Developing a Community Level Behavioral Intervention for MSM in Thailand

为泰国的 MSM 制定社区层面的行为干预措施

• 批准号: 8316327
• 负责人: THOMAS E GUADAMUZ
• 金额: $ 16.54万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8316327
• 关键词: 21 year old; AIDS education/prevention; AIDS prevention; Acquired Immunodeficiency Syndrome; Adult; Affect; Area; Bachelor' s Degree; Behavior; Behavior Therapy; Behavioral; Cambodia; Characteristics; Communities; Community Trial; Country; Data; Descriptive Epidemiology; Developing Countries; Discipline; Discrimination; Disease; Epidemic; Epidemiology; Evaluation; Female; Future; Gays; Goals; Government Programs; HIV; HIV Infections; HIV Seropositivity; Heterosexuals; Homosexuality; Incidence; Instruction; Intervention; Intervention Studies; Intervention Trial; Laboratories; Language; Laos; Lead; Learning; Malaysia; Maps; Mentors; Military Personnel; Minority Groups; Modeling; Odds Ratio; Persons; Policies; Population; Prevalence; Principal Investigator; Public Health; Qualitative Methods; Reporting; Research; Research Personnel; Risk-Taking; Sampling; Schools; Sentinel Surveillance; Sex Behavior; Societies; Stigmata; Testing; Thailand; Training; Vietnam; Woman; base; condoms; design; efficacy testing; experience; intervention program; male sex worker; men; men who have sex with men; programs; same sex behavior; sex; sexual minority; skills; social; social stigma; southeast Asian; success; surveillance data; therapy development; transgender

My long-term goal is to become an independent investigator in behavioral intervention research. My short- term goal is to respond to a quickly escalating HIV crisis among men who have sex with men (MSM) populations in Thailand. Recent surveillance data among MSM assessed by my team of investigators found a serious and expanding epidemic that is becoming worse, increasing HIV prevalence in Bangkok from 17.3% in 2003 to 28.3% in 2005. This epidemic may have the potential to spread, affecting emerging MSM communities in Cambodia, Laos, Malaysia, Myanmmar and Vietnam. Currently, there are no interventions for MSM that have been evaluated in Thailand. I believe I am an ideal person to take the lead on interventions for Thai MSM due to previous training and experience in epidemiologic surveillance research and community-based sampling of hard-to-reach populations, native fluency in the Thai language and culture, and having spent several years conducting research in Thailand, including being part of the first assessment of HIV prevalence and correlates among MSM populations in Thailand. These experiences have brought me to this juncture and I am now ready to go beyond descriptive epidemiology in order to respond to an escalating HIV crisis among Thai MSM by developing and testing a community-level behavioral intervention. To achieve this goal, I require interdisciplinary training in three areas: 1) conducting formativeevaluations using qualitative methods, 2) developing socially and culturally appropriate behavioral interventions and 3) implementing and evaluating community-level behavioral intervention trials. I will be mentored by a team of successful investigators from a multitude of disciplines under the direction of Dr. Ron Stall. We are also proposing to implement the following studies that will serve as a "laboratory" to practice the skills I learn as part of this application's training. Study 1: Qualitative assessment and analysis of risk-taking behaviors of HIV positive and negative MSM residing in Chiangmai, Thailand. Study 2: Behavioral intervention development for MSM populations in Chiangmai. Study 3: Implementation and evaluation of a pilot community-level behavioral intervention trial among MSM populations in Chiangmai. RELEVANCE (See instructions): The research plan in this application will respond to a quickly escalating HIV crisis among men who have sex with men in Thailand by developing, fielding and pilot testing the first behavioral intervention trial for this population.

我的长期目标是成为行为干预研究的独立研究者。我的短暂 任期目标是应对与男性发生性关系的男性（MSM）的迅速升级的艾滋病毒危机 泰国的人口。我的调查人员团队评估的MSM的最新监视数据发现 严重而不断扩大 2003年的17.3％在2005年为28.3％。这种流行病可能有可能传播，影响了新出现的MSM 柬埔寨，老挝，马来西亚，缅甸和越南的社区。目前，没有干预措施 在泰国进行了评估的MSM。我相信我是一个理想的人，可以领导干预措施 由于以前的培训和流行病学监视研究的经验以及 基于社区的难以到达的人群的采样，泰语和文化中的本地流利性， 并花了几年的时间在泰国进行研究，包括成为第一次评估的一部分 泰国MSM人群之间的HIV患病率和相关性。这些经历给我带来了 对于这个关头，我现在准备超越描述性流行病学，以回应 通过开发和测试社区水平的行为干预，在泰国MSM之间升级艾滋病毒危机。 为了实现这一目标，我需要在三个领域进行跨学科培训：1）进行形成性评估 使用定性方法，2）在社会和文化上发展适当的行为干预措施，3） 实施和评估社区级行为干预试验。我将受到一个团队的指导 在Ron Stall博士的指导下，来自众多学科的成功调查人员。我们也是 提议实施以下研究，该研究将作为“实验室”，以实践我学到的技能 该应用程序培训的一部分。研究1：定性评估和分析冒险行为 HIV阳性和负MSM居住在泰国的Chiangmai。研究2：行为干预 Chiangmai中MSM人群的发展。研究3：飞行员的实施和评估 Chiangmai的MSM人群中的社区级行为干预试验。 相关性（请参阅说明）： 该应用程序中的研究计划将对发生性行为的男性中的艾滋病毒危机迅速升级 通过开发，野战和试点测试在泰国与男子一起进行第一次行为干预试验 人口。