Community HIV Prevention Transfer to Mid/late-life MSM

描述（由申请人提供）：本提案的目的是 进行形成性研究，以帮助识别和评估 降低男男性行为者感染艾滋病毒风险的有效方案 (MSM)年龄在50岁以上（50+ MSM）。 它将在 旧金山弗朗西斯科湾地区，50岁以上的男男性行为者中艾滋病毒感染率很高。 这些水平是有据可查的，与美国其他主要城市相当。 的 目前的研究为转移和未来的部署量身定制和改进， 评价一种理论驱动的社区一级干预措施， 成功与年轻的男男性接触者（赋权项目）。 它将实现 这些目标是：1）侧重于从代表性的50+ MSM中抽取样本， 参与城市男性健康研究的MSM样本和子样本 他们的友谊网络。目前的研究将扩大代表性 通过对种族/少数民族MSM进行过度抽样，对有色人种MSM进行调查; 2）采用 定性方法（焦点小组和重点访谈），以确定50+ 男男性行为者独特的艾滋病毒风险和相关背景，他们对艾滋病毒的知识/态度， 艾滋病毒和性行为，他们生活中的紧迫问题及其来源 和沟通渠道; 3）使用定性方法（焦点小组和 重点访谈），以制定一项结构化调查，供今后使用 对这一人群的社区预防干预结果研究， 并随后在代表性样品中测试结构化仪器 4）利用赋权项目的原则， 结合文化适应框架来指导定性调查， 结构化问卷编制和干预措施转移。

DESCRIPTION (provided by applicant): The objective of this proposal is to conduct formative research to aid in the identification and evaluation of effective programs to reduce the risk for HIV among men who have sex with men (MSM) and who are at least 50 years of age (50+ MSM). It will be conducted in the San Francisco Bay Area which has a high prevalence HIV among MSM over 50. These levels are well documented as comparable to other major US cities. The current study tailors and refines for transfer and future fielding and evaluation a theory-driven community-level intervention identified as successful with younger MSM (The Mpowerment Project). It will accomplish these goals by: 1) focusing on samples of 50+ MSM drawn from representative samples of MSM participating in the Urban Men's Health Studies and subsamples of their friendship networks. The current study will expand the representation of MSM of color by oversampling racial/ethnic minority MSM; 2) employing qualitative methods (focus groups and focused interviews) to identify 50+ MSM's unique HIV risks and related contexts, their knowledge/ attitudes about HIV and sexual behavior, pressing concerns in their lives, and their sources and channels of communication; 3) using qualitative methods (focus groups and focused interviews) to develop a structured survey to be used in future community-level prevention intervention outcome studies with this population, and subsequently to test the structured instrument in a representative sample of older MSM; and 4) making use of the Mpowerment Project's principles in tandem with a cultural adaptation framework to guide the qualitative inquiry, structured questionnaire development and intervention transfer.