LATINO MSM COMMUNITY INVOLVEMENT: HIV PROTECTIVE EFFECTS

描述（改编自申请人的摘要）：社区参与 自2000年以来，在抗击艾滋病毒/艾滋病方面发挥了核心作用。 疫情志愿者和活动家领导了第一次预防和护理工作， 他们的社区。在动员的过程中， 艾滋病毒/艾滋病，培养了社区意识和积极的自我认同， 动员他们的社会支持来科普疫情。因此，个人' 社区参与对公共卫生具有重要意义。一是通过 他们参与艾滋病毒/艾滋病相关组织，个人发展一个 积极的自我意识，并接受有关艾滋病毒/艾滋病的教育。第二，通过 个人的这种参与影响其社区的变化。然而，研究 预防计划忽视了社区参与作为一种机制， 减少少数同性恋/双性恋男性的艾滋病毒/艾滋病性风险行为。 拟议研究计划的总体目标是调查 社区参与艾滋病毒/艾滋病相关群体的保护作用， 艾滋病毒/艾滋病风险性行为的拉丁美洲男同性恋者/双性恋者的组织。 具体目标包括：1.研究社区的保护作用 参与艾滋病毒/艾滋病对拉丁美洲男同性恋/双性恋男子的性危险行为。我们 将测试社区参与对协会的调节作用 三种社会结构风险因素（即，贫穷、种族主义， 同性恋恐惧症）和性风险行为。2.优化和测试的模型 介导因素（即，同伴规范，自我效能，积极的自我认同， 社区参与与艾滋病毒/艾滋病之间的联系 性风险行为3.审查社会文化障碍， 拉丁美洲男同性恋/双性恋男子社区参与艾滋病毒/艾滋病的促进者。 这项研究将分三个阶段在芝加哥和旧金山弗朗西斯科进行。 1.使用生活史方法，我们将定义社区的概念 参与艾滋病毒/艾滋病和完善我们的理论模型。2.我们将开发 和测试措施。3.我们将测试社区参与的保护效果 (Aim 1），中介因素模型（目标2），以及 社区参与的障碍/促进因素（目标3） 拉丁裔男同性恋/双性恋男性的调查（N=600）。

DESCRIPTION (adapted from the applicant's abstract): Community involvement has played a central role in the tight against HIV/AIDS since the beginning of the epidemic. Volunteers and activists led the first prevention and care efforts in their communities. In the process of mobilizing, they became educated about HIV/AIDS, developed a sense of community and a positive self-identity, and mobilized their social support to cope with the epidemic. Thus, individuals' community involvement has critical public health implications. First, through their involvement in HIV/AIDS-related organizations, individuals develop a positive sense of themselves and become educated about HIV/AIDS. Second, via this involvement individuals affect change in their communities. Yet, research and prevention programs have overlooked community involvement as a mechanism to reduce HIV/AIDS sexual risk behavior among minority gay/bisexual men. The overall goal of the proposed research program is to investigate the protective effects of community involvement in HIV/AIDS-related groups and organizations for HIV/AIDS sexual risk behavior among Latino gay/bisexual men. The specific aims include: 1. Examine the protective effects of community involvement in HIV/AIDS for Latino gay/bisexual men's sexual risk behavior. We will test the moderating effects of community involvement on the association between three socio-structural risk factors (i.e., poverty, racism, and homophobia) and sexual risk behavior. 2. Refine and test a model of the mediating factors (i.e., peer norms, self-efficacy, positive self-identity, and alienation) of the association between community involvement and HIV/AIDS sexual risk behavior. 3. Examine the socio-cultural barriers to and facilitators of Latino gay/bisexual men's community involvement in HIV/AIDS. This research will be conducted in three phases in Chicago and San Francisco. 1. Using life history methods we will define the concept of community involvement in HIV/AIDS and refine our theoretical models. 2. We will develop and test measures. 3. We will test the protective effects community involvement (Aim I), the model of the mediating factors (Aim 2), and the barriers/facilitators for community involvement (Aim 3) in a cross-sectional survey of Latino gay/bisexual men (N=600).