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

描述（由申请人提供）：本次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制定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哥伦比亚大学社会工作学院，密歇根大学公共卫生学院和多米尼加共和国圣多明各自治大学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的成年饮酒者制定和评估预防酒精和艾滋病毒的干预措施，解决多米尼加共和国基于场所的社会和背景因素、饮酒、性风险行为和艾滋病毒/艾滋病之间的复杂关系。拟议的研究超越了专门关注可能不同的风险人群特征的研究，如“性工作者或男男性行为者”，而是侧重于确定在旅游区酒精使用和艾滋病毒风险之间产生协同作用的场所特征。拟议的研究将收集初步数据，使调查小组能够制定和完善基于场所的干预措施，以促进减少饮酒和性风险。这项研究将提供重要的洞察力，以背景因素之间的关系，酒精使用和艾滋病毒/艾滋病。拟议的研究具有重要意义的发展有针对性的，文化上适当的，应用公共卫生干预措施，酒精用户在多米尼加共和国。 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旨在探讨多米尼加共和国旅游业工作者中基于场所的社会和背景因素与饮酒和艾滋病毒感染脆弱性之间的关系。这项研究将提供重要的见解，了解酒精使用和艾滋病毒/艾滋病之间的关系的背景因素，以及如何操纵这些因素，以促进最佳的健康结果。这项研究具有重要的应用公共卫生意义。

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.