High-Use Alcohol Venues: Tourism, Sex Work and HIV in the Dominican Republic

描述(由申请人提供)：本R21提交的总体目标是进行形成性研究，为多米尼加共和国的成年人开发基于场所的酒精和艾滋病毒预防干预措施。这项研究建立在纽约州纽约哥伦比亚大学社会工作学院、密歇根大学安娜堡密歇根大学公共卫生学院和多米尼加共和国圣多明各累托港自治大学教职员工之间现有的国际合作基础上。长期目标是为多米尼加共和国成年酒精使用者制定和评估酒精和艾滋病毒预防干预措施，解决多米尼加共和国以场所为基础的社会和背景因素、酒精使用、性危险行为和艾滋病毒/艾滋病之间的复杂关系。这项拟议的研究超越了只关注假设的不同风险人群的特征的研究，比如性工作者或男男性行为者，而是专注于确定在旅游区饮酒和艾滋病毒风险之间产生协同作用的场所的特征。拟议的研究将收集初步数据，使调查小组能够开发和完善基于地点的干预措施，以促进减少酒精使用和性风险。这项研究将对酒精使用和艾滋病毒/艾滋病之间的关系的背景因素提供重要的见解。拟议的研究对为多米尼加共和国的酗酒者制定有针对性的、符合文化的、适用的公共卫生干预措施具有重要意义。 公共卫生相关性：多米尼加共和国的旅游业、性工作和艾滋病毒本研究试图审查多米尼加共和国旅游工作者中以场所为基础的社会和背景因素与饮酒和感染艾滋病毒的脆弱性之间的关系。这项研究将对酒精使用和艾滋病毒/艾滋病之间的关系的背景因素以及如何利用这些因素来促进最佳健康结果提供重要的见解。这项研究对公共卫生具有重要的应用意义。

DESCRIPTION (provided by applicant): The overall goal of the present R21 submission is to conduct formative research to develop a venue- based alcohol and HIV-prevention intervention for adults in the Dominican Republic. The study builds on an existing international collaboration between faculty at the Columbia University School of Social Work in New York, NY, the University of Michigan School of Public Health in Ann Arbor, MI, and the Universidad Autonoma de Santo Domingo Recinto Puerto Plata in the Dominican Republic. The long term goal is to develop and evaluate an alcohol and HIV-prevention intervention for adult alcohol users in the Dominican Republic that addresses the complex relationship between venue-based social and contextual factors, alcohol use, sexual risk behaviors and HIV/AIDS in the Dominican Republic. The proposed study moves beyond research focusing exclusively on the characteristics of presumably distinct risk populations, such as "sex workers or men who have sex with men," focusing instead on identifying the features of venues that are salient in creating a synergy between alcohol use and HIV risk in tourism areas. The proposed study will collect preliminary data that will enable the Investigative Team to develop and refine a venue based intervention to promote reduced alcohol use and sexual risk taking. The study will provide important insights into contextual factors underlying the relationship between alcohol use and HIV/AIDS. The proposed study has important implications for the development of targeted, culturally-appropriate, applied public health interventions for alcohol users in the Dominican Republic. PUBLIC HEALTH RELEVANCE: Tourism, Sex Work and HIV in the Dominican Republic The present study seeks to examine the relationship between venue-based social and contextual factors and alcohol use and vulnerability to HIV-infection among tourism workers in the Dominican Republic. The study will provide important insights into contextual factors underlying the relationship between alcohol use and HIV/AIDS and how these can be manipulated to promote optimal health outcomes. The study has important applied public health implications.