Network determinants of risk among formerly incarcerated Latino men

描述（由申请人提供）：本申请涉及广泛挑战领域01行为，行为改变和预防。具体题目是：获取社会网络信息的群体的负面健康行为的高风险；od - 09 - 003。美国的拉丁美洲人受到艾滋病毒/艾滋病流行病的影响不成比例，这导致艾滋病成为拉丁美洲人的第四大死因。在拉丁美洲人中，曾经被监禁的拉丁裔男子（FILM）是艾滋病毒/艾滋病传播的关键群体。拉丁裔男性在美国监狱中的比例过高，监禁被认为是感染艾滋病毒的主要风险因素。尽管艾滋病毒感染的易感性很高，但针对FILM独特需求的艾滋病毒预防干预措施很少。大多数艾滋病毒预防干预措施未能考虑社会家庭网络在FILM监禁后经历中的作用。缺乏对环境因素的关注是令人担忧的，因为研究支持理解文化、家庭和社会网络因素对于减少不成比例的受影响人群（包括拉丁美洲人和以前被监禁的男性）的艾滋病毒感染的重要性。本次提交的总体目标是研究家庭和社会网络在电影中的作用，以便为基于网络的干预措施奠定基础，以减少电影中的艾滋病毒。为实现这一广泛目标，我们提出以下具体目标：进行60个基于网络的开放式访谈，以引出：(a)关于FILM重新进入社区网络的观点，(b)关于网络休闲活动的信息，特别强调大麻和酒精的滥用，然后是性行为，以及(c)关于集体风险行为和网络成员在支持FILM努力减少同时发生的艾滋病毒相关风险行为方面的作用的集体期望。2.） 在收集到的上述数据的基础上，开发出一种语言和文化上合适的电影网络和个人艾滋病毒风险测量方法，并通过对200名电影公司和200名提名网络代表的样本进行横断面调查，检验电影公司艾滋病毒风险行为的网络和行为决定因素之间的关系。3.） 为了研究酒精和大麻狂欢使用和性风险行为的集体意义（以及与之相关的实践），以比较FILM不同网络之间在集体艾滋病毒风险水平以及网络层面保护因素方面的差异。

DESCRIPTION (provided by applicant): This application addresses Broad Challenge Area 01 Behavior, Behavioral Change, and Prevention. The specific topic is: Capturing Social Network Information for Groups at High Risk for Negative Health Behaviors; OD-09-003. Latinos in the United States are disproportionally affected by the HIV/AIDS epidemic, which has led to AIDS being the fourth leading cause of death for Latinos. Among Latinos, formerly incarcerated Latino men (FILM) are a critical group in the spread of HIV/AIDS. Latino men are overrepresented in U.S. correctional facilities, and incarceration has been identified as a major risk factor for HIV. Despite the high level of vulnerability to HIV-infection, HIV-prevention interventions targeting the unique needs of FILM are scarce. The majority of HIV- prevention interventions have failed to consider the role of social-familial networks in the post-incarceration experiences of FILM. The lack of attention to contextual factors is worrisome, as research supports the importance of understanding cultural, familial and social network factors for reducing HIV-infection among disproportionately affected populations, including Latinos and formerly incarcerated men. The overall goal of the current submission is to study the role of familial and social networks among FILM in order to develop the foundation for a network-based intervention to reduce HIV among FILM. To advance that broad goal, we propose the following specific aims: 1.) To conduct sixty network-based, open-ended interviews in order to elicit: (a) perspectives about FILM'S reentry into community networks, (b) information on network leisure activities with special emphasis on marijuana and alcohol binge use followed by sexual behavior, and (c) collective expectancies regarding: collective risk behaviors and network members' role in supporting FILM's efforts to reduce concurrent HIV-related risk behaviors. 2.) On the basis of the above data collected, develop a linguistically and culturally appropriate measurement of network and individual HIV risk for FILM, and examine the relationships between network and behavioral determinants on FILM HIV risk behavior via the application of a cross-sectional survey with a sample of 200 FILM and 200 nominated network referents. 3.) To examine the collective meanings attached to (and practices related to) alcohol and marijuana binge use and sexual risk behavior, in order to compare differences among the diverse networks of FILM with respect to the level of collective HIV risk as well as network-level protective factors. PUBLIC HEALTH RELEVANCE: The proposed study will be one of the first studies to investigate HIV risks among networks of formerly incarcerated men. 1. This will be one of the first studies to explicitly examine how social network systems influence concurrent sexual risk, alcohol and marijuana binge use among formerly incarcerated Latino men (FILM). 2. While other studies recruit individuals in order to create superficial intervention groups, where individuals do not necessarily know each other (to participate in sessions where very personal issues are discussed), we propose a network approach research that will lead to future network-based interventions within already existing social networks of FILM with the potential impact of enhancing the health of entire social networks. 3. The proposed study will contribute to the emerging research on ethnic minority men's health and foundational research for effective prevention programming for FILM, a consistently overlooked population in public health.