Exploring a peer-led strategy to link recent Latino immigrants to HIV testing

探索同行主导的策略，将新近的拉丁裔移民与艾滋病毒检测联系起来

• 批准号: 8325059
• 负责人: Laura R Glasman
• 金额: $ 21.75万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-26 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8325059
• 关键词: AIDS prevention; AIDS/HIV problem; Adopted; Affect; Age; Area; Belief; Caring; Characteristics; Clinic; Communication; Communities; Conflict (Psychology); Counseling; Disadvantaged; Drug user; Emotional; Face; Goals; HIV; Health; Health Personnel; Health Services Research; Health education; Healthcare; Human immunodeficiency virus test; Immigrant; Immigration; Individual; Intervention; Interview; Language; Latino; Lead; Legal; Legal Status; Length; Life; Link; Low Prevalence; Methods; Police; Population; Poverty; Prevalence; Prevention approach; Preventive; Public Health; Recruitment Activity; Relative (related person); Reporting; Research; Research Infrastructure; Research Personnel; Resources; Risk; Risk Behaviors; Risk Factors; Services; Sex Behavior; Social Network; Source; Stigmata; Testing; Work; authority; base; condoms; coping; design; men; men who have sex with men; outreach; outreach program; peer; prevent; prevention service; programs; rural area; sex; skills; social; social stigma; tool

DESCRIPTION (provided by applicant): Exploring a peer-led strategy to link recent Latino immigrants to HIV testing This R21 application proposes 2 years of exploratory research that will inform the design of a peer chain referral strategy to engage recent Latino immigrant men (RLIM) in voluntary counseling and testing (VCT). RLIM tend to arrive in the US healthy and at prime working age from low prevalence areas. However, in the US, RLIM rapidly adopt risky practices and become disproportionally affected by HIV. The vulnerability to HIV among RLIM has been attributed to structural and motivational factors, including uncertain immigration status, lack of resources, disconnection from services, high levels of stigma, and unawareness of HIV risk, factors that also hamper RLIM's access to venue- based and outreach HIV prevention efforts. Whereas RLIM are not reached by traditional HIV prevention approaches, they form associations with other RLIM to obtain information and referrals and cope with barriers associated with language, skills, and legal status in the US. Social networks approaches use these associations to penetrate hidden groups and link them to services and research. This project will explore the feasibility of peer chain referral to link RLIM to VCT, an essential tool to prevent HIV, and the cornerstone of "test and treat" strategies. We also endeavor to identify factors that can increase the ability of this method to reach at risk RLIM who would not otherwise have accessed VCT. We will recruit 250 RLIM for VCT with a peer chain referral strategy. We will compare them with 125 RLIM tested in customary VCT programs. We will identify the degree to which peer-referred RLIM are at risk for HIV, have few connections with services, perceive high levels of stigma and low risk for HIV, and have riskier and less supportive social networks. We will interview RLIM after they referred their peers to explore the relationships, settings and communications that are most promising to refer the most disadvantaged RLIM to VCT. Findings will serve to inform an enhanced peer chain referral strategy to engage RLIM in VCT.

描述（由申请人提供）：探索同伴主导的战略，以联系最近的拉丁美洲移民到艾滋病毒检测这R21申请提出了2年的探索性研究，将告知同行链转介策略的设计，以吸引最近的拉丁美洲移民男性（RLIM）在自愿咨询和检测（VCT）。RLIM倾向于从低患病率地区健康地到达美国，并处于主要工作年龄。然而，在美国，RLIM迅速采取危险的做法，并受到艾滋病毒的严重影响。该组织易感染艾滋病毒的原因是结构性和动机性因素，包括不确定的移民身份、缺乏资源、与服务脱节、高度的耻辱感和对艾滋病毒风险的不了解，这些因素也阻碍了该组织获得基于场所的艾滋病毒预防和外联工作。尽管传统的艾滋病毒预防方法无法接触到RLIM，但他们与其他RLIM建立协会，以获得信息和转诊，并科普与美国语言、技能和法律的地位有关的障碍。社交网络方法利用这些联系渗透到隐藏的群体中，并将他们与服务和研究联系起来。该项目将探讨同伴链转介的可行性，将RLIM与VCT联系起来，VCT是预防艾滋病毒的重要工具，也是“检测和治疗”战略的基石。我们还奋进确定可以增加这种方法接触风险RLIM的能力的因素，否则他们不会获得VCT。我们将招募250名RLIM进行VCT，并采用同行链推荐策略。我们将比较他们与125 RLIM测试在习惯的VCT程序。我们将确定同行推荐的RLIM感染艾滋病毒的风险程度，与服务的联系很少，认为高水平的耻辱感和艾滋病毒的低风险，以及具有更高的风险和更少的支持社交网络。我们将采访RLIM后，他们介绍了他们的同龄人，探索的关系，设置和通信，是最有希望把最弱势的RLIM VCT。调查结果将有助于加强同行链转介战略，从事RLIM在VCT。