HIV Prevention Among High Risk Men in South Africa

描述（由申请人提供）：有必要为撒哈拉以南非洲的高危男性制定有效的艾滋病预防干预措施，但关于这些人群的具体文化，行为或流行病学数据很少。这些信息对于制定和评估能够预防艾滋病毒性传播的行为干预措施至关重要。该项目旨在为南非索韦托的高风险男性提供这些初步信息，并有两个具体目标：1)研究高危男性在性行为、性健康、性伴侣的选择、药物和酒精的使用、避孕套的使用、卫生服务的利用、艾滋病毒自愿咨询和检测（VCT）以及艾滋病毒状况披露等方面的集体和个人信仰体系，以描述围绕这些受试者行为的主流文化规范；2)提供高危男性VCT经历的基线评估，并测量高危男性概率样本中HIV危险因素的流行情况和HIV感染情况。该项目将提供初步数据，用于制定针对索韦托这一男性社区的干预措施，该措施可以在ro1资助的提案中进行测试。

DESCRIPTION (provided by applicant): There is a need to develop effective HIV prevention interventions for high-risk men in sub-Saharan Africa, yet very little specific cultural, behavioral, or epidemiological data exists about these populations. Such information is crucial to the development and evaluation of behavioral interventions that can prevent the sexual transmission of HIV. This project aims to provide this preliminary information for high-risk men in Soweto, South Africa, and has two specific aims: 1) to examine the collective and individual belief systems of high-risk men related to their sexuality, sexual health, choice of sexual partners, use of drugs and alcohol, use of condoms, utilization of health services, HIV voluntary counseling and testing (VCT), and disclosure of HIV status, in order to describe prevailing cultural norms around these subjects' behaviors; 2) to provide a baseline assessment of high risk men's experiences with VCT and to measure the prevalence of HIV risk factors and HIV infection in a probability sample of high-risk men. The project will provide preliminary data to be used in the development of an intervention for this community of men in Soweto that can be tested in an RO1-funded proposal.