Population Drinking Patterns & HIV Risk in Goa, India

人口饮酒模式

• 批准号: 7291188
• 负责人: Thomas K Greenfield
• 金额: $ 4.98万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7291188
• 关键词: HIV infections; India; alcoholic beverage consumption; alcoholism /alcohol abuse; behavioral /social science research tag; clinical research; culture; data collection; disease /disorder proneness /risk; health behavior; high risk behavior /lifestyle; human subject; interview; personal log /diary; population survey; rural area; substance abuse epidemiology; urban area

DESCRIPTION (provided by applicant): This capacity-building study involves collaborations between an interdisciplinary team of Indian and United States (US) researchers, and it is designed to test hypotheses regarding risk factors for HIV infection in Goa, India. Recent research by our team, that includes ongoing work in India, suggests that heavy drinking significantly increases health risks, including risky relationship behaviors. The study will include detailed assessment of overall alcohol consumption patterns (not only average volume) and their association with risky behaviors known to increase risk for HIV infection (such as having relationships with high-risk partners or violence). An intensive formative measurement-refinement phase will include key informants, focus groups and depth interviews with small samples. Measure selection will be informed by methodological work in the US and India. These efforts will enhance survey and daily diary measures and adapt them for use in Goa to account for local cultural circumstances. Following this, established alcohol screeners validated in India (AUDIT and RAPS4) will be used to select urban and rural community samples of 500 men and 500 women in each of two communities (total N = 2,000). These samples, comprised three-fourths of both women and men current drinkers, including over samples of hazardous drinkers, will complete a detailed survey. A selected population at elevated risk will be studied in more depth. Specifically, 30 men and 30 women heavy drinkers who also report risky behaviors will be studied using 28-day prospective event-based diaries and qualitative depth interviews. A unique feature of the study is the triangulation of multiple methods to examine relationships between drinking and risk behaviors. Using culturally adapted measures, the study investigates specific risks associated with components of the drinking pattern hypothesized to elevate likelihood of risky behaviors, such as drinking contexts and alcohol-related problems. Relationships will be examined while estimating and statistically adjusting for additional variables, like personal characteristics such as impulsivity and notions about relationships and gender, expected to be influential on the basis of earlier research both in the US and in India. The study tests hypotheses about various relationships among a set of predisposing and temperament variables, expectancies, attitudes, and patterns of alcohol consumption and problems, with risks as the dependent variable. Risk analyses will inform the epidemiology of HIV risk behaviors in India and provide a rich source of information for planning preventive interventions in a resource-poor society.

描述（由申请人提供）：这项能力建设研究涉及印度和美国研究人员的跨学科团队之间的合作，旨在检验有关印度果阿艾滋病毒感染危险因素的假设。我们团队最近的研究（包括在印度正在进行的研究）表明，大量饮酒会显着增加健康风险，包括危险的人际关系行为。该研究将包括对总体饮酒模式（不仅是平均饮酒量）及其与已知会增加艾滋病毒感染风险的危险行为（例如与高危伴侣发生关系或暴力）的关联进行详细评估。密集的形成性测量细化阶段将包括关键信息提供者、焦点小组和小样本深度访谈。 措施的选择将根据美国和印度的方法论工作来确定。这些努力将加强调查和日常日记措施，并根据当地文化环境将其应用于果阿。此后，将使用在印度验证的既定酒精筛查仪（AUDIT 和 RAPS4）来选择两个社区中各 500 名男性和 500 名女性的城乡社区样本（总数 N = 2,000）。这些样本由当前饮酒者的四分之三的女性和男性组成，其中包括超过危险饮酒者的样本，将完成一项详细的调查。将更深入地研究选定的高风险人群。具体来说，我们将使用 28 天基于事件的前瞻性日记和定性深度访谈来研究也报告危险行为的 30 名男性和 30 名女性重度饮酒者。该研究的一个独特之处是采用多种方法进行三角测量，以检查饮酒与危险行为之间的关系。该研究采用适应文化的措施，调查了与饮酒模式组成部分相关的特定风险，这些饮酒模式假设会增加危险行为的可能性，例如饮酒环境和酒精相关问题。将在对其他变量进行估计和统计调整的同时对人际关系进行检查，例如冲动以及有关人际关系和性别的观念等个人特征，预计根据美国和印度的早期研究，这些变量将产生影响。该研究以风险为因变量，测试了一系列诱发因素和气质变量、期望、态度、饮酒模式和问题之间的各种关系的假设。风险分析将为印度艾滋病毒风险行为的流行病学提供信息，并为资源匮乏的社会规划预防性干预措施提供丰富的信息来源。