Male Concerns & Preventions of HIV/STDs in India

男性的担忧

• 批准号: 6797275
• 负责人: STEPHEN L SCHENSUL
• 金额: $ 42.54万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-26 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6797275
• 关键词: AIDS education /prevention; HIV infections; India; adult human (21+); behavioral /social science research tag; blood tests; clinical research; communicable disease control; community health services; culture; data collection methodology /evaluation; fertility; high risk behavior /lifestyle; hospital community relations; human subject; interview; longitudinal human study; male; psychological models; psychological values; sex behavior; sex education; sexually transmitted diseases; urban poverty area

DESCRIPTION (Provided by applicant): This application seeks to address the difficult problem of engaging males in reproductive health education, sexual risk reduction, and early treatment of HIV/STD in urban communities in India, a country where HIV/STD rates are increasing at a dramatic rate. We propose to develop, test, implement and evaluate an intervention that is centered on culturally defined male sexual health concerns about masculinity, vitality, sexual performance and fertility. A majority of men in India define their sexual problems, including symptoms that correspond to STDS, in these traditional concerns. Furthermore, men's sexual health concerns are linked to symptoms of STDs and risky lifestyle. However, public health providers' inattention to and lack of respect for these problems cause men to avoid allopathic services and seek treatment for sexual health problems mostly from unqualified practitioners. Any reproductive health service in India that hopes to introduce early identification of STDs/HIV in men and to increase safer sex practices must start by addressing these male sexual health concerns. This project seeks to test the propositions that traditional male concerns predict higher rates of HIV/STD; determine the degree to which an intervention based on culturally based sexual health concerns can attract men into HIV/STD education and risk reduction and is effective for promoting positive social, psychological and health outcomes, including reduced risk and incidence of HIV/STDs; and test the differential impact of the intervention implemented by allopathic versus traditional sex doctors. This work will be carried out in three large urban slum communities in the northeastern part of Mumbai in the State of Maharasthra, the epicenter of HIV/AIDS in India. This project is a collaboration of researchers at the University of Connecticut School of Medicine and the Institute for Community Research in the United States and the International Institute for Population Sciences in Mumbai (Bombay), India. The project will use both qualitative and quantitative methods in a pre-test, post-test control group design to examine the impact at community and patient levels. The study's significance lies in bringing together researchers and interventionists to address the challenge of developing methods for utilizing cultural factors in HIV/STD risk reduction and in developing the scientific and policy results, which can provide the basis for scaling up at the national and international level.

描述（由申请人提供）：本申请旨在解决 让男性参与生殖健康教育、性教育的难题 印度城市社区的艾滋病毒/性病风险降低和早期治疗， 艾滋病毒/性病发病率急剧上升的国家。我们建议 开发、测试、实施和评估以以下为中心的干预措施 文化上定义的男性性健康关注男子气概、活力、 性能力和生育能力。大多数印度男性定义自己的 性问题，包括与 STDS 相对应的症状，在这些 传统的担忧。此外，男性的性健康问题还与 性病症状和危险的生活方式。然而，公共卫生服务提供者的 对这些问题的不重视和缺乏尊重会导致男性回避 对抗疗法服务并寻求性健康问题的治疗，主要来自 不合格的从业者。印度任何希望的生殖健康服务机构 尽早识别男性性传播疾病/艾滋病毒并提高安全性行为 实践必须从解决这些男性性健康问题开始。 该项目旨在检验传统男性所关心的命题 预测艾滋病毒/性病的发病率较高；确定干预的程度 基于文化的性健康问题可能会吸引男性感染艾滋病毒/性病 教育和减少风险，有效促进积极的社会、 心理和健康结果，包括降低风险和发生率 艾滋病毒/性病；并测试实施干预措施的不同影响 对抗疗法与传统性医生。这项工作将在 孟买东北部的三个大型城市贫民窟社区 马哈拉施特拉邦是印度艾滋病毒/艾滋病的重灾区。这个项目是一个 康涅狄格大学医学院研究人员的合作 美国医学和社区研究所 印度孟买国际人口科学研究所。这 项目将在预测试中使用定性和定量方法， 测试后对照组设计以检查对社区和患者的影响 水平。这项研究的意义在于将研究人员和 干预主义者应对开发利用方法的挑战 减少艾滋病毒/性传播疾病风险以及发展科学和技术的文化因素 政策成果，可以为在国家和地区扩大规模提供基础 国际水平。