Identifying Venues and Strategies to Prevent Violence and HIV

确定预防暴力和艾滋病毒的场所和策略

基本信息

批准号：
7419078
负责人：
Suzanne Maman
金额：
$ 19.86万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-01 至 2010-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7419078
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Affect Africa Alcohol or Other Drugs use Area Behavior Characteristics Communication Communities Couples Data Depth Development Environment Epidemic Focus Groups Grant HIV Health Individual Intervention Interview Knowledge Maps Measures Mediation Methodology Methods Pattern Positioning Attribute Prevention Prevention program Qualitative Research Research Risk Risk Behaviors Role Sex Behavior Sexual Partners Shapes Social Change Social Network Socialization Structure Surveys System Tanzania Testing Training Violence Woman Youth base behavior change behavior influence community intervention design male member men partner violence prevent social success transmission process willingness

AIDS prevention Acquired Immunodeficiency Syndrome Affect Africa Alcohol or Other Drugs use Area Behavior Characteristics Communication Communities Couples Data Depth Development Environment Epidemic Focus Groups Grant HIV Health Individual Intervention Interview Knowledge Maps Measures Mediation Methodology Methods Pattern Positioning Attribute Prevention Prevention program Qualitative Research Research Risk Risk Behaviors Role Sex Behavior Sexual Partners Shapes Social Change Social Network Socialization Structure Surveys System Tanzania Testing Training Violence Woman Youth base behavior change behavior influence community intervention design male member men partner violence prevent social success transmission process willingness

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项目摘要

DESCRIPTION (provided by applicant): Interventions that incorporate a focus on social networks to change social norms are likely to result in sustained behavior change. One social network approach that has consistently demonstrated a 30% reduction in HIV risk behaviors is the Community Popular Opinion Leader (CPOL) approach, in which natural patterns of communication and influence are used to promote behavior change. A key to the success of social network interventions is identifying effective venues in which to intervene. Through this exploratory study we propose to identify venues where we can develop a CPOL intervention to reduce HIV, violence and substance use among young men. Our first aim is to identify and characterize venues where men, 15-19 years at high risk for HIV acquisition and transmission, socialize in Dar Es Salaam, Tanzania. To achieve Aim 1 we will apply the PLACE (Priorities for Local AIDS Control Efforts) methodology to identify and characterize venues where young men meet new sexual partners, and measure HIV risk, partner violence, and substance use among youth who socialize in these venues. Our second aim is to assess the feasibility and acceptability of a community popular-opinion leader intervention (CPOL) intervention targeting young men. To achieve Aim 2 we will conduct 60 in-depth interviews and 5 focus group discussions in venues identified through the PLACE assessment. We will describe attributes of male social networks that will influence the feasibility and acceptability of a CPOL intervention, and we will pilot aspects of the design and content of a CPOL intervention with young men. There are few interventions that have targeted changing young men's violence and HIV-related behaviors by influencing their social networks, and none, to our knowledge among young men in Africa. The findings will lay the groundwork for a trial to test the efficacy of a venue-based, popular-opinion leader intervention for young men. Youth in settings like Tanzania are disproportionately affected by the HIV epidemic. Strategies to engage young men in HIV prevention efforts are critically needed. This venue-based approach to HIV prevention with male social networks expands upon a successful social network approach to HIV prevention by incorporating a focus on other risk behaviors, namely partner violence and substance use.

描述（由申请人提供）：将重点关注社交网络的干预措施可能会导致持续的行为改变。一种社交网络方法始终显示出艾滋病毒风险行为降低30％的是社区大众舆论领导者（CPOL）方法，其中使用自然的沟通和影响力模式来促进行为改变。社交网络干预措施成功的关键是确定干预的有效场所。通过这项探索性研究，我们建议确定可以开发CPOL干预以减少艾滋病毒，暴力和药物使用的场所。我们的第一个目的是确定和表征在坦桑尼亚达累斯萨拉姆社交的15至19岁艾滋病毒收购和传播风险高15-19岁的场所。为了实现目标1，我们将应用该地点（当地艾滋病控制工作的优先事项）方法，以识别和表征年轻人与新的性伴侣结识新的性伴侣的场所，并衡量在这些场所社交的年轻人中的艾滋病毒风险，伴侣暴力和毒品使用。我们的第二个目的是评估社区大众领导者干预（CPOL）针对年轻人的可行性和可接受性。为了实现目标2，我们将在通过该地点评估确定的场地进行60次深入的访谈和5个焦点小组讨论。我们将描述男性社交网络的属性，这些属性将影响CPOL干预的可行性和可接受性，并且我们将试行与年轻人进行CPOL干预的设计和内容的方面。很少有干预措施是针对改变年轻人的暴力和与艾滋病毒相关的行为的目标，这是通过影响他们在非洲年轻人中所知的社交网络而没有影响他们的社交网络。这些发现将为试验奠定基础，以测试基于场地的，开放的领导者干预年轻男性的功效。坦桑尼亚这样的环境中的青年受到艾滋病毒流行的影响不成比例。至关重要的是，需要吸引年轻人参与艾滋病毒预防工作的策略。这种基于男性社交网络的基于场所的艾滋病毒预防方法通过纳入对其他风险行为的关注，即伴侣暴力和使用物质，扩展了成功的社交网络预防艾滋病毒的方法。