Developing a Community Level Behavioral Intervention for MSM in Thailand

为泰国的 MSM 制定社区层面的行为干预措施

• 批准号: 8098944
• 负责人: THOMAS E GUADAMUZ
• 金额: $ 16.54万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8098944
• 关键词: 21 year old; AIDS education/prevention; AIDS prevention; Acquired Immunodeficiency Syndrome; Adult; Affect; Area; Bachelor' s Degree; Behavior; Behavior Therapy; Behavioral; Cambodia; Characteristics; Communities; Community Trial; Country; Data; Descriptive Epidemiology; Developing Countries; Discipline; Discrimination; Disease; Epidemic; Epidemiology; Evaluation; Female; Future; Gays; Goals; Government Programs; HIV; HIV Infections; HIV Seropositivity; Health; Heterosexuals; Homosexuality; Incidence; Intervention; Intervention Studies; Intervention Trial; Laboratories; Language; Laos; Lead; Learning; Malaysia; Maps; Mentors; Military Personnel; Minority Groups; Modeling; Odds Ratio; Persons; Policies; Population; Prevalence; Principal Investigator; Public Health; Qualitative Methods; Reporting; Research; Research Personnel; Risk-Taking; Sampling; Schools; Sentinel Surveillance; Sex Behavior; Societies; Stigmata; Testing; Thailand; Training; Vietnam; Woman; base; condoms; design; efficacy testing; experience; intervention program; male; men; men who have sex with men; programs; sex; skills; social; social stigma; southeast Asian; success; surveillance data; therapy development; transgender

DESCRIPTION (provided by applicant): My long-term goal is to become an independent investigator in behavioral intervention research. My short- term goal is to respond to a quickly escalating HIV crisis among men who have sex with men (MSM) populations in Thailand. Recent surveillance data among MSM assessed by my team of investigators found a serious and expanding epidemic that is becoming worse, increasing HIV prevalence in Bangkok from 17.3% in 2003 to 28.3% in 2005. This epidemic may have the potential to spread, affecting emerging MSM communities in Cambodia, Laos, Malaysia, Myanmmar and Vietnam. Currently, there are no interventions for MSM that have been evaluated in Thailand. I believe I am an ideal person to take the lead on interventions for Thai MSM due to previous training and experience in epidemiologic surveillance research and community-based sampling of hard-to-reach populations, native fluency in the Thai language and culture, and having spent several years conducting research in Thailand, including being part of the first assessment of HIV prevalence and correlates among MSM populations in Thailand. These experiences have brought me to this juncture and I am now ready to go beyond descriptive epidemiology in order to respond to an escalating HIV crisis among Thai MSM by developing and testing a community-level behavioral intervention. To achieve this goal, I require interdisciplinary training in three areas: 1) conducting formative evaluations using qualitative methods, 2) developing socially and culturally appropriate behavioral interventions and 3) implementing and evaluating community-level behavioral intervention trials. I will be mentored by a team of successful investigators from a multitude of disciplines under the direction of Dr. Ron Stall. We are also proposing to implement the following studies that will serve as a "laboratory" to practice the skills I learn as part of this application's training. Study 1: Qualitative assessment and analysis of risk-taking behaviors of HIV positive and negative MSM residing in Chiangmai, Thailand. Study 2: Behavioral intervention development for MSM populations in Chiangmai. Study 3: Implementation and evaluation of a pilot community-level behavioral intervention trial among MSM populations in Chiangmai. PUBLIC HEALTH RELEVANCE: The research plan in this application will respond to a quickly escalating HIV crisis among men who have sex with men in Thailand by developing, fielding and pilot testing the first behavioral intervention trial for this population.

描述(申请人提供)：我的长期目标是成为一名行为干预研究的独立研究员。我的短期目标是应对泰国男男性行为者(MSM)人群中迅速升级的艾滋病毒危机。由我的调查小组评估的男男性接触者最近的监测数据发现，一种严重的、不断扩大的流行病正在恶化，使曼谷的艾滋病毒流行率从2003年的17.3%上升到2005年的28.3%。这种流行病可能会蔓延，影响柬埔寨、老挝、马来西亚、缅甸和越南的新兴男男性接触者社区。目前，泰国还没有对MSM进行过评估的干预措施。我相信我是领导泰国男男性接触者干预措施的理想人选，因为我以前在流行病学监测研究和难以接触到的人群的社区抽样方面的培训和经验，母语和文化流利，并且花了几年时间在泰国进行研究，包括参与了对泰国男男性接触者中艾滋病毒流行率和相关性的第一次评估。这些经历将我带到了这个关头，我现在准备超越描述性流行病学，通过开发和测试社区层面的行为干预来应对泰国男男性接触者中不断升级的艾滋病毒危机。为了实现这一目标，我需要在三个领域进行跨学科培训：1)使用定性方法进行形成性评估，2)开发适合社会和文化的行为干预措施，以及3)实施和评估社区层面的行为干预试验。在罗恩·斯托尔博士的指导下，我将得到一个来自多个学科的成功研究人员团队的指导。我们还建议实施以下研究，作为该应用程序培训的一部分，作为练习我所学到的技能的“实验室”。研究一：泰国清迈HIV阳性与阴性男男性行为的定性评估与分析。研究二：清迈男男性接触者人群行为干预发展。研究3：清迈男男性接触者社区行为干预试点试验的实施与评价。公共卫生相关性：本申请中的研究计划将通过开发、部署和试点测试针对泰国男男性行为者的首个行为干预试验，来应对泰国男男性行为者中迅速升级的艾滋病毒危机。