Developing a Community Level Behavioral Intervention for MSM in Thailand

我的长期目标是成为行为干预研究的独立研究员。我的短片- 任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。由我的调查小组评估的最近MSM监测数据发现 一种严重且不断扩大的流行病，正在变得更加严重，从 2003年为17.3%，2005年为28.3%。这种流行病可能有蔓延的潜力，影响到新兴的MSM 柬埔寨、老挝、马来西亚、缅甸和越南的社区。目前，还没有干预措施 已经在泰国进行了评估的男男性接触者。我相信我是带头进行干预的理想人选 对于泰国男男性接触者，由于以前的培训和流行病学监测研究和经验 对难以接触到的人群进行基于社区的抽样，母语流利的泰语和文化， 在泰国进行了几年的研究，包括参加了第一次评估 在泰国男男性接触者人群中艾滋病毒流行率和相关性。这些经历给我带来了 到了这一关头，我现在准备超越描述性流行病学，以便对 通过开发和测试社区层面的行为干预措施，在泰国男男性接触者中升级艾滋病毒危机。 为了实现这一目标，我需要在三个领域进行跨学科培训：1)进行形式化评价 使用定性方法，2)制定适合社会和文化的行为干预措施，3) 实施和评估社区层面的行为干预试验。我将由一支由 在罗恩·斯图尔博士的指导下，来自多个学科的成功调查人员。我们也是 建议实施以下研究，作为练习我所学技能的“实验室” 此应用程序培训的一部分。研究一：对老年人冒险行为的定性评估与分析 居住在泰国清迈的HIV阳性和阴性男男性行为者。研究2：行为干预 清迈男男性接触者人群发展研究。研究3：试点项目的实施和评估 清迈MSM人群社区行为干预试验。 相关性(请参阅说明)： 这项申请中的研究计划将对性行为男性中迅速升级的艾滋病毒危机做出回应 通过开发、部署和试点测试泰国的男性，进行了第一次行为干预试验 人口。

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.