Using Smart Phones to Understand the Link Between Social and Geographical Context and HIV Risk Behavior Among MSM

使用智能手机了解 MSM 中的社会和地理环境与 HIV 风险行为之间的联系

• 批准号: 10153830
• 负责人: NATHAN B HANSEN
• 金额: $ 73.02万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10153830
• 关键词: Age; Alcohol consumption; Area; Awareness; Cellular Phone; Characteristics; Church; Cities; Clinic; Communities; Complex; Crime; Cues; Data; Discrimination; Drug usage; Emerging Technologies; Emotional; Enrollment; Environment; Foundations; Geography; HIV; HIV Seronegativity; HIV risk; HIV/STD; Home; Incidence; Individual; Interpersonal Relations; Intervention; Knowledge; Link; Literature; Location; Maps; Mediating; Methodology; Methods; Monitor; Neighborhoods; Participant; Poverty; Precision Health; Prevention program; Questionnaires; Research; Resources; Risk; Risk Behaviors; Sampling; Sexual Partners; Social Environment; Social Network; Technology; Testing; Time; Travel; Unsafe Sex; Visit; base; cohesion; contextual factors; density; distilled alcoholic beverage; emerging adult; experience; geographic risk; high risk; high risk population; improved; innovation; insight; member; men; men who have sex with men; migration; mobile computing; nonmetropolitan area; novel; peer influence; sex; social; substance use; young men who have sex with men

Research Summary This study explores novel methods to assess how geographic and social contexts create unique profiles of risk for emerging adult HIV-negative men who have sex with men (MSM). HIV risk behaviors (sexual risk, substance use) are heavily influenced by geographic and social context of the neighborhoods that people live and frequent (e.g., crime; poverty; density of liquor stores, parks, churches, clinics). However, most studies that assess geographic influence, focus on a fixed location (e.g., home). However, young MSM do not stay in one place, and travel to different places to meet people and engage in risk behavior (e.g., bars, parties, sex clubs). There is a need to take a more dynamic and complex approach when trying to understand the geographic and social contexts of HIV risk. This proposal explores novel and innovative methods of assessing the influence of social places and their impact on risk behavior (e.g., sexual risk, substance use) among emerging adult MSM. To understand these mechanisms we will use a unique combination of geographic data captured through GPS monitoring and monitoring of partner-seeking app use (e.g., Grindr), and context-aware experience sampling using mobile technology that has participants answer brief questionnaires about their geographic and social environment triggered by GPS location or use of partner- seeking apps. In this application we propose to enroll 400 emerging adults MSM (ages 18-29) and track their GPS coordinates and use of partner-seeking apps for 2 months to create activity space maps of where they go and where they engage in risk behavior. The GPS coordinates from their activity space maps will be programmed in their cell phone and then we will conduct context-aware experience sampling assessments daily for 30 days (triggered by the GPS location of activity spaces or the use of a partner-seeking app). Context-aware experience questions will assess interpersonal interactions with social network members, location environment, drug use, alcohol use, and sexual risk. Results will provide tremendous insight into MSM's interpersonal interactions in social settings that will serve as the foundation for developing ecological momentary interventions (which can deliver tailored intervention components in real time contexts and situations) to reduce HIV risk and substance use of emerging adult MSM. Ecological momentary interventions developed using data from this study would allow us to provide precision health approaches through tailored interventions in real time when participants were at highest risk and in most need of support. This study provides us with unique data on interpersonal interactions in places that are socially meaningful that can help us improve the social and environmental contexts that put emerging adult MSM at risk.

研究摘要 这项研究探讨了新的方法，以评估地理和社会环境如何创建独特的风险概况 适用于与男性发生性关系的新兴成人艾滋病毒阴性男性（MSM）。艾滋病毒风险行为（性风险， 使用物质）受人们居住的社区的地理和社会环境的严重影响 和频繁（例如犯罪；贫困；酒类商店，公园，教堂，诊所的密度）。但是，大多数研究 该评估地理影响力，专注于固定位置（例如，家庭）。但是，年轻的MSM不留在 一个地方，然后前往不同的地方结识人们并从事风险行为（例如，酒吧，聚会，性别 俱乐部）。尝试了解 艾滋病毒风险的地理和社会环境。该建议探讨了新颖和创新的方法 评估社会场所的影响及其对风险行为的影响（例如，性风险，使用物质） 在新兴的成人MSM中。要了解这些机制，我们将使用独特的组合 通过GPS监视和监视合作伙伴的应用程序使用（例如Grindr）捕获的地理数据， 和上下文感知的经验抽样，使用让参与者回答摘要的移动技术 有关其地理和社会环境的问卷 寻求应用程序。在此应用中，我们建议注册400名新兴成年人MSM（18-29岁）并跟踪他们的 GPS坐标和使用合作伙伴的应用程序2个月来创建其去哪里的活动空间图 以及他们从事风险行为。来自其活动空间图的GPS坐标将是 在他们的手机中编程，然后我们将进行上下文感知体验的抽样评估 每天持续30天（由活动空间的GPS位置触发或使用合作伙伴的应用程序）。 上下文感知的经验问题将评估与社交网络成员的人际交互， 位置环境，吸毒，饮酒和性风险。结果将为您提供深入的了解 MSM在社交环境中的人际关系互动将成为发展生态的基础 暂时的干预措施（可以在实时上下文中提供定制的干预组件，并且 情况）减少新兴成人MSM的艾滋病毒风险和物质使用。生态瞬间干预措施 使用这项研究的数据开发将使我们能够通过量身定制提供精确的健康方法 实时干预参与者处于最高风险和大多数支持时。这项研究 为我们提供有关社会意义上有意义的人际交往的独特数据，可以帮助您 美国改善了使新兴的成年MSM处于危险之中的社会和环境环境。