Reducing HIV Disparities: Sexual Concurrency Communication for HIV Prevention amo

减少艾滋病毒差异：性行为同时沟通促进艾滋病毒预防

• 批准号: 8097112
• 负责人: Michele Peake Andrasik
• 金额: $ 20.14万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-01 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8097112
• 关键词: Abstinence; Acquired Immunodeficiency Syndrome; Address; Affect; African; African American; American; Area; Attitude; Church; Communication; Communities; Community Actions; Community Outreach; Comprehension; County; Data; Development; Diagnosis; Ethnic group; Event; Focus Groups; Goals; Group Interviews; HIV; Health; Health Communication; Immigrant; Imprisonment; Information Networks; Intention; Intervention; Interview; Language; Manuals; Marketing; Multimedia; Native-Born; Not Hispanic or Latino; Participant; Persons; Play; Population; Prevention; Printing; Radio; Randomized Controlled Trials; Research; Research Methodology; Role; Science; Sexual Partners; Site; Social Behavior; Social Network; Stigmata; Target Populations; Text; Time; Translating; Translation Process; United States; Universities; Virus Diseases; Washington; Woman; animation; base; civil society; community based participatory research; community organizations; condoms; design; informant; insight; mathematical model; meetings; member; men; novel; novel strategies; outreach; public health relevance; racial and ethnic; social; social stigma; tool; transmission process; working group

DESCRIPTION (provided by applicant): The burden of human immunodeficiency virus (HIV) on different racial/ethnic groups remains one of the most extreme examples of a racial disparity in health among Americans. HIV infection is significantly higher among non-Hispanic blacks than among any other racial/ethnic group in the United States. There is now evidence that sexual network dynamics, including overlapping sexual partnerships (concurrency) play an important role in racial disparities in HIV. Due to structural factors, including highly disproportionate incarceration rates, African- Americans are more likely to be in sexual networks where people have more concurrent sexual partners. Mathematical models show that achieving very small reductions in levels of sexual concurrency can have a dramatic impact on the chain of HIV transmission. Our Community Action Board (CAB) of the Center for AIDS & STD Working Group on Disparities has prioritized developing health communication messages about sexual networks to help reduce HIV stigma and transmission in communities of African heritage. In this research, we will utilize community-based participatory research methods to translate the science of sexual networks into culturally-resonant HIV prevention messages as a new approach to help reduce racial disparities in HIV. Aim 1: Undertake formative research to develop HIV prevention messages that convey the importance of sexual network dynamics in King County, Washington. The CAB Disparities Working Group will conduct focus groups and interviews with a) native-born African-Americans and b) foreign-born blacks (Ethiopian and Kenyan immigrants, who are the majority of incident HIV among foreign-born blacks in King County). We will develop a multimedia tool in English, Kiswahili, and Amharic illustrating principles of HIV transmission in sexual networks for use in community discussions. We will identify sexual network message dissemination channels in the target populations including social network approaches (person-to-person communication), civil society approaches (faith-based organizations, community events and organizations), and the media. Subaim 2.1.1. We will continue to inform ourselves about best practices in community-participatory research via seminars and discussions. Aim 2: Pilot and evaluate the impact of the HIV prevention concurrency messages among populations of African-Americans and African-born populations in King County. The CAB Disparities Working Group will launch HIV prevention concurrency messaging and evaluate acceptability and impact, including message comprehension and recall (1-month post recall among n=30 African-Americans and n=30 Kenyans and Ethiopians), intention, and attitude strength. The CAB Working Group will develop and implement a manual of community-based research translation processes used including community outreach, HIV prevention message development, and message dissemination in affected communities. Subaim 2.2.1. We will build capacity by educating ourselves about cutting edge approaches to development and marketing of health messages. Aim 3: HIV disparity message findings and tools will be shared in a national seminar. We will invite the national Center for AIDS Research network and their CABs to a national meeting, where we will also explore the feasibility of a community-collaborative multi-site randomized controlled trial assessing impact of a sexual concurrency intervention for HIV prevention in areas with large populations of African- Americans and African immigrants. PUBLIC HEALTH RELEVANCE: This study addresses the critical and persistent disparity in HIV among persons of African heritage. A novel sexual network approach that translates new scientific understanding into culturally-resonant prevention messages delivered within a community-participatory framework has the potential to be implemented for other similar populations across the US.

描述（由申请人提供）：人类免疫缺陷病毒（HIV）对不同种族/族裔群体的负担仍然是美国人健康状况种族差异的最极端例子之一。非西班牙裔黑人的艾滋病毒感染率明显高于美国任何其他种族/族裔群体。现在有证据表明，性网络动态，包括重叠的性伙伴关系（并发）在艾滋病毒的种族差异中发挥了重要作用。由于结构性因素，包括极不成比例的监禁率，非裔美国人更有可能处于人们有更多并发性伴侣的性网络中。数学模型表明，性行为并发水平的小幅降低可能对艾滋病毒传播链产生巨大影响。我们的艾滋病与性病中心差异工作组社区行动委员会（CAB）优先制定有关性网络的健康传播信息，以帮助减少非洲传统社区的艾滋病毒耻辱和传播。在这项研究中，我们将利用以社区为基础的参与式研究方法，将性网络的科学转化为文化共鸣的艾滋病毒预防信息，作为一种新的方法，以帮助减少艾滋病毒的种族差异。目标1：在华盛顿金县开展形成性研究，以制定艾滋病毒预防信息，传达性网络动态的重要性。CA B差异工作组将对a）土生土长的非洲裔美国人和B）外国出生的黑人（埃塞俄比亚和肯尼亚移民，他们是金郡外国出生的黑人中艾滋病毒事件的大多数）进行焦点小组和访谈。我们将用英语、斯瓦希里语和阿姆哈拉语开发一个多媒体工具，说明性网络中艾滋病毒传播的原则，供社区讨论使用。我们将确定目标人群中的性网络信息传播渠道，包括社交网络方法（人与人之间的沟通），民间社会方法（基于信仰的组织，社区活动和组织）和媒体。Subaim 2.1.1.我们将继续通过研讨会和讨论来了解社区参与性研究的最佳实践。目标二：在金郡的非洲裔美国人和非洲出生的人口中试点和评估艾滋病毒预防并发信息的影响。CAB差异工作组将启动艾滋病毒预防并发消息传递，并评估可接受性和影响，包括消息理解和回忆（n=30名非洲裔美国人和n=30名肯尼亚人和肯尼亚人的1个月后回忆），意图和态度强度。CAB工作组将制定和实施一份基于社区的研究翻译过程手册，包括社区外展、艾滋病毒预防信息的制定和受影响社区的信息传播。Subaim 2.2.1.我们将通过自我教育，了解制定和营销健康信息的最先进方法，来建设能力。目标3：将在一次全国研讨会上分享艾滋病毒差异信息、调查结果和工具。我们将邀请国家艾滋病研究中心网络及其CAB参加一次全国性会议，在会上我们还将探讨社区合作多地点随机对照试验的可行性，该试验评估了性并发干预对非洲裔美国人和非洲移民人口众多地区艾滋病预防的影响。公共卫生相关性：这项研究解决了非洲遗产的人之间艾滋病毒的关键和持续的差异。一种新的性网络方法，将新的科学理解转化为在社区参与框架内传递的文化共鸣的预防信息，有可能在美国其他类似人群中实施。