Testing a Community-Level Intervention for Young African American Men

测试针对年轻非洲裔美国男性的社区一级干预措施

基本信息

批准号：
8604913
负责人：
Victoria Frye
金额：
$ 20.12万
依托单位：
NEW YORK BLOOD CENTER
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-11 至 2015-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8604913
关键词：
AIDS prevention AIDS/HIV problem Accounting Address Adult Affect African African American Alcohol consumption Area Attitude Belief Bisexual Caring Cities Communities Control Groups Development Diagnosis Discrimination Drug usage Education Fright Gays Goals HIV HIV Infections HIV diagnosis Home environment Household Human immunodeficiency virus test Imprisonment Individual Intercept Intervention Knowledge Lesbian Life Maps Medical Modeling Neighborhoods New York City Outcome Phase Population Population Sizes Poverty Prevalence Prevention Prophylactic treatment Provider Public Health Qualitative Research Recording of previous events Reporting Research Research Design Research Methodology Residual state Resources Role Scientist Services Sex Orientation Sexuality Shame Social support Stratification Subway Surveys Technology Testing Treatment Efficacy United States Violence Viral Load result Work Youth base community organizations design experience high risk member men men who have sex with men novel prevention service programs public health relevance racism research study secondary outcome sex sex risk social stigma tool transgender transmission process uptake urban area

项目摘要

DESCRIPTION (provided by applicant): In the United States (US), gay, bisexual and other men who have sex with other men (MSM) continue to be disproportionately affected by HIV accounting for 61% of new cases in 2010. Young African American or Black MSM were the only group in the US with a statistically significant increase (48%) in new HIV infections between 2006 and 2009. In New York City (NYC) in 2011, 51% of new HIV diagnoses were among MSM, and new diagnoses among young MSM (<30) increased from 2001 to 2010. In NYC, young Black MSM accounted for approximately 50% of new HIV diagnoses among young, MSM in 2011. The disproportionate prevalence among young African American MSM is not explained by sexual risk behavior or drug and alcohol use, although sociostructural factors, such as poverty and history of incarceration, represent significant and consistent correlates on HIV infection. HIV/AIDS stigma and homophobia are major barriers to effective HIV prevention and treatment, reducing access to testing, medical treatment, and uptake of novel biomedical HIV prevention technologies, such as pre/post-exposure HIV prophylaxis (PEP/PrEP), critical tools to interrupt HIV transmission in high risk populations and areas. Stigma and homophobia are often high in these areas and MSM experience them directly in their home neighborhoods and communities. Despite this, few community- level, anti-stigma and homophobia interventions have been developed and rigorously tested. Here we propose to conduct significant, formative research to develop and test a neighborhood space-based, anti-stigma and homophobia intervention. The novel components designed will be added to an established anti-stigma program, developed by an LGBTQ community organization, and delivered intensely to a single neighborhood over a 1-year period. To obtain a preliminary estimate of the efficacy of the intervention, we plan a quasi- experimental study, conducting 400 cross sectional street intercept surveys in two high HIV-prevalence neighborhoods, matched for sociodemographics and "gay presence" before and after the intervention (N=1600). Using linear change models with propensity score approaches to control for residual confounding between the intervention and control groups, we will assess changes in our outcomes, HIV/AIDS stigma and homophobia, as well as secondary outcomes in HIV knowledge and knowledge of and perceived access to HIV prevention services. Establishing preliminary efficacy of a community-level anti-stigma intervention addresses a major gap, potentially increasing access to HIV prevention technologies that can reduce HIV infection and lower community viral load in high HIV prevalence areas and populations.

描述（由申请人提供）：在美国（美国），同性恋，双性恋和其他与其他男人发生性关系的男性（MSM）继续受艾滋病毒的影响不成比例地影响2010年的新病例的61％。年轻的非裔美国人或黑人MSM是美国唯一在统计上有显着增长（48％）在2011年和2009年之间的统计显着增长（48％）的群体。 MSM中有新的HIV诊断，在2001年至2010年中，年轻MSM（<30）的新诊断增加。在纽约市，年轻的黑人MSM占年轻诊断的新艾滋病毒诊断的50％，2011年的MSM在2011年。年轻的非裔美国人MSM中的不成比例的普遍性并没有由性风险行为或毒品和酒精造成的重要因素来解释。艾滋病毒感染。艾滋病毒/艾滋病的污名和同性恋恐惧症是有效预防HIV和治疗的主要障碍，可减少对新型生物医学HIV预防技术的检测，医疗治疗以及吸收，例如暴露前/暴露后HIV预防症（PEP/PEP）（PEP/PREP），关键的工具在高风险群体中突出HIV的HIV传播。在这些地区，污名和同性恋恐惧症通常很高，而MSM直接在其家庭社区和社区中体验到它们。尽管如此，很少开发和严格测试社区水平，抗污名和同性恋恐惧症干预措施。在这里，我们建议进行大量的形成性研究，以开发和测试邻里空间，抗污名和同性恋恐惧症干预措施。设计的新颖组件将添加到由LGBTQ社区组织开发的既定反污点计划中，并在1年的时间内强烈交付给一个社区。为了获得干预效力的初步估计，我们计划了准确的实验研究是在两个高艾滋病毒降低社区中进行400个横截面拦截调查，在干预之前和之后与社交人口统计学和“同性恋存在”相匹配（n = 1600）。使用线性变更模型采用倾向得分方法来控制干预组和对照组之间的残留混淆，我们将评估结果的变化，HIV/AIDS污名和同性恋恐惧症，以及HIV知识和知识知识的次要结果，并感知到获得HIV预防服务。建立社区水平的抗污名干预的初步疗效解决了一个主要差距，可能会增加获得HIV预防技术的机会，这些技术可以减少HIV感染并在高HIV患病率领域和人群中降低社区病毒负荷。