LATINO MSM COMMUNITY INVOLVEMENT: HIV PROTECTIVE EFFECTS

描述(改编自申请者的摘要)：社区参与 自年初以来，在严密抗击艾滋病毒/艾滋病方面发挥了核心作用 流行病。志愿者和积极分子领导了第一批预防和护理工作 他们的社区。在动员的过程中，他们获得了关于 艾滋病毒/艾滋病，培养了社区意识和积极的自我认同，以及 动员他们的社会支持来应对疫情。因此，个人的 社区参与具有重大的公共卫生影响。首先，通过 他们参与与艾滋病毒/艾滋病相关的组织，个人会发展成 对自己有积极的认识，并接受有关艾滋病毒/艾滋病的教育。第二，通过 个人的这种参与会影响他们所在社区的变化。然而，研究表明 预防项目忽视了社区参与作为一种机制 减少少数民族男同性恋者/双性恋者的艾滋病毒/艾滋病性行为风险。 拟议研究计划的总体目标是调查 社区参与对HIV/AIDS相关人群的保护作用 拉丁裔男同性恋者/双性恋者中艾滋病毒/艾滋病性行为危险行为组织。 具体目标包括：1.考察社区的保护作用 拉丁裔男同性恋者/双性恋者的性危险行为与艾滋病毒/艾滋病有关。我们 将测试社区参与对协会的调节作用 三个社会结构性风险因素(即贫穷、种族主义和 同性恋恐惧症)和性危险行为。2.改进并测试一个模型 中介因素(即同伴规范、自我效能感、积极自我认同和 社区参与与艾滋病毒/艾滋病之间的联系 性危险行为。3.审查社会文化障碍和 拉丁裔男同性恋者/双性恋者社区参与艾滋病毒/艾滋病的促进者。 这项研究将在芝加哥和旧金山分三个阶段进行。 1.用生活史学的方法界定社区的概念 参与艾滋病毒/艾滋病，完善我们的理论模型。2.我们将发展 和测试措施。3.我们将测试社区参与的保护效果 (目标一)、中介因素模型(目标二)和 社区参与的障碍/促进者(目标3) 拉丁裔男同性恋者/双性恋者调查(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).