HIV Prevention for MSM Stimulant Users Focused on Healthy Sexuality

MSM 兴奋剂使用者的艾滋病毒预防重点是健康的性行为

• 批准号: 7620304
• 负责人: THOMAS M LYONS
• 金额: $ 25.61万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7620304
• 关键词: AIDS prevention; Address; Adolescent; Age; Alcohol or Other Drugs use; Anal Sex; Behavior Therapy; Behavioral; Chicago; Childhood; Cocaine; Communities; Community Health Centers; Consent; Data; Drug usage; Education; Educational Curriculum; Enrollment; Ethnic Origin; Evaluation; Friendships; Group Processes; HIV; Health; Incidence; Individual; Intermediate Variables; Intervention; Interview; Length; Link; Measures; Meditation; Mental Health; Methamphetamine; Minority; Motivation; Nature; Object Attachment; Patient Self-Report; Persons; Population; Prevention intervention; Prevention program; Process; Public Health; Rate; Recruitment Activity; Reinforcing Factor; Reporting; Risk; Risk Behaviors; Sex Behavior; Sexual Health; Sexuality; Social Network; Socialization; Staging; Substance abuse problem; Techniques; Therapeutic; Training; United States; Unsafe Sex; Week; base; design; desire; disorder later incidence prevention; drug relapse; men who have sex with men; programs; psychosocial; psychostimulant; sex; size; stressor; success

DESCRIPTION (provided by applicant): HIV prevention programs for men who have sex with men (MSM) and who use cocaine and/or methamphetamine have proven to be limited. Effective community based interventions for out of treatment users are needed that can break the bond between stimulant use and risky sex. In partnership with a community based health center in Chicago, this project will develop a group-based behavioral intervention for a broad population of MSM who engage in high-risk sex in the context of stimulant use, and who are contemplating or attempting to reduce or stop drug use. A six-week small group curriculum will address the mutually reinforcing factors that have been shown to predict meth and cocaine use and risky sex among MSM, including childhood and adolescent socialization, minority stressors, and the nature of social networks. Facilitators will be trained on techniques of group process --including establishment of group norms, mindfulness, and a "here and now" process orientation--adapted for open-format community based groups. We hypothesize that therapeutic processes and education in healthy sexuality and ways to decouple the sex-stimulant use link, will reduce use of stimulants in the context of sex. We will then recruit 75 stimulant users who are either in treatment for at least one month, or abstaining from use for at least one month, and who report at least one instance of unprotected anal sex while using stimulants in the previous six months. They will be assessed on drug use and sexual risk behavior, mental health, and sexual health, and will be enrolled in the intervention as part of an uncontrolled formative evaluation. Followup at six weeks and six months post intervention will measure changes in self-reported sexual behavior and drug use, as well as intermediate psychosocial and sexual health variables. PUBLIC HEALTH RELEVANCE: HIV incidence rates in the United States remain high among men who have sex with men, and use of psychostimulants during sex has been shown to contribute to the rise in risky behaviors. Tailored, community based interventions to break the bond between risky sex and stimulant use by promoting healthy sexuality are urgently needed given the rise in seroincidence attributable to stimulant use.

描述（由申请人提供）：针对与男性发生性关系以及使用可卡因和/或甲基苯丙胺发生性关系的男性的艾滋病毒预防计划已被证明是有限的。需要为未治疗的使用者进行有效的基于社区的干预措施，以破坏兴奋性使用与风险性行为之间的联系。该项目与芝加哥的一个基于社区的健康中心合作，为在兴奋剂使用的背景下从事高风险性行为，并试图减少或停止吸毒的情况下，为大量的MSM开发基于群体的行为干预。一个为期六周的小组课程将解决互惠的增强因素，这些因素已证明可以预测MSM之间的甲基苯丙胺和可卡因使用和风险性行为，包括童年和青少年社交，少数派压力源以及社交网络的性质。促进者将接受小组流程技术的培训 - 包括建立小组规范，正念和“现在和现在的“流程”取向 - 适用于基于开放的Format社区的小组。我们假设在健康性行为和将性刺激性使用链接的方法和教育方法中进行的治疗过程和教育将减少性别背景下的兴奋剂的使用。然后，我们将招募75名兴奋剂用户，他们要么接受治疗至少一个月，要么戒除至少一个月，并且在过去六个月中使用兴奋剂时至少报告了一种未受保护的肛交实例。他们将对吸毒和性风险行为，心理健康和性健康进行评估，并将作为不受控制的形成性评估的一部分进行干预。干预后六周零六个月的随访将衡量自我报告的性行为和吸毒的变化，以及中间的社会心理和性健康变量。公共卫生相关性：在与男性发生性关系的男性中，美国的艾滋病毒发病率仍然很高，并且在性生活中使用心理刺激剂已被证明会导致风险行为的增加。鉴于刺激性使用的血清症状上升，迫切需要量身定制的基于社区的干预措施，以促进健康性行为，通过促进健康性行为来打破危险的性行为和刺激性使用之间的联系。