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: 8316327
• 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/8316327
• 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; Heterosexuals; Homosexuality; Incidence; Instruction; 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 sex worker; men; men who have sex with men; programs; same sex behavior; sex; sexual minority; skills; social; social stigma; southeast Asian; success; surveillance data; therapy development; transgender

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 formativeevaluations 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. RELEVANCE (See instructions): 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.

我的长期目标是成为行为干预研究的独立研究者。我的短篇—— 长期目标是应对男男性行为者 (MSM) 中迅速升级的艾滋病毒危机 泰国的人口。我的研究小组评估的 MSM 最近监测数据发现 一种严重且不断扩大的流行病，情况日益严重，曼谷的艾滋病毒感染率从 2003年的17.3%到2005年的28.3%。这种流行病可能有蔓延的潜力，影响新兴的MSM 柬埔寨、老挝、马来西亚、缅甸和越南的社区。目前，还没有任何干预措施 已在泰国进行评估的 MSM。我相信我是带头干预的理想人选 泰国男男性行为者由于之前在流行病学监测研究方面的培训和经验， 对难以接触到的人群进行基于社区的抽样，泰国语言和文化的母语流利程度， 并花了数年时间在泰国进行研究，包括参与第一次评估 泰国 MSM 人群的 HIV 患病率及其相关性。这些经历给我带来了 到了此时此刻，我现在准备超越描述性流行病学，以应对 通过开发和测试社区级行为干预措施，加剧泰国 MSM 中的艾滋病毒危机。 为了实现这一目标，我需要在三个领域进行跨学科培训：1）进行形成性评估 使用定性方法，2) 制定适合社会和文化的行为干预措施，以及 3) 实施和评估社区级行为干预试验。我将受到一个团队的指导 在 Ron Stall 博士的指导下，来自多个学科的成功研究人员。我们也是 提议实施以下研究，作为实践我所学技能的“实验室” 此应用程序培训的一部分。研究一：风险承担行为的定性评估与分析 居住在泰国清迈的 HIV 阳性和阴性 MSM。研究2：行为干预 清迈 MSM 人群的发展。研究 3：试点的实施和评估 清迈 MSM 人群社区级行为干预试验。 相关性（参见说明）： 本申请中的研究计划将应对发生性行为的男性中迅速升级的艾滋病毒危机 与泰国男性一起开发、部署和试点测试第一个行为干预试验 人口。