PS07-003, Minority HIV/AIDS Research Initiative

PS07-003，少数民族艾滋病毒/艾滋病研究计划

• 批准号: 7683177
• 负责人: Jose Eduardo Nanin
• 金额: $ 24.64万
• 依托单位: KINGSBOROUGH COMMUNITY COLLEGE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7683177
• 关键词: PS07; 003; Minority; HIV; AIDS

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.

描述（由申请人提供）：拟议的调查旨在探讨关于艾滋病毒预防和艾滋病毒检测意图之间的关系，在成年黑人男性与男性发生性关系（BMSM）和其他男性与男性发生性关系（MSM）的社交网络（年龄18-64）在纽约市地区。我们将采用定量和定性的方法进行一项横断面形成性研究，主要目的如下：1）确定在纽约市的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BMSM及其社交网络中人际预防艾滋病传播与接受艾滋病检测意愿的关系。研究的次要目的包括：a）确定BMSM和其他MSM在其社交网络中如何在其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BMSM和其他MSM在其社交网络中偏好哪些方法和场所进行艾滋病毒检测; c）确定BMSM和其他MSM在其社交网络中存在哪些艾滋病毒检测的障碍和便利因素; d）评估具体的心理社会和行为变量（即，性身份、吸毒、不安全性行为、同性恋相关污名、艾滋病毒相关污名、同性恋社区依恋和族裔社区依恋）与信息传播方法以及艾滋病毒检测偏好有关;以及，e）确定接受艾滋病毒检测的意图。本研究的理论框架主要基于理性行动理论，其次是创新扩散理论。为达致这些目标，我们会在他们的社交网络中招募共300名男男性接触者及其他男男性接触者。在特定场所和特别社区活动中，通过主动和被动招募方法招募了一百（100）名BMSM。然后，这100名BMSM将从他们的社交网络中招募200名其他MSM参与研究（即，被访者驱动抽样）。数据分析将利用多变量分析技术（即，回归分析，逻辑回归），以确定人际沟通和艾滋病毒检测意图变量之间的关系的力量和强度。定量评估将通过Audio-CASI进行;定性评估将通过结构化个人访谈进行。混合方法的策略，同时检查定性和定量数据将被用来探索合理行动理论（TRA）的研究框架的组成部分，以及通过人际传播的艾滋病毒预防的内容和背景。这项研究的结果将有助于更好地了解与男性发生性关系的黑人男子及其朋友，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测试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2010年健康人目标和最近CDC文件所概述的健康差距而创建的，该文件题为“加强国家对非裔美国人艾滋病毒/艾滋病危机的反应”。