Overcoming Health Disparities to HIV Testing for Deaf MSM through the Internet

通过互联网克服聋哑男男性接触者艾滋病毒检测的健康差异

• 批准号: 8444439
• 负责人: Alessandra Iantaffi
• 金额: $ 17.4万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-04-01 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8444439
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adult; Affect; Applications Grants; Attitude; Awareness; Behavior; Caring; Characteristics; Childhood; Chronic; Cognitive; Communication; Communities; Counseling; Data; Development; Discrimination; Education; Epidemic; Face; HIV; HIV Infections; HIV risk; HIV/STD; Harm Reduction; Health; Health Personnel; Health Services Accessibility; Hearing; Hearing Impaired Persons; High Prevalence; Human immunodeficiency virus test; Individual; Internet; Intervention; Interview; Knowledge; Linguistics; Maryland; Measures; Methods; Minority Groups; Needs Assessment; Population; Prevalence; Prevention; Preventive Intervention; Provider; Public Health; Qualitative Methods; Reading; Recording of previous events; Reporting; Research; Research Personnel; Resources; Risk; Risk Behaviors; Sampling; Self Efficacy; Series; Services; Sign Language; Structure; Support System; Surveys; Target Populations; Technology; Test Result; Testing; Time; Translating; Trust; Underserved Population; United States; United States National Institutes of Health; Ursidae Family; Validity and Reliability; Work; base; burden of illness; cost; design; experience; follow-up; fourth grade; health disparity; high risk; high risk sexual behavior; improved; informant; innovation; instrument; interest; iterative design; literacy; male; member; men; men who have sex with men; prototype; response; screening; sex; sexual minority; social; theories; third grade; tool; usability; user-friendly

DESCRIPTION (provided by applicant): This application is in response to PA-11-119 "HIV/AIDS Testing and Follow-up among the Underserved in the United States" (R21), which invites grant applications on populations experiencing "unique barriers or facilitators to testing and linkage to care". Deaf Men who have Sex with Men (D-MSM) are one such group, chronically excluded from HIV research, testing, surveillance, education and services. Data from Maryland, the only state to ask information about hearing status when screening for HIV, indicate that the prevalence of HIV in the general deaf and hard-of-hearing population is two to five times higher than for the hearing population. We expect the sub-set of D-MSM to be the highest risk group within the larger Deaf population. In 30 years of the HIV/AIDS epidemic, no national studies of HIV testing rates, risk behavior, prevention and treatment needs of D-MSM have been conducted in the US, a chronic problem we begin to address in this application. Internet- based technology can enable us to reach D-MSM for HIV research, services and education. The long term objective of this research is to improve HIV screening, testing, prevention, treatment and access for Deaf people, by developing innovative, culturally- and linguistically-accessible, Internet-based methods and interventions. As a first step, in this R21, we will develop and test online, visually-based qualitative and quantitative research tools (integrating American Sign Language [ASL] and English), while also conducting the first HIV testing and prevention needs assessment of D-MSM in ASL. Integrating the theory of intersectionality and a social cognitive approach, the four aims of this R21 allow us to develop and test the online tools needed to create effective health screening interventions with Deaf populations. Through Aim 1 we will utilize qualitative online interviews in ASL to assess the experiences of a geographically dispersed group of D-MSM in HIV risk behavior, knowledge, barriers and facilitators to testing, and prevention needs. For Aim 2, we will develop the quantitative measures needed to assess the Deaf experience of seeking services, including new Deaf-specific measures. In Aim 3, we will develop and test the resulting online, visually-based survey tools in ASL-English, including an HIV risk screening instrument. Through Aim 4, we will conduct the first online ASL- based HIV needs assessment of D-MSM using a national sample. The public health impact of this study resides in the contribution to advancing research in overcoming health disparities, by developing a suite of online tools and services available nationally to facilitate access to health services for Deaf people, and their providers, thereby addressing the needs of a chronically underserved population.

描述（由申请人提供）：本申请是为了响应PA-11-119“在美国服务不足的人群中进行艾滋病毒/艾滋病检测和随访”（R21），该申请邀请对经历“检测和护理联系的独特障碍或促进因素”的人群进行资助申请。与男性发生性行为的失聪男性（D-MSM）就是这样一个群体，长期被排除在艾滋病研究、检测、监测、教育和服务之外。马里兰州是唯一一个在艾滋病毒筛查时询问听力状况的州，其数据表明，艾滋病毒在普通聋人和听力障碍人群中的流行率是正常人群的两到五倍。我们预计，在更大的聋人群体中，D-MSM的子集是风险最高的群体。在HIV/AIDS流行的30年里，美国没有进行过关于D-MSM的HIV检测率、风险行为、预防和治疗需求的全国性研究，这是我们在本应用程序中开始解决的一个长期问题。基于互联网的技术使我们能够接触到男男性接触者进行艾滋病研究、服务和教育。本研究的长期目标是通过开发创新的、文化和语言无障碍的、基于互联网的方法和干预措施，改善聋人的艾滋病毒筛查、检测、预防、治疗和可及性。作为第一步，在这个R21中，我们将开发和测试在线，基于视觉的定性和定量研究工具（整合美国手语[ASL]和英语），同时也进行第一次艾滋病检测和美国手语中D-MSM的预防需求评估。整合交叉性理论和社会认知方法，本R21的四个目标使我们能够开发和测试在线工具，以创建有效的聋人健康筛查干预措施。通过目标1，我们将利用美国手语的定性在线访谈来评估地理上分散的D-MSM群体在艾滋病毒风险行为、知识、检测障碍和促进因素以及预防需求方面的经验。对于目标2，我们将制定定量措施，以评估聋人寻求服务的经验，包括新的聋人专用措施。在目标3中，我们将开发和测试结果在线，以美国手语英语为基础的可视化调查工具，包括艾滋病毒风险筛查工具。通过Aim 4，我们将使用国家样本进行第一次在线基于ASL的D-MSM艾滋病毒需求评估。本研究的公共卫生影响在于通过开发一套全国可用的在线工具和服务，促进聋人及其提供者获得卫生服务，从而解决长期得不到服务的人群的需求，从而促进克服健康差距的研究。