HIV risk and venues for meeting sex partners

艾滋病毒风险和会见性伴侣的场所

基本信息

  • 批准号:
    7838630
  • 负责人:
  • 金额:
    $ 15.02万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2010
  • 资助国家:
    美国
  • 起止时间:
    2010-03-15 至 2013-02-28
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): Despite overall declines in HIV transmission in the US, HIV/AIDS diagnoses among men who have sex with men (MSM) has increased from 2001-06. Venues where MSM gather continue to serve as integral locations where health and community service providers engage MSM for HIV testing, education, and prevention. Meanwhile, these providers face added challenges both with locating target populations and in translating interventions to non-traditional settings (e.g., Internet). While there have been studies conducted within venues where MSM meet sex partners, there is little cross-venue analyses, thus little contextualization of how venue-level characteristics (e.g., alcohol/drugs in bars, anonymous chat online, dark/quiet spaces in bathhouses) can create social norms that can significantly impact how MSM negotiate HIV-associated risk behavior (e.g., serostatus disclosure, condom use). Consistent with the SC2 mechanism, the proposed pilot study will use probability-based recruitment methods to identify and longitudinally follow (for 6 months) three diverse samples of sexually active MSM (N = 150): one sample recruited via bathhouses (n = 50), one recruited at bars (n = 50), and one recruited off the Internet (n = 50). Measures will be both qualitative and quantitative in nature. In addition to identifying venue-level patterns and the prevalence of HIV-associated risk behavior (i.e., sexual behavior specific to the venues where partners were met), this study will focus on identifying venue- level characteristics (e.g., lighting; sound; perceived social norms around unsafe sex, drug, or alcohol use; perception of anonymity) in an effort to determine their impact on participant's sexual behavior and sexual decision making. Additional attention will be paid to intersecting roles that alcohol and club drugs may play in venues and subsequent sexual behaviors with partners met via venues. Finally, using a longitudinal design, this study will track changes in participant's sexual behaviors, substance use behaviors, and venue frequenting to identify connections between venue-specific partners and subsequent sexual behaviors, HIV-risk, drug, and alcohol use. Consistent with the SC2 mechanism, this pilot study will serve as the basis for developing and testing a venue-based intervention to reduce HIV transmission risks among MSM. Given the study's findings, and the SC2 mechanism's objective (long-term development of a new line of research), this will warrant developing PI- initiated R34 and/or R01 grants. To accomplish these goals, Dr. Christian Grov (PI) has partnered with Dr. Jeffrey Parsons (Mentor), who is an accomplished NIH-funded investigator with expertise in translating formative research findings into interventions. Together, they have created a comprehensive PI development plan that is equipped with a 4-phase timeline and measurable indicators of success. PUBLIC HEALTH RELEVANCE: The findings of this study will facilitate a more nuanced understanding of HIV-associated risk behaviors contextualized within social atmospheres (venues) that men who have sex with men (MSM) encounter their sex partners. These data will, in turn, inform venue-based HIV prevention and intervention efforts, and treatments designed to reduce MSM's HIV associated risk behaviors. Consistent with the SC2 mechanism, the pilot data generated from this study will serve as the basis for developing and testing a venue-based intervention to reduce HIV transmission risks among MSM.
描述(由申请人提供):尽管美国艾滋病毒传播总体下降,但从2001- 2006年,男男性行为者(MSM)的艾滋病毒/艾滋病诊断有所增加。男男性行为者聚集的场所继续作为健康和社区服务提供者让男男性行为者参与艾滋病毒检测、教育和预防的不可或缺的场所。与此同时,这些提供者在定位目标人群和将干预措施转化为非传统环境(如互联网)方面面临更多挑战。虽然已经在男男性接触性伴侣的场所内进行了研究,但很少有跨场所的分析,因此很少有场所层面的特征(例如,酒吧中的酒精/毒品,在线匿名聊天,澡堂中的黑暗/安静空间)如何产生社会规范的背景化,这些规范可以显著影响男男性接触者如何协商与艾滋病毒相关的风险行为(例如,血清状态披露,避孕套使用)。与SC2机制一致,拟议的试点研究将使用基于概率的招募方法来识别和纵向跟踪(6个月)三个不同的性活跃的MSM样本(N = 150):一个样本通过澡盆招募(N = 50),一个在酒吧招募(N = 50),一个在互联网外招募(N = 50)。措施既有定性的,也有定量的。除了确定场所层面的模式和艾滋病毒相关风险行为的流行程度(即,与伴侣会面的场所特有的性行为)外,本研究还将重点确定场所层面的特征(例如,照明、声音、围绕不安全性行为、吸毒或酗酒的感知社会规范、匿名感知),以确定它们对参与者性行为和性决策的影响。将进一步关注酒精和俱乐部毒品在场所中可能发挥的交叉作用以及随后与通过场所结识的伙伴发生的性行为。最后,采用纵向设计,本研究将跟踪参与者的性行为、物质使用行为和场所频率的变化,以确定特定场所的伴侣与随后的性行为、艾滋病毒风险、药物和酒精使用之间的联系。与SC2机制一致,这项试点研究将作为开发和测试基于场所的干预措施的基础,以减少男同性恋者之间的艾滋病毒传播风险。鉴于该研究的发现和SC2机制的目标(新研究领域的长期发展),这将保证开发PI发起的R34和/或R01资助。为了实现这些目标,Christian Grov博士(PI)与Jeffrey Parsons博士(Mentor)合作,Jeffrey Parsons博士是美国国立卫生研究院资助的一位有成就的研究者,擅长将形成性研究成果转化为干预措施。他们一起创建了一个全面的PI开发计划,该计划配备了四个阶段的时间表和可衡量的成功指标。

项目成果

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Christian Grov其他文献

Christian Grov的其他文献

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{{ truncateString('Christian Grov', 18)}}的其他基金

Following a U.S. National Cohort of Vulnerable Men to Improve HIV Prevention and Care
跟踪美国国家弱势男性群体改善艾滋病毒预防和护理
  • 批准号:
    10265712
  • 财政年份:
    2020
  • 资助金额:
    $ 15.02万
  • 项目类别:
Following a U.S. National Cohort of Vulnerable Men to Improve HIV Prevention and Care
跟踪美国国家弱势男性群体改善艾滋病毒预防和护理
  • 批准号:
    9393530
  • 财政年份:
    2017
  • 资助金额:
    $ 15.02万
  • 项目类别:
Following a U.S. National Cohort of Vulnerable Men to Improve HIV Prevention and Care
跟踪美国国家弱势男性群体改善艾滋病毒预防和护理
  • 批准号:
    10204965
  • 财政年份:
    2017
  • 资助金额:
    $ 15.02万
  • 项目类别:
Club drug use and PrEP adherence in vulnerable men
弱势男性俱乐部吸毒和 PrEP 依从性
  • 批准号:
    9110935
  • 财政年份:
    2015
  • 资助金额:
    $ 15.02万
  • 项目类别:
Club drug use and PrEP adherence in vulnerable men
弱势男性俱乐部吸毒和 PrEP 依从性
  • 批准号:
    9419433
  • 财政年份:
    2015
  • 资助金额:
    $ 15.02万
  • 项目类别:
Syndemics and resilience for HIV transmission in a national sample of vulnerable
全国弱势群体样本中的流行病和艾滋病毒传播的恢复力
  • 批准号:
    8605791
  • 财政年份:
    2013
  • 资助金额:
    $ 15.02万
  • 项目类别:
Syndemics and resilience for HIV transmission in a national sample of vulnerable
全国弱势群体样本中的流行病和艾滋病毒传播的恢复力
  • 批准号:
    9246514
  • 财政年份:
    2013
  • 资助金额:
    $ 15.02万
  • 项目类别:
Syndemics and resilience for HIV transmission in a national sample of vulnerable
全国弱势群体样本中的流行病和艾滋病毒传播的恢复力
  • 批准号:
    8819527
  • 财政年份:
    2013
  • 资助金额:
    $ 15.02万
  • 项目类别:
Syndemics and resilience for HIV transmission in a national sample of vulnerable
全国弱势群体样本中的流行病和艾滋病毒传播的恢复力
  • 批准号:
    8884903
  • 财政年份:
    2013
  • 资助金额:
    $ 15.02万
  • 项目类别:
Syndemics and resilience for HIV transmission in a national sample of vulnerable
全国弱势群体样本中的流行病和艾滋病毒传播的恢复力
  • 批准号:
    8853494
  • 财政年份:
    2013
  • 资助金额:
    $ 15.02万
  • 项目类别:
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