Acceptability of CVCT among MSM in South Africa

南非 MSM 对 CVCT 的接受度

• 批准号: 7928514
• 负责人: Rob B. Stephenson
• 金额: $ 7.54万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-06 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7928514
• 关键词: AIDS prevention; Adoption; Africa; African; Attention; Behavior; Behavioral; Bisexual; Centers for Disease Control and Prevention (U.S.); Communities; Contraceptive Usage; Counseling; Country; Couples; Data; Developed Countries; Development; Epidemic; Foundations; Funding; Future; Gays; HIV; HIV Infections; HIV Seropositivity; Heterosexuals; Household; Human immunodeficiency virus test; Individual; Intervention; Joints; Lead; Lesbian; Literature; Measures; Outcome; Perception; Population; Pre-Post Tests; Preventive Intervention; Research; Research Activity; Resources; Risk-Taking; Services; Shapes; South Africa; Staging; Testing; Time; Translating; Work; base; experience; intimate partner violence; men; public health relevance; stem; theories; transgender; transmission process

DESCRIPTION (provided by applicant): Couples voluntary HIV counseling and testing (CVCT) has been used as an HIV prevention intervention in Africa for over 20 years, and is effective in reducing HIV transmission between sero-discordant couples, increasing contraceptive use, and encouraging future planning behaviors. However, the impact of CVCT has yet to be established outside of heterosexual couples in an African setting. The HIV epidemic among the MSM population has received considerable attention in developed country settings: however, research focusing on MSM in resource-poor settings is severely lacking. There is evidence to suggest that a substantial number of new HIV infections occur among MSM couples in South Africa, the country with the largest visible MSM population in the African continent. Thus, there exists the potential for CVCT services currently proven to be effective among heterosexual population to be adapted for MSM community in South Africa. In order to achieve this, three steps are needed. Firstly, MSM couples have to be willing to utilize a couples-based counseling and testing service. Secondly, measures of couple efficacy and other key theory-based constructs relating to the intervention in MSM are needed to be developed and tested. Finally, a small CVCT trial among MSM couples is needed to test the feasibility of CVCT. The current proposal seeks to achieve the first stage: to collect preliminary qualitative data that will investigate the acceptability of CVCT services among MSM in South Africa. Using a participatory approach, the current activities will examine the barriers and facilitators to CVCT perceived by MSM, the perceived behavioral changes associated with CVCT, and the changes necessary to adapt current CVCT for the MSM population. In addition to adding significantly to our understanding of HIV testing behavior among MSM in a resource-poor setting, the proposed activities will lay the foundation for the next two steps necessary to fully examine the potential for providing CVCT services to MSM. The expected outcome of the proposed activities is a body of qualitative data that will enable us to identify whether MSM in South Africa are open to CVCT services, and the steps necessary to surmount perceived barriers to MSM using CVCT services. The new information generated from the proposed activities will set the foundations for a larger proposal to examine the feasibility of CVCT for MSM couples in South Africa. If CVCT could be successfully adapted for MSM, and if the same magnitude of impact on HIV transmissions could be attained, then there is the potential for future activities to make a significant contribution to stemming the HIV epidemic among MSM and translating this work to other resource-poor settings. PUBLIC HEALTH RELEVANCE: Qualitative data will be collected from participatory research activities with self-identifying MSM in South Africa to examine the acceptability of CVCT services among MSM, and to explore barriers and facilitators to the adoption of couples-based HIV testing among MSM.

描述（由申请人提供）：夫妻自愿艾滋病毒咨询和测试（CVCT）已被用作非洲的艾滋病毒预防干预措施已有20多年了，并且有效地减少了血清探索夫妇之间的HIV传播，增加了避孕药的使用，并鼓励未来的计划行为。但是，在非洲环境中，CVCT的影响尚未在异性恋夫妇之外建立。在发达国家的环境中，MSM人群中的艾滋病毒流行受到了很大的关注：但是，严重缺乏针对MSM的研究。有证据表明，南非的MSM夫妇之间发生了大量新的HIV感染，该国是非洲大陆可见的MSM人口最多的国家。因此，目前证明，CVCT服务在异性恋人群中有效的可能性适用于南非的MSM社区。为了实现这一目标，需要三个步骤。首先，MSM夫妇必须愿意利用基于夫妻的咨询和测试服务。其次，需要开发和测试与MSM干预有关的夫妇疗效和其他基于理论的关键结构。最后，需要在MSM夫妇中进行小型CVCT试验来测试CVCT的可行性。当前的提案旨在实现第一阶段：收集初步定性数据，以调查南非MSM中CVCT服务的可接受性。使用参与式方法，当前的活动将检查MSM感知到CVCT的障碍和促进因子，与CVCT相关的可感知行为变化以及适应MSM人群的当前CVCT所需的变化。除了在资源贫乏的环境中大大增加了我们对MSM中HIV测试行为的理解外，所提出的活动还将为接下来的两个步骤奠定基础，以充分检查为MSM提供CVCT服务的潜力。拟议活动的预期结果是一大批定性数据，它将使我们能够确定南非的MSM是否对CVCT服务开放，以及使用CVCT服务掩盖MSM障碍所需的步骤。根据拟议活动产生的新信息将为更大的提案设定基础，以检查CVCT对南非MSM夫妇的可行性。如果CVCT可以成功地适应MSM，并且如果可以实现对HIV传播的影响相同的影响，那么将来的活动有可能为在MSM中促进HIV流行并将这项工作转化为其他资源贫乏的环境做出重大贡献。 公共卫生相关性：将从参与性研究活动中收集定性数据，并在南非的自我识别MSM中检查CVCT服务在MSM中的可接受性，并探索在MSM中采用基于夫妇的HIV测试的障碍和促进者。