PS11-003 Minority AIDS Research Initiative

PS11-003 少数民族艾滋病研究计划

• 批准号: 8597295
• 负责人: Carlos Emanuel Rodriguez-Diaz
• 金额: $ 25.07万
• 依托单位: UNIVERSITY OF PUERTO RICO MED SCIENCES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8597295
• 关键词: PS11; 003; Minority; AIDS; Research

Project Summary/Abstract Puerto Rico has the highest incidence of HIV in the U.S and it is apparent that behavioral risk among men who have sex with men (MSM) is a significant contributor to the continuing HIV epidemic on the island. Of all HIV (non AIDS) cases diagnosed in Puerto Rico by November 2010, 67.3% were among men. Nearly one quarter of these (16.5%) described having sex with men as a risk factor and 3.3% documented injecting drug use and having sex with men as a risk factor. Paradoxically, although MSM in Puerto Rico are at heightened risk for STIs and HIV, they are among the least likely to be identified and retained in health services. In large part, their under-representation in health services is a consequence of the multiple of types of stigma to which MSM, particularly HIV+MSM, are subject. Despite the substantial and growing prevalence of HIV and STI among MSM in Puerto Rico, there is very limited assessment of social and behavioral determinants of HIV risk in this group. Moreover, and perhaps as a consequence of the limited epidemiological research among MSM, there is also relatively limited targeted HIV-related programming for this group, particularly HIV+MSM. Building on well established collaboration between researchers at the University of Puerto Rico School of Public Health and the "Centro Latinoamericano de Enfermedades de Transmisi¿n Sexual" (CLETS) (one of the largest, publicly- funded STI clinic in San Juan metropolitan area) and Coa¿, Inc. (a community-based organization providing HIV preventions services to MSM in Puerto Rico), the proposed research focuses on the development and pilot test of an intervention that will enhance the ability of young adult (25 to 39) HIV+ MSM in Puerto Rico to manage self-perceived stigma. It is also anticipated that this study will enhance health services utilization and retention in this population and that it will serve as the foundation for the development of future epidemiological and prevention research in this and similarly vulnerable populations.

项目概要/摘要 波多黎各的艾滋病毒发病率是美国最高的，很明显，以下男性的行为风险 男男性行为（MSM）是岛上艾滋病毒持续流行的一个重要因素。在所有艾滋病毒中 截至 2010 年 11 月，波多黎各确诊的（非艾滋病）病例中，67.3% 为男性。近四分之一 其中 16.5% 的人将男男性行为描述为危险因素，3.3% 的人记录了注射毒品和 与男性发生性行为是一个危险因素。矛盾的是，尽管波多黎各的 MSM 面临更高的风险 性传播感染和艾滋病毒是最不可能在卫生服务中被识别和保留的疾病之一。在很大程度上， 他们在卫生服务中的代表性不足是 MSM 遭受多种类型耻辱的结果， 特别是 HIV+MSM，是主题。尽管艾滋病毒和性传播感染在人群中大量流行且不断增长 波多黎各的 MSM，对艾滋病毒风险的社会和行为决定因素的评估非常有限 团体。此外，也许由于 MSM 的流行病学研究有限， 针对该群体（尤其是 HIV+MSM）的针对性 HIV 相关规划也相对有限。建立在良好的基础上 波多黎各大学公共卫生学院的研究人员与 “Centro Latinoamericano de Enfermedades de Transmisi¿n Sexual”（CLETS）（最大的公开性机构之一） 资助了圣胡安大都市区的性病诊所）和 Coa¿, Inc.（一个社区组织，提供 波多黎各 MSM 的艾滋病毒预防服务），拟议的研究重点是开发和试点 对一项干预措施进行测试，该干预措施将增强波多黎各年轻成人（25 至 39 岁）HIV+ MSM 的能力 管理自我感知的耻辱。预计这项研究将提高卫生服务的利用和 保留在这一人群中，并将作为未来流行病学发展的基础 以及针对这一群体和类似弱势群体的预防研究。