PS11-003 Minority AIDS Research Initiative

PS11-003 少数民族艾滋病研究计划

• 批准号: 8212771
• 负责人: Carlos Emanuel Rodriguez-Diaz
• 金额: $ 15.03万
• 依托单位: UNIVERSITY OF PUERTO RICO MED SCIENCES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8212771
• 关键词: PS11; 003; Minority; AIDS; Research

DESCRIPTION (provided by applicant): Puerto Rico has the highest incidence of HIV in the U.S and it is apparent that behavioral risk among men who have sex with men (MSM) is a significant contributor to the continuing HIV epidemic on the island. Of all HIV (non AIDS) cases diagnosed in Puerto Rico by November 2010, 67.3% were among men. Nearly one quarter of these (16.5%) described having sex with men as a risk factor and 3.3% documented injecting drug use and having sex with men as a risk factor. Paradoxically, although MSM in Puerto Rico are at heightened risk for STIs and HIV, they are among the least likely to be identified and retained in health services. In large part, their under-representation in health services is a consequence of the multiple of types of stigma to which MSM, particularly HIV+MSM, are subject. Despite the substantial and growing prevalence of HIV and STI among MSM in Puerto Rico, there is very limited assessment of social and behavioral determinants of HIV risk in this group. Moreover, and perhaps as a consequence of the limited epidemiological research among MSM, there is also relatively limited targeted HIV-related programming for this group, particularly HIV+MSM. Building on well established collaboration between researchers at the University of Puerto Rico School of Public Health and the "Centro Latinoamericano de Enfermedades de Transmisisn Sexual" (CLETS) (one of the largest, publicly- funded STI clinic in San Juan metropolitan area) and Coam, Inc. (a community-based organization providing HIV preventions services to MSM in Puerto Rico), the proposed research focuses on the development and pilot test of an intervention that will enhance the ability of young adult (25 to 39) HIV+ MSM in Puerto Rico to manage self-perceived stigma. It is also anticipated that this study will enhance health services utilization and retention in this population and that it will serve as the foundation for the development of future epidemiological and prevention research in this and similarly vulnerable populations. PUBLIC HEALTH RELEVANCE: HIV is a major public health challenge and men who have sex with men (MSM) continue to be disproportionately affected by the HIV epidemic. Although high rates of new infections are reported among MSM, there is remarkably limited assessment of social and behavioral determinants of HIV risk and relatively limited targeted HIV-related programming for this group, particularly HIV+MSM. Using a life course framework and quantitative and qualitative methods, this application proposes the assessment of stigma and the preliminary assessment of the impact of a stigma-management intervention targeted to young adults (25 to 39 years) HIV+ MSM in Puerto Rico Puerto Rico.

描述(申请人提供)：波多黎各是美国艾滋病毒发病率最高的州，显然，男男性行为者(MSM)的行为风险是该岛艾滋病毒持续流行的重要因素。在波多黎各截至2010年11月确诊的所有艾滋病毒(非艾滋病)病例中，67.3%为男性。其中近四分之一(16.5%)的人将与男性发生性行为描述为危险因素，3.3%的人将注射毒品和与男性发生性行为描述为危险因素。矛盾的是，尽管波多黎各的男男性接触者感染性传播疾病和艾滋病毒的风险更高，但他们是最不可能被发现并保留在卫生服务机构中的人之一。在很大程度上，他们在卫生服务中的代表性不足是男男性接触者，特别是艾滋病毒+男男性接触者遭受多种类型污名的结果。尽管波多黎各男男性接触者中艾滋病毒和性传播感染的流行率很高且不断增长，但对这一群体中艾滋病毒风险的社会和行为决定因素的评估非常有限。此外，可能由于在男男性接触者中的流行病学研究有限，针对这一群体的有针对性的艾滋病毒相关规划也相对有限，特别是艾滋病毒+男男性接触者。波多黎各大学公共卫生学院的研究人员与“传播性传播中心”(CLETS)(圣胡安市区最大的公共资助的性传播感染诊所之一)和Coam，Inc.(一家为波多黎各男男性行为者提供艾滋病毒预防服务的社区组织)之间建立了良好的合作关系，拟议的研究重点是开发和试行一种干预措施，以提高波多黎各艾滋病毒携带者(25至39岁)管理自我耻辱的能力。预计这项研究将加强这一人群对卫生服务的利用和保留，并将作为今后在这一人群和类似的弱势人群中开展流行病学和预防研究的基础。 公共卫生相关性：艾滋病毒是一项重大的公共卫生挑战，男男性行为者(MSM)继续受到艾滋病毒流行的不成比例的影响。尽管在男男性接触者中报告的新感染率很高，但对艾滋病毒风险的社会和行为决定因素的评估非常有限，对这一群体，特别是艾滋病毒+男男性接触者的与艾滋病毒相关的有针对性的规划相对有限。使用生命历程框架以及定量和定性方法，本申请建议评估耻辱，并初步评估针对波多黎各(25至39岁)艾滋病毒/男男性接触者的年轻人(25至39岁)的耻辱管理干预措施的影响。