Developing a Community Level Behavioral Intervention for MSM in Thailand

为泰国的 MSM 制定社区层面的行为干预措施

• 批准号: 7685673
• 负责人: THOMAS E GUADAMUZ
• 金额: $ 15.9万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7685673
• 关键词: 21 year old; AIDS education/prevention; AIDS prevention; Acquired Immunodeficiency Syndrome; Adult; Affect; Area; Bachelor' s Degree; Behavior; Behavior Therapy; Behavioral; Cambodia; Characteristics; Communities; Community Trial; Country; Data; Descriptive Epidemiology; Developed Countries; Developing Countries; Discipline; Discrimination; Disease; Epidemic; Epidemiology; Evaluation; Female; Future; Gays; Goals; Government; Government Programs; HIV; HIV Infections; HIV Seropositivity; Heterosexuals; Homosexuality; Incidence; Intervention; Intervention Studies; Intervention Trial; Knowledge; Laboratories; Language; Laos; Lead; Learning; Malaysia; Maps; Mentors; Military Personnel; Minority Groups; Modeling; Odds Ratio; Persons; Policies; Population; Prevalence; Principal Investigator; Public Health; Qualitative Methods; Reporting; Research; Research Personnel; Risk-Taking; Sampling; Schools; Sentinel Surveillance; Sex Behavior; Societies; Stigmata; Testing; Thailand; Training; Vietnam; Woman; base; condoms; design; efficacy testing; experience; intervention program; male; men; men who have sex with men; programs; public health relevance; sex; skills; social; social stigma; southeast Asian; success; surveillance data; therapy development; transgender

DESCRIPTION (provided by applicant): My long-term goal is to become an independent investigator in behavioral intervention research. My short- term goal is to respond to a quickly escalating HIV crisis among men who have sex with men (MSM) populations in Thailand. Recent surveillance data among MSM assessed by my team of investigators found a serious and expanding epidemic that is becoming worse, increasing HIV prevalence in Bangkok from 17.3% in 2003 to 28.3% in 2005. This epidemic may have the potential to spread, affecting emerging MSM communities in Cambodia, Laos, Malaysia, Myanmmar and Vietnam. Currently, there are no interventions for MSM that have been evaluated in Thailand. I believe I am an ideal person to take the lead on interventions for Thai MSM due to previous training and experience in epidemiologic surveillance research and community-based sampling of hard-to-reach populations, native fluency in the Thai language and culture, and having spent several years conducting research in Thailand, including being part of the first assessment of HIV prevalence and correlates among MSM populations in Thailand. These experiences have brought me to this juncture and I am now ready to go beyond descriptive epidemiology in order to respond to an escalating HIV crisis among Thai MSM by developing and testing a community-level behavioral intervention. To achieve this goal, I require interdisciplinary training in three areas: 1) conducting formative evaluations using qualitative methods, 2) developing socially and culturally appropriate behavioral interventions and 3) implementing and evaluating community-level behavioral intervention trials. I will be mentored by a team of successful investigators from a multitude of disciplines under the direction of Dr. Ron Stall. We are also proposing to implement the following studies that will serve as a "laboratory" to practice the skills I learn as part of this application's training. Study 1: Qualitative assessment and analysis of risk-taking behaviors of HIV positive and negative MSM residing in Chiangmai, Thailand. Study 2: Behavioral intervention development for MSM populations in Chiangmai. Study 3: Implementation and evaluation of a pilot community-level behavioral intervention trial among MSM populations in Chiangmai. PUBLIC HEALTH RELEVANCE: The research plan in this application will respond to a quickly escalating HIV crisis among men who have sex with men in Thailand by developing, fielding and pilot testing the first behavioral intervention trial for this population.

描述（由申请人提供）：我的长期目标是成为行为干预研究的独立调查员。我的短期目标是应对泰国男男性行为人群中迅速升级的艾滋病毒危机。我的调查小组最近对男男性接触者的监测数据进行了评估，发现一种严重的、不断扩大的流行病正在恶化，曼谷的艾滋病毒流行率从2003年的17.3%上升到2005年的28.3%。这种流行病可能会蔓延，影响柬埔寨，老挝，马来西亚，缅甸和越南的新兴MSM社区。目前，泰国没有对男男性行为者的干预措施进行过评价。我相信我是一个理想的人带头干预泰国男男性接触者，由于以前的培训和经验，流行病学监测研究和社区为基础的采样难以达到的人群，母语流利的泰国语言和文化，并花了几年时间在泰国进行研究，包括作为第一次评估艾滋病毒流行率和相关性在泰国男男性接触者人群。这些经历使我到了这个关头，我现在准备超越描述性流行病学，以应对泰国男男性接触者中不断升级的艾滋病毒危机，开发和测试社区一级的行为干预。为了实现这一目标，我需要在三个领域进行跨学科培训：1）使用定性方法进行形成性评估，2）开发社会和文化上适当的行为干预措施，3）实施和评估社区一级的行为干预试验。我将在罗恩·斯托尔博士的指导下，接受来自多个学科的成功研究者团队的指导。我们还建议实施以下研究，这些研究将作为“实验室”来实践我在此应用程序培训中学习的技能。研究一：对泰国清迈市HIV阳性和阴性MSM的冒险行为进行定性评估和分析。研究2：清迈MSM人群的行为干预发展。研究3：在清迈的MSM人群中实施和评估一项社区层面的行为干预试验。公共卫生关系：本申请中的研究计划将通过开发、部署和试点测试该人群的第一个行为干预试验，来应对泰国男男性行为者中迅速升级的艾滋病毒危机。