Sexual HIV risk among Thai methamphetamine users

泰国冰毒使用者的艾滋病毒性风险

• 批准号: 7283003
• 负责人: DANIELLE GERMAN
• 金额: $ 4.46万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-18 至 2009-09-17
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7283003
• 关键词: AIDS prevention; Address; Behavior; Characteristics; Data; Depth; Dimensions; Drug usage; Fellowship; German population; HIV; Heterosexuals; Individual; Intervention; Interview; Mental Depression; Methamphetamine; Methods; Modeling; Names; Numbers; Pattern; Pharmaceutical Preparations; Population; Prevalence; Province; Qualitative Methods; Recording of previous events; Research; Risk; Risk Behaviors; Sampling; Sex Behavior; Sexual Partners; Social Characteristics; Social Environment; Social Network; Social support; Thailand; condoms; drug of abuse; experience; member; sex; social; transmission process

DESCRIPTION (provided by applicant): Few studies have examined sexual risk behaviors among heterosexual methamphetamine (MA) users. MA has become the leading drug of abuse among young people in Thailand over the past decade. MA has been associated with increased sexual risk behavior in many contexts, and relatively little is known about its impact in this population. Existing research shows high levels of sexual risk among Thai young people, but data are limited regarding individual and social influences on sexual behavior. Despite decades of HIV prevention in Thailand, HIV prevalence remains high, particularly in certain population segments. There is great concern about HIV transmission potential among young Thai MA users as HIV enters their social networks. The proposed study will explore individual and social dimensions of sexual risk behavior in a cross-sectional sample of 18-29 year old current MA users and members of their drug and sexual networks in Chiang Mai Province, Thailand. The specific aims are to: 1) qualitatively explore the social context of sexual behavior among Thai MA users; 2) examine the association between individual-level factors, such as demographic characteristics, drug use patterns, depression, and STI history, on sexual risk behavior; 3) examine the association between social-level factors, such as network characteristics, relationship characteristics, social support and social norms regarding sexual behavior on sexual risk behavior; and 4) model the relationship between and among individual, relationship, and social network factors in predicting sexual risk behavior. In-depth interviews and qualitative analysis methods will be used to address Aim 1; bivariate and multivariate statistical analyses will be used to address Aims 1-3. Findings will inform HIV prevention efforts addressing social as well as individual influences on behavior.

描述（由申请人提供）：很少有研究调查异性恋甲基苯丙胺 (MA) 使用者的性危险行为。过去十年来，MA 已成为泰国年轻人滥用的主要药物。在许多情况下，MA 与性危险行为增加有关，但对其对该人群的影响知之甚少。现有研究表明泰国年轻人的性风险较高，但有关个人和社会对性行为影响的数据有限。尽管泰国进行了数十年的艾滋病毒预防工作，但艾滋病毒感染率仍然很高，特别是在某些人群中。随着艾滋病毒进入泰国年轻的 MA 用户的社交网络，人们对艾滋病毒传播的可能性非常担忧。拟议的研究将以泰国清迈省 18-29 岁当前 MA 使用者及其毒品和性网络成员的横断面样本为对象，探讨性危险行为的个人和社会维度。具体目标是：1）定性探索泰国 MA 用户中性行为的社会背景； 2）检查个体因素（例如人口特征、吸毒模式、抑郁症和性传播感染病史）与危险性行为之间的关联； 3）考察性行为的网络特征、关系特征、社会支持和社会规范等社会层面因素对性危险行为的关联性； 4) 对个人、关系和社交网络因素之间的关系进行建模，以预测性危险行为。将采用深度访谈和定性分析方法来实现目标 1；双变量和多变量统计分析将用于实现目标 1-3。研究结果将为艾滋病毒预防工作提供信息，以解决社会和个人对行为的影响。