PS07-003, Minority HIV/AIDS Research Initiative

描述（由申请人提供）：本研究旨在探讨纽约地区成年黑人男男性行为者（BMSM）和其他男男性行为者（MSM）在其社交网络（18-64岁）中关于HIV预防的人际沟通与HIV检测意愿的关系。我们将采用定量和定性相结合的方法进行横断面形成性研究，主要目的如下：1)确定在纽约市成年BMSM及其社交网络中传播的有关艾滋病毒预防策略和艾滋病毒检测的信息的内容和背景；2)评估男同性恋者及其社会网络中人际艾滋病预防沟通与接受艾滋病检测意愿的关系。该研究的次要目的包括：a)确定BMSM和其他MSM如何在他们的社交网络中传播有关艾滋病毒预防和艾滋病毒检测的信息；b)确定男男性行为者及其社交网络中的其他男男性行为者首选的艾滋病毒检测方法和地点；c)确定在男同性恋者及其社交网络中的其他男同性恋者中存在哪些阻碍和促进艾滋病毒检测的因素；d)评估特定的社会心理和行为变量（即性别认同、吸毒、不安全性行为、同性恋相关的污名、艾滋病相关的污名、同性恋社区依恋和种族社区依恋）与信息传播方法以及艾滋病检测偏好的关系；e)确定接受艾滋病毒检测的意愿。本研究的理论框架主要基于理性行为理论，其次是创新扩散理论。为了实现这些目标，我们将在他们的社交网络中招募300名男同性恋者和其他男同性恋者。在特定场地和特殊社区活动中，通过主动和被动招募的方式招募了100名BMSM。然后，这100名男同性恋者将从他们的社交网络中招募另外200名男同性恋者参与研究（即，受访者驱动的抽样）。数据分析将利用多变量分析技术（即回归分析、逻辑回归）来确定人际交往与艾滋病毒检测意愿变量之间关系的力量和强度。定量评估将通过音频- casi进行；定性评估将通过结构化的个人访谈进行。同时检查定性和定量数据的混合方法策略将用于探索研究的理性行动理论（TRA）框架的组成部分以及通过人际沟通预防艾滋病毒的内容和背景。本研究的结果将有助于更好地理解黑人男性与他们的朋友、同龄人和性伴侣之间关于艾滋病毒预防和艾滋病毒检测的具体信息。研究结果还将提供有关这种类型的人际交流如何与检测艾滋病毒的行为意图有关的信息。这项研究的信息将有助于为艾滋病毒预防和检测工作以及社会营销和临床干预措施提供信息，这些措施是为了减少健康差距而制定的，这些差距是2010年健康人目标和最近的疾病预防控制中心文件所概述的，题为“加强国家对非洲裔美国人艾滋病毒/艾滋病危机的反应”。

DESCRIPTION (provided by applicant): The proposed investigation seeks to explore the relationship between interpersonal communication about HIV prevention and HIV testing intentions among adult Black men who have sex with men (BMSM) and other men who have sex with men (MSM) of their social networks (ages 18-64) in the New York City area. We will conduct a cross-sectional formative research study, using both quantitative and qualitative methods, guided by the following primary aims: 1) to determine the content and contexts of messages being disseminated about HIV prevention strategies and HIV testing among adult NYC-based BMSM and their social networks; and 2) to assess the relationship between interpersonal HIV prevention communication and intent to receive an HIV test among BMSM and their social networks. Secondary aims of the study include: a) to determine how BMSM and other MSM in their social networks diffuse messages about HIV prevention and HIV testing within their social networks; b) to determine what methods and venues for HIV testing are preferred by BMSM and other MSM of their social networks; c) to determine what barriers and facilitators to HIV testing exist among BMSM and other MSM of their social networks; d) to assess how specific psychosocial and behavioral variables (i.e., sexual identity, drug use, unsafe sex, gay-related stigma, HIV-related stigma, gay community attachment, and ethnic community attachment) relate to message diffusion methods as well as HIV testing preferences; and, e) to determine intent to receive HIV testing. Theoretical framework for this study is based primarily on the theory of reasoned action and secondarily on the diffusion of innovation theory. To achieve these aims, we will recruit a total of 300 BMSM and other MSM in their social networks. One hundred (100) BMSM are being recruited via active and passive recruitment methods at specific venues and special community events. These 100 BMSM will then recruit 200 other MSM from within their social networks to participate in the study (i.e., respondent- driven sampling). Data analyses will utilize multivariate analysis techniques (i.e., regression analyses, logistic regression) to determine the power and strength of relationships between interpersonal communication and HIV testing intention variables. Quantitative assessments will be administered via Audio-CASI; qualitative assessments will be administered via structured personal interviews. Mixed-methods strategies simultaneously examining the qualitative and quantitative data will be utilized to explore components of the Theory of Reasoned Action (TRA) framework of the study as well as the content and contexts of HIV prevention through interpersonal communication. Results from this study will facilitate a better understanding about the specific messages being conveyed about HIV prevention and HIV testing between Black men who have sex with men and their friends, peers and sexual partners. Findings will also provide information on how this type of interpersonal communication may relate to behavioral intentions to test for HIV. Information from this study will help inform HIV prevention and testing efforts as well as social marketing and clinical interventions created in response to reducing health disparities as outlined by the Healthy People 2010 objectives and the recent CDC document entitled, A Heightened National Response to the HIV/AIDS Crisis Among African Americans.