HIV and Hispanic Men: Impact of Drugs and Culture

描述(由申请人提供)： 与男性发生性行为的西班牙裔男性(HMSM)感染艾滋病毒的风险增加。迫切需要采取干预措施，以降低HMSM中的艾滋病毒风险。由于研究主要集中在同性恋认同的白人男性身上，指导干预发展的数据以及识别和接触使用毒品和有风险性行为的HMSM的策略有限。在这项应用中，我们建议比较两种信息传递方式(互联网和面对面)招募吸毒的HMSM到预防研究中的有效性并估计经济成本。在这种比较中，我们将收集与该人群中与吸毒和危险性行为相关的文化、心理社会和背景因素的定量和定性数据。我们将利用这些发现来开发一个模型，并概述适合文化的、针对HMSM的艾滋病毒预防干预的关键组成部分。为了实现研究目标，我们将精心设计一份有吸引力的招聘信息，旨在说服居住在南佛罗里达州的18岁或以上的HMSM来到我们两个社区评估网站之一。出现在这些网站并同意参与的符合条件的男性将完成匿名、音频计算机辅助自访(ACASI)，以评估他们的药物使用和性行为，以及与这些行为相关的文化、心理社会和背景因素。将对一部分男性进行深入的定性访谈，以帮助制定招聘信息、构建问卷和制定干预模式。在第一阶段，我们将完善我们的评估措施，并制定具有说服力的、符合文化需要的招聘信息。在第二阶段，我们将实施这项研究，收集定量和定性数据，以指导干预发展。为尽量减少交叉污染的可能性，将按顺序实施两种招聘方式(互联网和面对面)。在第三阶段，我们将评估哪种方法在招聘HMSM方面更成功，并估计每种策略的成本。我们将研究与吸毒和危险性行为相关的心理社会、文化和背景因素，并使用这些数据来开发一个模型，并确定针对HMSM的艾滋病毒预防干预的关键概念组件。

DESCRIPTION (provided by applicant): Hispanic men who have sex with men (HMSM) are at increased risk of HIV infection. Interventions for reducing HIV risk among HMSM are urgently needed. Because studies have primarily focused on gay-identified White men, data to guide intervention development and strategies for identifying and accessing HMSM who use drugs and have risky sex are limited. In this application, we propose to compare the effectiveness and estimate the economic cost of two message delivery modalities (the internet versus face-to- face) for recruiting drug-using HMSM into prevention studies. Embedded within this comparison, we will collect quantitative and qualitative data on the cultural, psychosocial and contextual factors associated with drug use and risky sex in this population. We will use these findings to develop a model and outline the key components of a culturally appropriate, HMSM-specific, HIV prevention intervention. To achieve the study goals, we will craft an appealing recruitment message designed to persuade HMSM, 18 years of age or older, who live in South Florida to come to one of our two community assessment sites. Eligible men who present at these sites and agree to participate will complete an anonymous, audio-computer assisted self-interview (ACASI) to assess their drug use and sexual behaviors, as well as cultural, psychosocial and contextual factors associated with these behaviors. In-depth qualitative interviews with a subset of men will be conducted to assist with recruitment message development, questionnaire construction, and intervention model development. During Phase I, we will refine our assessment measures and create the persuasive, culturally appropriate recruitment message. In Phase 2, we will implement the study and gather the quantitative and qualitative data to guide intervention development. To minimize the potential for cross-contamination, the two recruitment approaches (internet and face-to-face) will be implemented sequentially. In Phase 3, we will assess which approach is more successful in recruiting HMSM and estimate the cost of each strategy. We will examine the psychosocial, cultural, and contextual factors associated with drug use and risky sex and use this data to develop a model and identify the key conceptual components of an HIV prevention intervention for HMSM.