Using Technology to Prevent HIV in Indian Wine Shops

在印度葡萄酒商店中利用技术预防艾滋病毒

• 批准号: 8139287
• 负责人: DAVID D. CELENTANO
• 金额: $ 16.07万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-10 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8139287
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Adult; Africa; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Attention; Awareness; Behavior; Coitus; Communities; Counseling; Data; Drug usage; Education; Elements; Environment; Epidemiology; Ethnography; Government; HIV; HIV-1; Happiness; Health; Health Promotion; Health Services Accessibility; Housing; India; Individual; Intervention; Knowledge; Life; Literature; Measures; Mechanics; National Institute of Mental Health; Outcome Study; Participant; Pattern; Persons; Policies; Policy Maker; Population; Prevalence; Prevention; Preventive Intervention; Process; Psychotherapy; Public Health; Randomized; Recruitment Activity; Reporting; Research; Respondent; Risk; Risk Behaviors; Risk Factors; Risk Reduction; Role; Services; Technology; Testing; Time; Training; Unsafe Sex; Violence; Visual; Wine; Work; alcohol services; base; behavior change; brief intervention; care seeking; condoms; drinking; experience; help-seeking behavior; high risk; low socioeconomic status; meetings; men; novel strategies; prevent; responsible alcohol use; sex; social; theories; therapy design; tool

DESCRIPTION (provided by applicant): As we enter the third decade of HIV prevention, evidence suggests the important role of individual alcohol use in facilitating the risk of HIV and STD acquisition. With 2.5 million adults living with HIV, India, after Africa, has the highest burden of HIV infected persons. Alcohol use, particularly among men, is gaining increasing attention from HIV prevention programmers and policy makers here as a risk factor amenable to change. While the strength of and existence of the association between alcohol use and risky sex has been debated in the scholarly literature, what is clear is the need to address venues where alcohol is used as a locus for HIV prevention efforts. In India, wine shops - community- based alcohol outlets- hold potential for a venue-based intervention. Our team - Johns Hopkins and YRG Center for AIDS Research (YRG CARE) in Chennai, India - has been working in wine shops implementing an individual-focused opinion leader-led social norm change HIV prevention intervention (NIMH U10MH 681543-01) in Chennai since 2000. In this study, we found high burden of HIV among patrons - 3% (over nine times higher than the national rate of 0.3%); high rates (>50% of participants) of unprotected sex and alcohol use before sex and high levels of harmful alcohol use measured by more than five drinks per sitting (65%). We also found that venue patrons have minimal access to care for either HIV or alcohol use. Individual factors such as information of harmful drinking patterns, positive attitudes and towards seeking help and perceived drinking norms that have been shown to motivate care seeking and promote responsible alcohol use are little understood in India. Further, venue-level factors such as trained service staff, supportive alcohol serving policies, availability of care seeking and prevention tools such as referral information that have worked elsewhere are yet unexplored in India. This understanding is critical to obtain in wine shops as this is where high risk (for HIV and harmful alcohol use) patrons meet regularly and socialize. In this study, based on person-environment theory of behavior change, we seek to understand and modify the environment of the wine shop that will help patrons seek care for HIV/STDs and harmful alcohol use. PUBLIC HEALTH RELEVANCE: This intervention has high public health significance. By exploring the feasibility of a venue- based intervention using technology and server training in high risk alcohol use outlets, we hope to gather preliminary data that will further our understanding of the mechanics of targeting HIV prevention beyond the individual. We also propose to collaborate with the government to implement the first of its kind partnership to intervene in alcohol service venues in Chennai, India.

描述（由申请人提供）：当我们进入预防艾滋病毒的第三个十年时，证据表明，个人饮酒在促进艾滋病毒和性病收购风险中的重要作用。在非洲之后，印度有250万成年人，是艾滋病毒感染者的最高负担。饮酒，尤其是男性中，在这里引起了预防艾滋病毒预防程序员和政策制定者的关注，这是可以改变的危险因素。尽管在学术文献中已经争论了酒精使用与风险性别之间的关联的强度和存在，但很明显的是，需要解决酒精被用作预防HIV的场所的场所。在印度，葡萄酒商店 - 基于社区的酒精店 - 具有基于场地的干预措施的潜力。我们的团队 - 印度钦奈的约翰·霍普金斯和YRG艾滋病研究中心（YRG CARE）一直在葡萄酒商店工作，以实施一个以个人为中心的意见领导者领导的社会规范预防艾滋病毒预防干预（NIMH U10MH 681543-01）在2000年以来在Chennai开始的葡萄酒。 0.3％）;在性别之前，高率（> 50％的参与者）的性别和酒精饮酒和高水平的有害饮酒率每坐以上（65％）衡量。我们还发现，场地顾客可以很少获得艾滋病毒或酒精使用的护理。在印度，诸如有害饮酒模式，积极态度以及寻求帮助和感知的饮酒规范的信息，诸如在印度鲜为人知的饮酒规范和促进负责任的饮酒规范。此外，在印度尚未在印度尚未开发诸如训练有素的服务人员，培训的服务人员，支持性饮酒政策，寻求护理和预防工具（例如推荐信息）等场地级别的因素。这种理解对于在葡萄酒商店中获得至关重要的是，因为这是顾客定期与之相遇的高风险（用于艾滋病毒和有害饮酒）。在这项研究中，基于人类环境的行为改变理论，我们寻求理解和修改葡萄酒商店的环境，这些葡萄酒商店将帮助顾客寻求艾滋病毒/性病和有害饮酒的照顾。公共卫生相关性：这种干预具有很高的公共卫生意义。通过探索使用高风险酒精使用渠道中的技术和服务器培训的基于场地干预的可行性，我们希望收集初步数据，这将进一步了解我们对靶向预防HIV的机制以外的人的理解。我们还建议与政府合作实施第一个此类合作伙伴关系，以干预印度钦奈的酒精服务场所。