Context & Correlates of Health Behaviors in South India

语境

基本信息

批准号：
6947109
负责人：
Maria L. Ekstrand
金额：
$ 50.17万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-30 至 2011-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): India is estimated to have 5.1 million people living with HIV infection, making it second only to South Africa. A recent qualitative study by Tripathi found that alcohol consumption is common in several subpopulations who are also at high risk for HIV. In-depth interviews suggest that members of these groups may drink to cope with stress, to enhance pleasure and performance, and that their alcohol use may be related to HIV risk taking. Our quantitative research with male STD patients in Mumbai showed that men who reported sex with female sex workers under the influence of alcohol were also more likely to report unprotected sex with these partners. However, no data were obtained on alcohol or drug use patterns, the context of alcohol or substance use, or on expectancies. Thus, although the link between alcohol and HIV risk taking has been demonstrated in some Indian population groups and settings, very little is known about the nature of this relationship. The current study has been designed to meet this need. It utilizes the Information-Motivation-Behavior (1MB) model of health behavior, incorporating constructs from gender and empowerment theory, to guide the selection of study measures and the design of a pilot intervention. The study extends Tripathi's work to male migrant workers (MMW) and female sex workers (FSW) in South India. The proposed study will also build research capacity of Indian scientists and staff by involving two South Indian NGO scale-up partners of YRG Care; an established AIDS research organization in Chennai, Tamil Nadu. Specifically, we propose to recruit participants in Chirala, Andhra Pradesh and Calicut, Kerala to: 1. Examine qualitatively: a) patterns and contexts of alcohol consumption; b) sexual risk taking patterns; c) culturally- and population-specific factors; and d) the relationship between motivation, alcohol consumption, its social context and sexual behaviors among MMWs and FSWs in these settings. 2. Develop and administer a theory-driven, quantitative survey to measure a) the prevalence and patterns of sexual risk taking and alcohol consumption; b) sexual risk taking patterns, c) model-specific variables; and d) the relationship between sexual risk taking, type and context of alcohol consumption and other motivational, interpersonal, sociocultural and contextual variables in the target populations. 3. Develop, implement and pilot test a culturally-specific, theoretically-guided and empirically-based risk reduction intervention in collaboration with our Indian partners as well as with local and regional alcohol researchers, health care providers, public health officials and NGO representatives to reduce HIV risk taking in the context of alcohol use among South Indian sex workers and migrant workers.

描述（由申请人提供）：据估计，印度有510万人感染了艾滋病毒感染，仅次于南非。 Tripathi最近的一项定性研究发现，在几种也处于艾滋病毒高风险的亚群中，饮酒很常见。深入的访谈表明，这些小组的成员可能会喝酒以应对压力，增强愉悦和表现，并且他们的饮酒可能与艾滋病毒的风险服用有关。我们对孟买男性性病患者的定量研究表明，在酒精影响下与女性性工作者发生性关系的男性也更有可能与这些伴侣报告无保护的性行为。但是，未获得有关酒精或吸毒模式，酒精或药物使用或预期的数据。因此，尽管在某些印度人口群体和环境中已经证明了酒精与艾滋病毒风险之间的联系，但对这种关系的性质知之甚少。当前的研究旨在满足这一需求。它利用了健康行为的信息动机行为模型（1MB）模型，结合了性别和授权理论的构造，来指导研究措施的选择和飞行员干预的设计。这项研究将Tripathi的工作扩展到印度南部的男性移民工人（MMW）和女性性工作者（FSW）。拟议的研究还将通过涉及两位南印度非政府组织统计的YRG护理伙伴来增强印度科学家和员工的研究能力。泰米尔纳德邦钦奈的既定艾滋病研究组织。具体来说，我们建议招募Chirala，Andhra Pradesh和Calicut的喀拉拉邦的参与者： 1。定性检查：a）饮酒的模式和环境； b）采取性风险的模式； c）文化和人口特异性因素； d）在这些环境中，MMW和FSW之间的动机，饮酒，其社会环境与性行为之间的关系。 2。开发和管理理论驱动的定量调查，以衡量a）性风险服用和饮酒的普遍性和模式； b）采取性风险的模式，c）特定于模型的变量； d）目标人群中性冒险，饮酒的类型和背景与其他动机，人际，社会文化和上下文变量之间的关系。 3。与印度合作伙伴以及本地和地区酒精研究人员，卫生保健提供者，公共卫生官员和非政府组织代表一起，开发，实施和试验测试了一种具有文化特异性的，理论上指导和基于经验的风险降低干预措施，以减少南印度性别性别工作者和移民的艾滋病毒风险。