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An HIV Intervention Tailored for Black YMSM in the House Ball Community

为 House Ball 社区中的黑人 YMSM 量身定制的艾滋病毒干预措施

基本信息

批准号：
8288883
负责人：
Sybil Hosek
金额：
$ 17.81万
依托单位：
HEKTOEN INSTITUTE FOR MEDICAL RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-01 至 2013-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8288883
关键词：
AIDS prevention AIDS/HIV problem Accounting Adopted Affect Age Appearance Area Attitude Beauty Behavior Therapy Beryllium Categories Centers for Disease Control and Prevention (U.S.)Characteristics Chicago Child Communities Coupled Dancing Data Development Diffusion Discrimination District of Columbia Elements Employee Strikes Epidemic Ethnography Exercise Exposure to Family Fathers Focus Groups Friends Gatekeeping Gays Gender Gender Identity HIV HIV Infections Health Health Personnel Health Services Research Hispanics Home environment Housing Human Resources Human immunodeficiency virus test Incidence Individual Infection Intervention Intervention Trial Manuals Marketing Measures Minority Modeling Mothers Names New York Parents Perception Persons Population Population Sizes Prevalence Prevention Prevention Research Preventive Intervention Procedures Public Health Recruitment Activity Reporting Research Research Project Grants Research Training Resistance Resources Risk Risk Assessment Risk Reduction Rosa Sampling Schedule Schools Series Seroprevalences Sex Orientation Sexual Partners Social Change Social Network Social support Stigmata Structure Surveys Target Populations Techniques Test Result Testing Time Training Voice Walking Work Youth aged base condoms design experience follow-up high risk innovation member men men who have sex with men metropolitan novel strategies pilot trial prevention service programs safer sex sex sex risk skills social social stigma success surveillance data transmission process

项目摘要

DESCRIPTION (provided by applicant): Recent HIV surveillance data show that men who have sex with men (MSM) are the only risk group in which the number of new infections rose annually from 2001-2006 (Hall et al., 2008). Among persons aged 13-24, Blacks are disproportionately affected by HIV infection accounting for 55% of all HIV infections reported (CDC, 2005). These racial disparities among MSM persist in the Chicago area, with the HIV prevalence rate among Black MSM (30.1%) more than twice that of White (11.3%) and Hispanic MSM (12.0%) (Chicago Department of Public Health, 2009). The racial disparity in HIV prevalence rate is even more striking among youth ages 18-24, with 24.2% among Black YMSM compared to 2.3% for White YMSM and 6.5% for Hispanic YMSM (CDPH, 2009). Despite the urgent need, there are no theoretically based, culturally appropriate behavioral interventions to reduce the risk of sexual acquisition or transmission of HIV among BYMSM. Furthermore, there are no HIV prevention interventions specifically targeting the House Ball community, an understudied and clandestine subculture of the Black gay community with high HIV prevalence (Sanchez et al., 2009; Marks et al., 2008; Murill et al., 2005). The d-up! Defend Yourself" intervention, which has shown efficacy with BMSM (Jones et al., 2008), may be particularly well-suited for reaching BYMSM in the House Ball community. An adaptation of Kelly's Popular Opinion leader (POL) intervention ((Kelly et al., 1991,1992,1997,2006; Fernandez et al., 2003, 2005), d-up! Defend Yourself! utilizes opinion leaders from within the community to change social norms and perceptions of BMSM regarding safer sex practices (Jones et al., 2008). d-up! is delivered by members of the targeted community, thus providing "intravention", an approach most appropriate for insulated and marginalized communities such as the House Ball community (Bailey, 2009; Friedman et al., 2004). In this application, we propose to tailor the d-up! intervention for relevance with the Chicago House Ball community and then conduct a small, pilot trial to test for feasibility and acceptability. We will begin by conducting a series of focus groups in order to identify persuasive, culturally-appropriate messages and identify intervention targets. Based on focus group data, we will then tailor the intervention to be relevant for the Chicago House Ball community. We will then use Kelly and colleagues (2004) procedures for identifying popular opinion leaders from within the community and inviting them to participate in the study. We will implement a baseline community risk assessment by obtaining a convenience sample of approximately 150 youth attending the School of Opulence over three consecutive weeks. Then, opinion leaders will be trained on the tailored intervention over a period of four weeks. We will conduct four equally spaced (3, 6, 9, 12 months post-baseline) cross-sectional follow-up assessments of convenience samples of youth (i.e. approximately 150 youth at each time point) from the House Ball community. The follow-up assessments will include measures of sexual risk behavior in the past 3 months and exposure to the intervention through opinion leaders and marketing materials over the past 3 months. Opinion leaders will be asked to rate the acceptability of the intervention and the feasibility of communicating risk reduction messages within their social networks. Feasibility of the overall intervention will also be assessed by the number of opinion leaders recruited that agreed to be trained, the number of risk reduction conversations documented by opinion leaders, and retention of the opinion leaders over the project period. PUBLIC HEALTH RELEVANCE: For this application, we will examine the feasibility and acceptability of a popular opinion leader intervention for use with Black, young men who have sex with men that participate in the House Ball community in Chicago. The aim of such an intervention is to decrease HIV infections in a community already disproportionately impacted by HIV. This intervention has great potential to directly impact the lives of young men who have sex with men in the House Ball community and to decrease HIV transmission to sexual partners inside and outside of the community.

描述(由申请人提供)：最近的艾滋病毒监测数据显示，男男性行为者(MSM)是2001年至2006年新增感染人数每年上升的唯一风险群体(Hall等人，2008年)。在13-24岁的人群中，黑人受艾滋病毒感染的影响不成比例，占所有报告的艾滋病毒感染人数的55%(CDC，2005年)。在芝加哥地区，男男性接触者之间的种族差异依然存在，黑人男男性接触者的艾滋病毒感染率(30.1%)是白人(11.3%)和西班牙裔男男性接触者(12.0%)的两倍多(芝加哥公共卫生部，2009年)。在18-24岁的年轻人中，艾滋病毒感染率的种族差异更加显著，黑人青年男女青年中艾滋病毒感染率为24.2%，而白人青年青年男子艾滋病毒感染率为2.3%，西班牙裔青年艾滋病毒感染率为6.5%(CDPH，2009)。尽管迫切需要，但没有基于理论的、文化上适当的行为干预措施来降低BYMSM中性接触或传播艾滋病毒的风险。此外，没有专门针对House Ball社区的艾滋病毒预防干预措施，该社区是艾滋病毒流行率较高的黑人同性恋社区的一个未得到充分研究的秘密亚文化(Sanchez等人，2009年；Marks等人，2008年；Murill等人，2005年)。这个D-up！“保护自己”干预措施已经显示出对BMSM的有效性(Jones等人，2008年)，可能特别适合于在House Ball社区接触到BYMSM。改编自凯利的民意领袖(POL)干预((Kelly等人，1991,1992,1997,2006；Fernandez等人，2003,2005)，d-up！保护好你自己！利用社区内的意见领袖改变BMSM关于安全性行为的社会规范和看法(Jones等人，2008年)。往上冲！是由目标社区的成员提供的，因此提供了“内部预防”，这是一种最适合于诸如House Ball社区等与世隔绝的边缘社区的方法(Bailey，2009年；Friedman等人，2004年)。在本应用程序中，我们建议量身定做D-UP！干预与芝加哥家庭舞会社区的相关性，然后进行一项小规模的试点试验，以测试可行性和可接受性。我们将首先举办一系列焦点小组，以确定具有说服力的、适合文化的信息，并确定干预目标。根据焦点小组的数据，我们将量身定做干预措施，使其与芝加哥豪斯球社区相关。然后，我们将使用Kelly和他的同事(2004)的程序，从社区内识别大众舆论领袖，并邀请他们参与研究。我们将通过对连续三周在富裕学校就读的大约150名青年进行方便抽样，实施基线社区风险评估。然后，意见领袖将接受为期四周的量身定做的干预培训。我们将对来自House Ball社区的青少年(即每个时间点约150名青少年)进行四次等间隔(基线后3、6、9、12个月)的横断面后续评估。后续评估将包括过去3个月的性风险行为测量，以及过去3个月通过意见领袖和营销材料接触干预的情况。意见领袖将被要求对干预的可接受性和在其社交网络内传播降低风险的信息的可行性进行评级。还将通过招聘同意接受培训的意见领袖的数量、由意见领袖记录的减少风险对话的次数以及在项目期间保留意见领袖来评估整体干预的可行性。公共卫生相关性：对于这一应用，我们将检查民意领袖干预用于黑人的可行性和可接受性，黑人是与芝加哥House Ball社区的男性发生性关系的年轻男性。这种干预的目的是减少一个已经受到艾滋病毒不成比例影响的社区的艾滋病毒感染。这一干预措施有很大潜力直接影响在House Ball社区与男性发生性关系的年轻男子的生活，并减少艾滋病毒传染给社区内外的性伴侣。