scott D Rhodes
• 金额: $ 51.64万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-09 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7493815
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adult; Centers for Disease Control and Prevention (U.S.); Characteristics; Classification; Coitus; Communities; Conceptions; Counseling; Country; Data; Data Analyses; Data Collection; Decision Making; Depth; Development; Education; Educational Intervention; Effectiveness; Effectiveness of Interventions; Eugenia; Evaluation; Evaluation Methodology; Evaluation Research; Evidence based intervention; Funding; Gender; Goals; HIV; HIV Infections; Health; Hispanics; Human immunodeficiency virus test; Immigrant; Impact evaluation; Individual; Informed Consent; Intervention; Intervention Studies; Interview; Interviewer; Israel; Knowledge; Language; Latino; Leadership; Learning; Letters; Maintenance; Manuscripts; Measures; Men' s Role; Methods; Modeling; Monoclonal Antibody R24; National Center on Minority Health and Health Disparities; North Carolina; Outcome Study; Participant; Patient Self-Report; Phase; Policies; Prevention Research; Prevention intervention; Principal Investigator; Process; Protocols documentation; Public Health Practice; Randomized; Rate; Recruitment Activity; Relative (related person); Reporting; Research; Research Design; Research Personnel; Resolution; Resources; Risk; Risk Behaviors; Role; Rural; Science; Services; Sex Behavior; Sexually Transmitted Diseases; Soccer; Social support; Southeastern United States; Testing; Training; United States; Universities; Work; base; burden of illness; community based participatory research; community organizations; comparison group; condoms; design; disorder prevention; dissemination research; experience; follow-up; health care service utilization; implementation research; insight; male; man; member; men; newspaper article; peer; programs; psychologic; research study; skills; social; social cognitive theory; theories; therapy design

DESCRIPTION (provided by applicant): The Southeastern United States has the fastest growing Latino population in the country and carries a disproportionate HIV/AIDS disease burden. We propose a 5-year study (R24) to fully implement and rigorously evaluate a piloted lay health advisor (LHA) intervention designed to reduce risk of HIV infection among recently arrived, monolingual, less-acculturated Latino men who are settling in the Southeast. The intervention is based on social cognitive theory and the theory of empowerment education and was developed using community-based participatory research (CBPR). This study is a result of a long-term community-university partnership that has used and will continue to use CBPR throughout all phases of the research process. A total of 20 Latino soccer teams in rural NC will be randomized to an LHA-led HIV prevention intervention or a delayed-intervention comparison group. One man from each of the intervention teams (n=10) will be nominated by his teammates and selected as an LHA in Year 2. The delayed-intervention teams (n=10) will receive the same intervention in Year 3. Quantitative assessment data will be collected from each LHA and 12 of his teammates from each of the 20 teams at: (1) baseline, (2) immediate postintervention, and (3) 12-month follow-up. Participants in the HIV prevention intervention, relative to their peers in the delayed-intervention comparison group, are anticipated to demonstrate (1) increased self-reported use of condoms during sexual intercourse and (2) increased self-reported utilization of HIV and sexually transmitted disease (STD) counseling, testing, and treatment services. To further evaluate and explore the intervention, qualitative data will be collected using individual in-depth interviews with LHAs and their teammates. We also will evaluate the CBPR process, using direct observation of partnership meetings, in-depth interviews with partners, and partnership document review. Products from this study will include (1) a Spanish-language intervention that is ready for dissemination and adaptation, culturally relevant and gender-specific, and designed to reduce HIV risk among recently arrived, less-acculturated Latino men; (2) a deeper understanding of HIV risk and intervention among Latino men that will be reported through briefs, newspaper articles, local and national presentations, and manuscripts; and (3) insight into a research partnership process that includes lay community members, Latino soccer leagues and teams, AIDS service organizations, community-based organizations, 3 universities, and a broad spectrum of other partners.

描述（由申请人提供）：美国东南部地区是全国拉丁裔人口增长最快的地区，艾滋病毒/艾滋病疾病负担尤为严重。我们提议进行一项为期 5 年的研究 (R24)，以全面实施并严格评估试点的非专业健康顾问 (LHA) 干预措施，该干预措施旨在降低新近抵达、只会说一种语言、文化程度较低、在东南部定居的拉丁裔男性感染艾滋病毒的风险。该干预措施基于社会认知理论和赋权教育理论，并利用基于社区的参与性研究（CBPR）开发。这项研究是社区与大学长期合作的成果，该合作已经并将继续在研究过程的所有阶段使用 CBPR。 北卡罗来纳州农村地区的总共 20 支拉丁裔足球队将被随机分配到 LHA 领导的艾滋病毒预防干预组或延迟干预对照组。每个干预小组 (n=10) 中的一名男子将由其队友提名并在第 2 年选为 LHA。延迟干预小组 (n=10) 将在第 3 年接受相同的干预。将从每个 LHA 和 20 个小组中每组的 12 名队友收集定量评估数据：(1) 基线，(2) 干预后立即，以及 (3) 12 个月随访。 相对于延迟干预对照组的同龄人，艾滋病毒预防干预的参与者预计会表现出（1）自我报告在性交过程中使用安全套的情况有所增加；（2）自我报告对艾滋病毒和性传播疾病（STD）咨询、检测和治疗服务的利用有所增加。 为了进一步评估和探索干预措施，将通过对 LHA 及其队友的个人深入访谈来收集定性数据。我们还将通过直接观察合作伙伴会议、深入采访合作伙伴以及审查合作伙伴文件来评估 CBPR 流程。 这项研究的产品将包括 (1) 一种西班牙语干预措施，可供传播和改编，具有文化相关性和性别针对性，旨在降低新来的、文化程度较低的拉丁裔男性的艾滋病毒风险； (2) 对拉丁裔男性的艾滋病毒风险和干预措施有更深入的了解，这将通过简报、报纸文章、地方和国家演讲以及手稿进行报道； (3) 深入了解研究伙伴关系流程，其中包括非专业社区成员、拉丁裔足球联盟和球队、艾滋病服务组织、社区组织、3 所大学以及广泛的其他合作伙伴。