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: 8517815
• 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/8517815
• 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; 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调查员。我的短- 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。我的调查团队评估的最近MSM监测数据发现 这一严重且不断扩大的流行病正变得越来越严重，曼谷的艾滋病毒感染率从 2003年为17.3%，2005年为28.3%。这种流行病可能有蔓延的潜力，影响新兴的男男性接触者 柬埔寨、老挝、马来西亚、缅甸和越南的社区。目前，没有干预措施， 在泰国接受评估的男男性接触者。我相信我是一个理想的人带头干预 泰国男男性接触者，由于以前的培训和经验，在流行病学监测研究， 以社区为基础对难以接触到的人口进行抽样调查，母语为泰国语言和文化， 并在泰国进行了几年的研究，包括参加第一次评估， 泰国男男性行为人群中艾滋病毒流行率及其相关性。这些经历让我 到目前为止，我现在准备超越描述性流行病学，以回应一个 通过开发和测试社区一级的行为干预措施，在泰国男男性接触者中逐步升级艾滋病毒危机。 为了实现这个目标，我需要在三个方面进行跨学科的培训：1）进行形成性评估 使用定性方法，2）制定社会和文化上适当的行为干预措施，3） 实施和评估社区一级的行为干预试验。我将接受一个 在罗恩·斯托尔博士的指导下，来自多个学科的成功调查人员。我们也 我建议实施以下研究，这些研究将作为一个“实验室”，以实践我作为 这是应用程序培训的一部分。研究1：对儿童冒险行为的定性评估和分析 艾滋病毒阳性和阴性MSM居住在泰国清迈。研究2：行为干预 在清迈的MSM人群的发展。研究3：试点项目的实施和评价 在清迈的MSM人群中进行社区行为干预试验。 相关性（参见说明）： 这项应用中的研究计划将对发生性行为的男性中迅速升级的艾滋病毒危机做出反应 通过开发、部署和试点测试第一个行为干预试验， 人口

项目成果

Consent Challenges for Participation of Young Men Who Have Sex With Men (YMSM) in HIV Prevention Research in Thailand.

泰国男男性行为者（YMSM）参与艾滋病预防研究的同意难题。

• DOI: 10.1080/10508422.2014.949721
• 发表时间: 2015-03
• 期刊: Ethics & behavior
• 影响因子: 2
• 作者: Guadamuz TE;Goldsamt LA;Boonmongkon P
• 通讯作者: Boonmongkon P

Cross-sex hormone use, functional health and mental well-being among transgender men (Toms) and Transgender Women (Kathoeys) in Thailand.

• DOI: 10.1080/13691058.2014.950982
• 发表时间: 2015
• 期刊: Culture, health & sexuality
• 作者: Gooren LJ;Sungkaew T;Giltay EJ;Guadamuz TE
• 通讯作者: Guadamuz TE

'Hu Hong' (bad thing): parental perceptions of teenagers' sexuality in urban Vietnam.

“胡红”（坏事）：越南城市中父母对青少年性行为的看法。

• DOI: 10.1186/s12889-017-4133-y
• 发表时间: 2017
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Do,LanAnhThi;Boonmongkon,Pimpawun;Paek,SeungChun;Guadamuz,ThomasE
• 通讯作者: Guadamuz,ThomasE

Investigating online harassment and offline violence among young people in Thailand: methodological approaches, lessons learned.

• DOI: 10.1080/13691058.2014.931464
• 发表时间: 2014
• 期刊: Culture, health & sexuality
• 作者: Ojanen TT;Boonmongkon P;Samakkeekarom R;Samoh N;Cholratana M;Payakkakom A;Guadamuz TE
• 通讯作者: Guadamuz TE

Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks.

• DOI: 10.1016/j.drugpo.2018.04.005
• 发表时间: 2018-05
• 期刊: The International journal on drug policy
• 作者: Guadamuz TE;Boonmongkon P
• 通讯作者: Boonmongkon P