Network determinants of risk among formerly incarcerated Latino men

描述（由申请人提供）：本申请涉及广泛的挑战领域01行为，行为改变和预防。具体主题是：为负面健康行为高风险群体获取社交网络信息; OD-09-003。在美国的拉丁美洲人受到艾滋病毒/艾滋病流行病的严重影响，艾滋病已成为拉丁美洲人的第四大死因。在拉丁美洲人中，以前被监禁的拉丁美洲男子（FILM）是艾滋病毒/艾滋病传播的一个关键群体。拉丁裔男子在美国惩教设施中的比例过高，监禁已被确定为艾滋病毒的主要风险因素。尽管艾滋病毒感染的脆弱性很高，但针对FILM独特需求的艾滋病毒预防干预措施很少。大多数艾滋病毒预防干预措施没有考虑到社会家庭网络在FILM监禁后经历中的作用。缺乏对背景因素的关注令人担忧，因为研究表明，了解文化、家庭和社会网络因素对于减少不成比例的受影响人口，包括拉丁美洲人和以前被监禁的男子中的艾滋病毒感染非常重要。目前提交的总体目标是研究家庭和社交网络在FILM中的作用，以便为基于网络的干预措施奠定基础，减少FILM中的艾滋病毒感染。为了实现这一广泛目标，我们提出了以下具体目标：（1）进行60次基于网络的开放式访谈，以引出：（a）关于FILM重新进入社区网络的观点，（B）关于网络休闲活动的信息，特别强调大麻和酒精狂欢使用以及性行为，以及（c）集体期望：集体风险行为和网络成员在支持FILM努力减少并发HIV相关风险行为方面的作用。2.）的情况。在上述收集的数据的基础上，开发一个语言和文化上适当的测量网络和个人的艾滋病毒风险的电影，并检查网络和行为决定因素之间的关系，电影艾滋病毒风险行为通过应用一个横截面调查的样本200电影和200提名的网络参考。3.）第三章研究酒精和大麻的狂欢使用和性风险行为的集体意义（和相关的做法），以比较不同网络的电影之间的差异，集体艾滋病毒风险的水平以及网络层面的保护因素。 公共卫生相关性：这项拟议的研究将是首批调查前监禁男性网络中艾滋病毒风险的研究之一。1.这将是第一个明确研究社交网络系统如何影响以前被监禁的拉丁裔男性同时性风险，酒精和大麻狂欢使用的研究之一。2.虽然其他研究招募个人，以创建肤浅的干预组，其中个人不一定知道对方（参加会议，非常个人的问题进行了讨论），我们提出了一个网络的方法研究，将导致未来的网络为基础的干预措施，在现有的社交网络的电影与提高整个社交网络的健康的潜在影响。3.拟议的研究将有助于对少数民族男性健康的新兴研究和对FILM有效预防规划的基础研究，FILM是一个在公共卫生领域一直被忽视的人群。

DESCRIPTION (provided by applicant): This application addresses Broad Challenge Area 01 Behavior, Behavioral Change, and Prevention. The specific topic is: Capturing Social Network Information for Groups at High Risk for Negative Health Behaviors; OD-09-003. Latinos in the United States are disproportionally affected by the HIV/AIDS epidemic, which has led to AIDS being the fourth leading cause of death for Latinos. Among Latinos, formerly incarcerated Latino men (FILM) are a critical group in the spread of HIV/AIDS. Latino men are overrepresented in U.S. correctional facilities, and incarceration has been identified as a major risk factor for HIV. Despite the high level of vulnerability to HIV-infection, HIV-prevention interventions targeting the unique needs of FILM are scarce. The majority of HIV- prevention interventions have failed to consider the role of social-familial networks in the post-incarceration experiences of FILM. The lack of attention to contextual factors is worrisome, as research supports the importance of understanding cultural, familial and social network factors for reducing HIV-infection among disproportionately affected populations, including Latinos and formerly incarcerated men. The overall goal of the current submission is to study the role of familial and social networks among FILM in order to develop the foundation for a network-based intervention to reduce HIV among FILM. To advance that broad goal, we propose the following specific aims: 1.) To conduct sixty network-based, open-ended interviews in order to elicit: (a) perspectives about FILM'S reentry into community networks, (b) information on network leisure activities with special emphasis on marijuana and alcohol binge use followed by sexual behavior, and (c) collective expectancies regarding: collective risk behaviors and network members' role in supporting FILM's efforts to reduce concurrent HIV-related risk behaviors. 2.) On the basis of the above data collected, develop a linguistically and culturally appropriate measurement of network and individual HIV risk for FILM, and examine the relationships between network and behavioral determinants on FILM HIV risk behavior via the application of a cross-sectional survey with a sample of 200 FILM and 200 nominated network referents. 3.) To examine the collective meanings attached to (and practices related to) alcohol and marijuana binge use and sexual risk behavior, in order to compare differences among the diverse networks of FILM with respect to the level of collective HIV risk as well as network-level protective factors. PUBLIC HEALTH RELEVANCE: The proposed study will be one of the first studies to investigate HIV risks among networks of formerly incarcerated men. 1. This will be one of the first studies to explicitly examine how social network systems influence concurrent sexual risk, alcohol and marijuana binge use among formerly incarcerated Latino men (FILM). 2. While other studies recruit individuals in order to create superficial intervention groups, where individuals do not necessarily know each other (to participate in sessions where very personal issues are discussed), we propose a network approach research that will lead to future network-based interventions within already existing social networks of FILM with the potential impact of enhancing the health of entire social networks. 3. The proposed study will contribute to the emerging research on ethnic minority men's health and foundational research for effective prevention programming for FILM, a consistently overlooked population in public health.