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Intervention to assist MSM disclose HIV status to casual sex partners

协助男男性行为者向临时性伴侣披露艾滋病毒状况的干预措施

基本信息

批准号：
8529615
负责人：
JULIANNE M SEROVICH
金额：
$ 53.86万
依托单位：
UNIVERSITY OF SOUTH FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-14 至 2016-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8529615
关键词：
AIDS prevention AIDS/HIV problem Accounting Aftercare Age Attention Behavior Behavioral Case Management Client Communication Development Disclosure Educational Background Effectiveness Equation Ethnic Origin Evaluation Exposure to Frequencies Fright Goals HIV HIV Infections HIV Seropositivity Health Healthcare Infection Intervention Investigation Knowledge Laws Lead Legal Mediating Outcome Pattern Positioning Attribute Prevention Provider Relative (related person)Reporting Research Research Personnel Rewards Risk Risk Behaviors Risk-Taking Services Severities Sex Behavior Sexual Partners Social Work Specialist Substance abuse problem Testing Time Work base cost disorder prevention expectation group intervention high risk sexual behavior innovation intervention effect intervention program male men men who have sex with men novel public health priorities sex skills statistics success theories therapy design therapy development transmission process treatment response

项目摘要

DESCRIPTION (provided by applicant): Men who have sex with men (MSM) remain disproportionately represented in the national HIV/AIDS statistics. Little progress has been made in understanding the nuances of MSM sexual behavior or communication that may be perpetuating the spread of HIV. Non- disclosure of an HIV-positive status may be a key factor responsible for male-male HIV transmission. There are no known intervention programs whose primary focus is to help MSM develop requisite skills to disclose their status to casual sexual partners. The development of such interventions is essential because of the numerous repercussions for not disclosing when one is knowingly HIV-positive such as legal prosecution and the transmission of HIV. In a previous intervention development study (R21MH067494) the research team created and tested a 4 session intervention found to be promising for increasing disclosure to casual sexual partners. The purpose of the proposed research is to further refine and enhance our HIV disclosure intervention (DI) designed to increase disclosure to casual sexual partners and reduce sexual risk taking behaviors among HIV- positive MSM; assess the relative effectiveness of a disclosure intervention to an attention control case management group (ACCM) for HIV-positive MSM; examine the effects of the intervention over time; explore differential treatment responses to the disclosure intervention and ACCM on the basis of ethnicity, age, and education level as well as examine the mediating effect of baseline frequency of sexual activity, severity of substance abuse at baseline, and stigmatized fear on the relationship between intervention type and the outcome. Finally we will test how treatment engagement, retention and expectations predict subsequent disclosure and risky sexual outcomes. PUBLIC HEALTH RELEVANCE: Reducing the spread of HIV is a national public health priority, and understanding HIV disclosure patterns and theory-driven interventions to enhance disclosure is necessary for HIV prevention efforts. The purpose of this project is to compare the relative effectiveness of our disclosure intervention to case management for HIV-positive MSM. There are no known interventions focusing on facilitating HIV disclosure to sexual partners. The development of such an intervention is essential because of the numerous repercussions, including transmission of HIV, for not disclosing HIV positive status.

描述（由申请人提供）：男男性行为者（MSM）在国家艾滋病毒/艾滋病统计数据中仍然不成比例。在理解MSM性行为或交流的细微差别方面取得的进展甚微，这些细微差别可能会使艾滋病毒的传播永久化。不披露艾滋病毒呈阳性状态可能是造成男性之间艾滋病毒传播的一个关键因素。没有已知的干预计划，其主要重点是帮助男男性接触者发展必要的技能，披露他们的地位，以临时性伴侣。制定这种干预措施是至关重要的，因为在知情的情况下不披露艾滋病毒抗体阳性会产生许多后果，如法律的起诉和艾滋病毒的传播。在之前的干预开发研究（R21 MH 067494）中，研究团队创建并测试了一种4次干预，发现其有希望增加对临时性伴侣的披露。本研究的目的是进一步完善和加强我们的艾滋病披露干预（DI），旨在增加对临时性伴侣的披露，减少艾滋病阳性男男性接触者的性风险行为;评估披露干预对艾滋病阳性男男性接触者的注意力控制病例管理组（ACCM）的相对有效性;检查干预随时间推移的效果;探讨基于种族、年龄和教育水平对披露干预和ACCM的不同治疗反应，并检查基线性活动频率、基线药物滥用严重程度和污名化恐惧对干预类型与结果之间关系的中介作用。最后，我们将测试治疗参与，保留和期望如何预测随后的披露和危险的性结果。公共卫生关系：减少艾滋病毒的传播是国家公共卫生的优先事项，了解艾滋病毒的披露模式和理论驱动的干预措施，以加强披露是必要的艾滋病毒预防工作。本研究的目的是比较我们的披露干预的相对有效性，艾滋病毒阳性男男性接触者的案件管理。没有已知的干预措施侧重于促进向性伙伴披露艾滋病毒。制定这种干预措施至关重要，因为不披露艾滋病毒阳性状况会产生许多影响，包括艾滋病毒的传播。