PS11-003 Minority AIDS Research Initiative

项目总结/摘要 波多黎各是美国艾滋病发病率最高的地区，很明显， 与男性发生性关系（MSM）是岛上艾滋病毒持续流行的一个重要因素。在所有艾滋病毒中 (non截至2010年11月，在波多黎各诊断的艾滋病病例中，67.3%为男性。近四分之一 其中16.5%的人称与男性发生性关系是一个风险因素，3.3%的人记录了注射毒品的使用， 与男性发生性关系是一个危险因素。奇怪的是，尽管波多黎各的男男性接触者面临更高的风险， 性传播感染和艾滋病毒，他们是最不可能被发现和保留在保健服务。在很大程度上， 她们在保健服务中的代表性不足是男男性行为者受到多种类型的耻辱的结果， 尤其是艾滋病+男男性接触者。尽管艾滋病毒和性传播感染的流行率很高，而且不断上升， 在波多黎各的男男性接触者中，对艾滋病毒风险的社会和行为决定因素的评估非常有限， 组此外，也许是由于对男男性行为者的流行病学研究有限， 针对这一群体，特别是艾滋病毒+男男性行为者的艾滋病毒相关方案也相对有限。建在井上 波多黎各大学公共卫生学院的研究人员与 “拉丁美洲性传播研究中心”（拉丁美洲最大的、公开的、 在圣胡安大都会地区资助的性传播感染诊所）和Coa公司。（一个社区组织， 艾滋病毒预防服务，以男男性接触者在波多黎各），拟议的研究重点是发展和试点 一项干预试验，将提高波多黎各年轻成年人（25至39岁）艾滋病毒阳性男男性行为者的能力， 管理自我认知的耻辱感。预计这项研究还将提高卫生服务的利用率， 保留在这一人群中，它将作为未来流行病学发展的基础。 和预防研究在这个和类似的弱势群体。

Project Summary/Abstract Puerto Rico has the highest incidence of HIV in the U.S and it is apparent that behavioral risk among men who have sex with men (MSM) is a significant contributor to the continuing HIV epidemic on the island. Of all HIV (non AIDS) cases diagnosed in Puerto Rico by November 2010, 67.3% were among men. Nearly one quarter of these (16.5%) described having sex with men as a risk factor and 3.3% documented injecting drug use and having sex with men as a risk factor. Paradoxically, although MSM in Puerto Rico are at heightened risk for STIs and HIV, they are among the least likely to be identified and retained in health services. In large part, their under-representation in health services is a consequence of the multiple of types of stigma to which MSM, particularly HIV+MSM, are subject. Despite the substantial and growing prevalence of HIV and STI among MSM in Puerto Rico, there is very limited assessment of social and behavioral determinants of HIV risk in this group. Moreover, and perhaps as a consequence of the limited epidemiological research among MSM, there is also relatively limited targeted HIV-related programming for this group, particularly HIV+MSM. Building on well established collaboration between researchers at the University of Puerto Rico School of Public Health and the "Centro Latinoamericano de Enfermedades de Transmisi¿n Sexual" (CLETS) (one of the largest, publicly- funded STI clinic in San Juan metropolitan area) and Coa¿, Inc. (a community-based organization providing HIV preventions services to MSM in Puerto Rico), the proposed research focuses on the development and pilot test of an intervention that will enhance the ability of young adult (25 to 39) HIV+ MSM in Puerto Rico to manage self-perceived stigma. It is also anticipated that this study will enhance health services utilization and retention in this population and that it will serve as the foundation for the development of future epidemiological and prevention research in this and similarly vulnerable populations.