HIV PREVALENCE, SEXUAL BEHAVIOR, AND ATTITUDES TOWARD CIRCUMCISION: COLOMBIAN MSM

HIV 感染率、性行为和对包皮环切术的态度：哥伦比亚 MSM

• 批准号: 8244349
• 负责人: Maria Cecilia Zea
• 金额: $ 55.03万
• 依托单位: GEORGE WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8244349
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Adult; Affect; Africa; American; Area; Attention; Attitude; Behavior; Behavioral; Belief; Caribbean region; Characteristics; Cities; Colombia; Communities; Computer Assisted; Conflict (Psychology); Counseling; Country; Data; Demographic Factors; Development; Epidemic; Female; Focus Groups; Future; Gays; HIV; Health Knowledge, Attitudes, Practice; Heterosexuals; High Prevalence; Homosexuality; Human immunodeficiency virus test; Incidence; Individual; Internal Migrations; Intervention; Interview; Knowledge; Label; Latin America; Laws; Lead; Legal; Life; Male Circumcision; Methods; Modeling; Outcome; Participant; Pattern; Perception; Phase; Plague; Policies; Population; Population Characteristics; Poverty; Prevalence; Prevention; Prostitution; Public Health; Public Policy; Qualitative Research; Reaction; Recommendation; Recording of previous events; Research; Research Methodology; Respondent; Rights; Risk; Risk Behaviors; Sample Size; Sampling; Sex Behavior; Sexual Partners; Shapes; Social Class; Social Environment; Social Network; Stigmata; Surveys; Testing; Time; UNHCR; Urbanization; Violence; War; aged; demographics; design; displaced person; epidemiological model; experience; high risk; informant; information gathering; innovation; life history; male; men; men who have sex with men; migration; oral HIV; programs; protective effect; psychologic; sex risk; social; social stigma; stem; surveillance data

This application describes a five-year research program that investigates individual, social, and structural influences on HIV risk and serostatus among MSM in the four largest cities in Colombia (Bogot¿, Medell¿n, Cali, and Barranquilla). This study is of public health significance because it will contribute to knowledge concerning HIV prevalence and risk behavior in an understudied group at high risk for HIV. Moreover, it will evaluate the protection against HIV afforded by circumcision among MSM in Colombia. This application is innovative in its use of a conceptual framework that addresses HIV risk within the social and structural context: in Colombia, there are legal protections of the rights of all individuals, including gay men, while at the same time, there is ongoing civil unrest, forced displacement of large numbers of people, and homonegativity. The aims of the proposed study are 1) to examine structural, social, and individual factors relevant to HIV risk among Colombian MSM in four cities; 2) to estimate prevalence of HIV among MSM in the cities; 3) to test the association between circumcision status and HIV serostatus and to investigate beliefs, knowledge, and attitudes concerning circumcision among Colombian MSM; and 4) to integrate information gained from the various research methods used and to draw conclusions that will guide the design of policies and interventions addressing HIV risk among MSM in Colombia. The research consists of three phases. Phase I involves qualitative research (24 key informant interviews, 18 focus groups, and 28 life history interviews) to explore the context of life in the four cities for MSM, including sexual behavior patterns, social networks, stigma associated with homosexuality and HIV, violence, migration, and displacement,. Life history interviews will be conducted with MSM who have experienced displacement. Phase II involves quantitative research. Rapid oral HIV testing and a quantitative survey instrument (using A-CASI) will be administered to samples of MSM, aged 15 to 49, in the four cities. Data will be used to test a model of HIV risk, to obtain estimates of HIV prevalence in the population of MSM in the four cities, to test for protective effects of circumcision, and to describe attitudes and knowledge of circumcision. The pilot test includes 160 participants; the full administration of the revised survey includes 1000 participants, obtained through respondent-driven sampling. Phase III consists of triangulation of data and dissemination of findings. The contextualized information gained from this research will be useful in HIV prevention efforts for Colombian MSM at the societal, city, community, and individual levels. This application is a five-year research program that investigates individual, social, and structural influences on HIV risk and HIV prevalence among MSM in the four largest cities in Colombia (Bogot¿, Medell¿n, Cali, and Barranquilla). In addition, it explores attitudes towards circumcision in the targeted sample.

这份申请描述了一个为期五年的研究计划，该计划调查个人、社会和 结构对哥伦比亚四个最大城市男男性行为者艾滋病毒风险和血清状态的影响(波哥大， 麦德尔恩、卡利和巴兰基拉)。这项研究具有公共卫生意义，因为它将有助于 艾滋病高危人群中艾滋病流行情况和危险行为的知识。 此外，它还将评估哥伦比亚男男性同性恋者中包皮环切术对艾滋病毒的保护作用。这 应用程序的创新之处在于它使用了一个概念框架，该框架解决了社会和 结构背景：在哥伦比亚，包括男同性恋者在内的所有个人的权利都有法律保护， 与此同时，国内动乱仍在继续，大批人被迫流离失所， 同负性。拟议研究的目的是：1)检查结构、社会和个人因素 与哥伦比亚四个城市男男性接触者中艾滋病毒风险的相关性；2)估计哥伦比亚男男性接触者中艾滋病毒的流行率 城市；3)测试割礼状况和艾滋病毒血清状况之间的联系，并调查信仰， 哥伦比亚男男性接触者关于割礼的知识和态度；以及4)整合信息 从所使用的各种研究方法中得出结论，并得出将指导政策设计的结论 以及应对哥伦比亚男男性接触者中艾滋病毒风险的干预措施。 研究分为三个阶段。第一阶段涉及定性研究(24名关键信息提供人 访谈、18个焦点小组和28个生活史访谈)，以探索四个城市的生活背景 男男性接触者，包括性行为模式、社交网络、与同性恋和艾滋病毒有关的耻辱， 暴力、移民和流离失所。人生史访谈将与有 经历了移位。第二阶段涉及定量研究。快速口腔艾滋病毒检测和定量 调查工具(使用A-CASI)将用于这四个城市15至49岁的男男性接触者样本。 数据将被用来测试艾滋病毒风险模型，以获得#年男男性行为者人口中艾滋病毒流行率的估计 这四个城市，测试包皮环切术的保护效果，并描述对 割包皮。试点测试包括160名参与者；修订后的调查的全面管理包括 1000名参与者，通过受访者主导的抽样获得。第三阶段包括数据的三角测量和 传播调查结果。从这项研究中获得的背景信息将对艾滋病毒有用 在社会、城市、社区和个人层面为哥伦比亚男男性接触者开展预防工作。此应用程序是一个为期五年的研究计划，调查个人、社会和 四大城市男男性接触者HIV风险和HIV流行率的结构性影响 哥伦比亚的城市(波哥大、麦德尔昂、卡利和巴兰基利亚)。此外，它还探索了 目标样本中对割礼的态度。