Adaptation and feasibility of Many Men Many Voices (3MV), an HIV prevention intervention to reduce intersectional stigma and increase HIVST among YSMM residing in Ghanaian slums

多男多声 (3MV) 的适应和可行性,这是一种艾滋病毒预防干预措施,旨在减少居住在加纳贫民窟的 YSMM 中的交叉耻辱并增加艾滋病毒传播与传播

基本信息

  • 批准号:
    10756009
  • 负责人:
  • 金额:
    $ 21.66万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-07-15 至 2026-03-31
  • 项目状态:
    未结题

项目摘要

Project Summary Young sexual minority men (YSMM) make up 63% of the HIV prevalence (18%) among sexual minority men in Ghana, which has a 2% national prevalence rate. Our previous studies that included YSMM in Ghana show that internalized and interpersonal intersectional (HIV, sexual minority, gender expression) stigma and insufficient HIV knowledge impedes HIV testing among SMM. For those in slums, the social and economic barriers in slum communities can intertwine with intersectional stigma to exacerbate the risk of HIV infections and discourage HIV testing among YSMM. HIV self-testing (HIVST) has the efficacy of increasing testing, providing privacy and convenience. Yet its uptake among YSMM remains daunting due to insufficient expertise and intersectional stigma. We propose to adapt the Many Men, Many Voices (3MV) to a modified version dubbed LAFIYA (local word meaning wellness) to address intersectional stigma and increase HIVST among YSMM. Whereas 3MV has the efficacy to increase HIV testing among SMM, adaptation for YSMM in slums will show its applicability to young adults and YSMM in a different geographic and socioeconomic context in Ghana and SSA. LAFIYA will also extend 3MV’s utility for HIV prevention by utilizing scientific advancements around intersectional stigma and HIVST options, which came after the original version. Guided by the eight steps of the ADAPTT-IT model, we will implement the following aims. 1) Assess intersectional stigma and options for HIVST implementation among YSMM, 2) Adapt 3MV to LAFIYA to address intersectional stigma and HIVST among YSMM, and 3) Test acceptance, feasibility, appropriateness, and preliminary efficacy of LAFIYA to address intersectional stigma and increase HIVST uptake. In Aim 1, we will conduct in-depth interviews with YSMM (n= 20), providers (n=20); clinics=10, and community-based organizations (=10) that work with YSMM to evaluate experiences of intersectional stigma and options for implementing HIV self-testing among YSMM. In Aim 2, we will conduct a summative analysis to interpret findings from AIM1 to identify fit and modifications to tailor 3MV to the realities of YSMM in Ghanaian slums. In AIM 3, we will test the acceptability, feasibility, appropriateness, and preliminary efficacy of LAFIYA through a pilot pre-post intervention among YSMM (n=60). The YSMM will receive the LAFIYA intervention and have the option to pick up HIVST and contact of ART providers for support if they test positive. We will assess primary outcomes (acceptability, feasibility, appropriateness) and secondary outcomes (preliminary efficacy) using baseline, immediate, and 3-month post-intervention surveys. The study will inform the preparation of a clustered randomized control trial to measure LAFIYA’s efficacy in increasing HIVST among YSMM. The findings will inform intersectional stigma reduction and HIVST implementation strategies among YSMM, slums, SSA, and other high-risk populations in different settings.
项目摘要 性少数青年男子(YSMM)占2010年性少数男子艾滋病毒感染率(18%)的63%。 加纳,全国患病率为2%。我们之前的研究,包括在加纳的YSMM表明, 内化和人际交叉(艾滋病毒、性少数、性别表达)的污名化和不足 艾滋病毒知识阻碍了SMM中的艾滋病毒检测。对于那些生活在贫民窟的人来说, 社区可能会与交叉羞辱相交织,加剧艾滋病毒感染的风险, 艾滋病毒检测在YSMM。艾滋病毒自我检测(HIVST)具有增加检测、提供隐私和 压力抛之脑后然而,由于缺乏专业知识和交叉学科, 耻辱我们建议将《多人多声》(3 MV)改编成一个名为LAFIYA(当地)的修改版 ”(《易经》):“道者,道也;道者,道也;道者,道也。而3 MV则有 在SMM中增加艾滋病毒检测的有效性,在贫民窟中对YSMM的适应将表明其适用于 在加纳和撒南非洲不同的地理和社会经济背景下的年轻人和YSMM。LAFIYA将 还通过利用围绕交叉污名的科学进步, HIVST选项,这是在原始版本之后出现的。根据ADAPTT-IT模型的八个步骤, 将实现以下目标。1)评估交叉污名和实施艾滋病毒/艾滋病防治措施的选择, YSMM,2)使3 MV适应LAFIYA,以解决YSMM中的交叉污名和HIVST,以及3)测试 LAFIYA的可接受性、可行性、适当性和初步疗效,以解决交叉污名问题, 增加艾滋病毒/艾滋病防治措施的使用。在目标1中,我们将对YSMM(n= 20),供应商(n=20)进行深入访谈; 诊所=10,社区组织(=10)与YSMM合作,评估 在YSMM中实施艾滋病毒自我检测的交叉耻辱和选择。在目标2中,我们将进行 总结性分析,解释AIM 1的结果,以确定适合和修改,使3 MV适应现实 在加纳的贫民窟。在AIM 3中,我们将测试可接受性、可行性、适当性和初步 通过在YSMM(n=60)中进行试验性前后干预来评估LAFIYA的疗效。YSMM将接收LAFIYA 干预措施,并有选择拿起艾滋病毒和抗逆转录病毒治疗提供者的支持,如果他们测试呈阳性联系。 我们将评估主要结局(可接受性、可行性、适当性)和次要结局 (初步疗效)使用基线,即时和3个月后干预调查。该研究将告知 准备一项随机分组对照试验,以测量LAFIYA在增加艾滋病毒感染者中的疗效。 YSMM。研究结果将为减少跨部门污名和艾滋病毒/艾滋病防治实施战略提供信息, YSMM、贫民窟、SSA和其他不同环境中的高危人群。

项目成果

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Gamji Rabiu Abu-Ba'are其他文献

Gamji Rabiu Abu-Ba'are的其他文献

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{{ truncateString('Gamji Rabiu Abu-Ba'are', 18)}}的其他基金

Status-neutral community-based multilevel intervention to address intersectional stigma and discrimination, and increase HIV testing, PrEP, and ART uptake among YGBMSM in Ghanaian Slums
地位中立、基于社区的多层次干预措施,以解决加纳贫民窟 YGBMSM 中的交叉污名和歧视问题,并增加 HIV 检测、PrEP 和 ART 的采用
  • 批准号:
    10838064
  • 财政年份:
    2023
  • 资助金额:
    $ 21.66万
  • 项目类别:

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