DISCLOSURE OF HIV STATUS AMONG LATINO GAY MEN

描述（改编自申请人的摘要）：本申请描述了一种用于制备本发明的药物组合物的方法。 一项为期五年的研究计划，以测试量身定制的披露理论模型 供拉丁裔男同性恋和双性恋使用该模式规定了社会文化， 阻碍和促进披露信息的社会心理因素和艾滋病毒相关因素 社会网络的血清阳性状态，以及心理健康，坚持 以及这种披露的性后果。社交网络 定义为家人朋友和主要性伴侣这项研究包括三个 阶段。第一阶段包括试点研究和制定措施。在第二阶段， 基于理论模型的假设将在一个横截面测试 对300名艾滋病毒阳性的拉丁裔男同性恋和双性恋男子的研究。心理 健康、受保护的性行为和坚持治疗将是结果。在 第三阶段，横断面研究的结果将用于完善 模型，并告知干预措施的发展，其目标是 是为了改善心理和身体健康， 艾滋病毒阳性男子的做法。这一干预措施将进行试点测试 和80个艾滋病阳性的拉丁裔男同性恋者在一起调查人员希望 提供有关因果关系的其他信息， 理论模型，以及为拉丁美洲为中心的指导方针， 干预措施。横断面研究的目的是为了完善他们的 艾滋病毒阳性拉丁裔男同性恋和双性恋男性之间披露的理论模型 通过检验以下假设：A）社会文化因素会影响 社会心理因素沿着HIV相关因素， 向社交网络披露血清阳性状态的程度。（B） 向社会网络披露血清阳性状况将促进 心理健康，这反过来又会降低性风险， 促进对护理的坚持。干预研究的目的是使用 制定和试点测试干预措施的横断面研究结果 用于艾滋病毒阳性的拉丁美洲男同性恋和双性恋男子， 的理论模型。横断面研究的结果将告知 干预的结构和内容。调查人员将测试 是否披露干预促进心理健康，减少 性风险行为，并促进坚持艾滋病毒/艾滋病护理。

DESCRIPTION (Adapted from Applicant's Abstract): This application describes a five-year research program to test a theoretical model of disclosure tailored for use with Latino gay and bisexual men. The model specifies sociocultural, psychosocial, and HIV-related factors that impede and facilitate disclosure of seropositive status to the social network, as well as mental health, adherence to care, and sexual consequences of that disclosure. The social network is defined as family, friends, and main sex partner. This study consists of three phases. Phase I consists of a pilot study and measure development. In Phase II, hypotheses based on the theoretical model will be tested in a cross-sectional study of 300 HIV-positive Latino gay and bisexual men. Psychological well-being, protected sex, and adherence to treatment will be the outcomes. In Phase III, the results of the cross-sectional study will be used both to refine the model and to inform the development of an intervention, the goals of which are to improve the mental and physical health and to increase safer-sex practices of men who are HIV-positive. This intervention will be pilot tested with 80 HIV-positive Latino gay men. The investigators expect the intervention to provide additional information about causal relationships within the theoretical model, as well to provide guidelines for Latino-centered interventions. The aim of the cross-sectional study is to refine their theoretical model of disclosure among HIV-positive Latino gay and bisexual men by testing the following hypotheses: A) Sociocultural factors will influence psychosocial factors, which along with HIV-related factors, will influence degree of disclosure of seropositive status to the social network. B) Disclosure of sero-positive status to the social network will promote psychological well-being, which in turn will decrease sexual risk, and will promote adherence to care. The aim of the intervention study is to use the findings of the cross-sectional study to develop and pilot test an intervention for use with HIV-positive Latino gay and bisexual men building on the aspects of the theoretical model. Results from the cross-sectional study will inform the structure and content of the intervention. The investigators will test whether the disclosure intervention promotes psychological well-being, reduces sexual risk behaviors, and promotes adherence to HIVIAIDS care.