PS11-003 Minority AIDS Research Initiative

项目摘要/摘要 波多黎各是美国艾滋病毒感染率最高的国家，很明显， 男男性行为(MSM)是该岛艾滋病毒持续流行的一个重要因素。在所有的艾滋病毒中 截至2010年11月，波多黎各确诊的(非艾滋病)病例中，67.3%为男性。近四分之一 在这些人中(16.5%)将与男性发生性行为描述为危险因素，3.3%的人记录注射吸毒和 与男性发生性关系是一个危险因素。矛盾的是，尽管波多黎各的男男性接触者感染的风险更高 除了性传播感染和艾滋病毒，它们是最不可能被发现并保留在卫生服务中的。在很大程度上， 他们在卫生服务中的代表性不足是男男性同性恋者所遭受的多种耻辱的结果， 特别是艾滋病毒+男男性接触者，是受影响的。尽管艾滋病毒和性传播感染在 在波多黎各的男男性接触者中，对艾滋病毒风险的社会和行为决定因素的评估非常有限 一群人。此外，也许由于男男性接触者的流行病学研究有限，有 针对这一群体的艾滋病毒相关规划也相对有限，特别是艾滋病毒+男男性行为者。建立在良好的基础上 波多黎各大学公共卫生学院的研究人员与 “Centro Latinoamericano de Enfermedade de Transmisién Sexual”(CLETS)(最大的、公开的- 圣胡安大都会地区资助的性传播感染诊所)和Coa？，Inc.(一家以社区为基础的组织，提供 为波多黎各男男性行为者提供艾滋病毒预防服务)，拟议的研究重点是开发和试点 测试一项干预措施，以提高波多黎各年轻成人(25至39岁)HIV+MSM感染艾滋病毒的能力 管理自我感觉到的污名。预计这项研究将提高卫生服务的利用率和 这将成为未来流行病学发展的基础。 并在这一人群和类似的脆弱人群中进行预防研究。

Project Summary/Abstract Puerto Rico has the highest incidence of HIV in the U.S and it is apparent that behavioral risk among men who have sex with men (MSM) is a significant contributor to the continuing HIV epidemic on the island. Of all HIV (non AIDS) cases diagnosed in Puerto Rico by November 2010, 67.3% were among men. Nearly one quarter of these (16.5%) described having sex with men as a risk factor and 3.3% documented injecting drug use and having sex with men as a risk factor. Paradoxically, although MSM in Puerto Rico are at heightened risk for STIs and HIV, they are among the least likely to be identified and retained in health services. In large part, their under-representation in health services is a consequence of the multiple of types of stigma to which MSM, particularly HIV+MSM, are subject. Despite the substantial and growing prevalence of HIV and STI among MSM in Puerto Rico, there is very limited assessment of social and behavioral determinants of HIV risk in this group. Moreover, and perhaps as a consequence of the limited epidemiological research among MSM, there is also relatively limited targeted HIV-related programming for this group, particularly HIV+MSM. Building on well established collaboration between researchers at the University of Puerto Rico School of Public Health and the "Centro Latinoamericano de Enfermedades de Transmisi¿n Sexual" (CLETS) (one of the largest, publicly- funded STI clinic in San Juan metropolitan area) and Coa¿, Inc. (a community-based organization providing HIV preventions services to MSM in Puerto Rico), the proposed research focuses on the development and pilot test of an intervention that will enhance the ability of young adult (25 to 39) HIV+ MSM in Puerto Rico to manage self-perceived stigma. It is also anticipated that this study will enhance health services utilization and retention in this population and that it will serve as the foundation for the development of future epidemiological and prevention research in this and similarly vulnerable populations.