PS07-003, Minority HIV/AIDS Research Initiative

PS07-003，少数民族艾滋病毒/艾滋病研究计划

• 批准号: 7683177
• 负责人: Jose Eduardo Nanin
• 金额: $ 24.64万
• 依托单位: KINGSBOROUGH COMMUNITY COLLEGE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7683177
• 关键词: PS07; 003; Minority; HIV; AIDS

DESCRIPTION (provided by applicant): The proposed investigation seeks to explore the relationship between interpersonal communication about HIV prevention and HIV testing intentions among adult Black men who have sex with men (BMSM) and other men who have sex with men (MSM) of their social networks (ages 18-64) in the New York City area. We will conduct a cross-sectional formative research study, using both quantitative and qualitative methods, guided by the following primary aims: 1) to determine the content and contexts of messages being disseminated about HIV prevention strategies and HIV testing among adult NYC-based BMSM and their social networks; and 2) to assess the relationship between interpersonal HIV prevention communication and intent to receive an HIV test among BMSM and their social networks. Secondary aims of the study include: a) to determine how BMSM and other MSM in their social networks diffuse messages about HIV prevention and HIV testing within their social networks; b) to determine what methods and venues for HIV testing are preferred by BMSM and other MSM of their social networks; c) to determine what barriers and facilitators to HIV testing exist among BMSM and other MSM of their social networks; d) to assess how specific psychosocial and behavioral variables (i.e., sexual identity, drug use, unsafe sex, gay-related stigma, HIV-related stigma, gay community attachment, and ethnic community attachment) relate to message diffusion methods as well as HIV testing preferences; and, e) to determine intent to receive HIV testing. Theoretical framework for this study is based primarily on the theory of reasoned action and secondarily on the diffusion of innovation theory. To achieve these aims, we will recruit a total of 300 BMSM and other MSM in their social networks. One hundred (100) BMSM are being recruited via active and passive recruitment methods at specific venues and special community events. These 100 BMSM will then recruit 200 other MSM from within their social networks to participate in the study (i.e., respondent- driven sampling). Data analyses will utilize multivariate analysis techniques (i.e., regression analyses, logistic regression) to determine the power and strength of relationships between interpersonal communication and HIV testing intention variables. Quantitative assessments will be administered via Audio-CASI; qualitative assessments will be administered via structured personal interviews. Mixed-methods strategies simultaneously examining the qualitative and quantitative data will be utilized to explore components of the Theory of Reasoned Action (TRA) framework of the study as well as the content and contexts of HIV prevention through interpersonal communication. Results from this study will facilitate a better understanding about the specific messages being conveyed about HIV prevention and HIV testing between Black men who have sex with men and their friends, peers and sexual partners. Findings will also provide information on how this type of interpersonal communication may relate to behavioral intentions to test for HIV. Information from this study will help inform HIV prevention and testing efforts as well as social marketing and clinical interventions created in response to reducing health disparities as outlined by the Healthy People 2010 objectives and the recent CDC document entitled, A Heightened National Response to the HIV/AIDS Crisis Among African Americans.

描述（由申请人提供）：拟议的调查旨在探索与男性发生性关系的成年黑人（BMSM）与其他与男性发生性关系（MSM）（MSM）（18-64岁）在纽约市地区发生性关系的成年黑人（BMSM）之间的人际交往之间的关系。我们将使用定量和定性方法进行横截面形成性研究，以以下主要目的为指导：1）确定基于成人NYC的BMSM中有关HIV预防策略和HIV测试的信息的内容和背景； 2）评估人际艾滋病毒预防沟通与在BMSM及其社交网络中接受HIV检验的意图之间的关系。该研究的次要目的包括：a）确定其社交网络中的BMSM和其他MSM如何在其社交网络中传播有关预防HIV和HIV测试的信息； b）确定BMSM及其社交网络的其他MSM首选艾滋病毒测试的方法和场所； c）确定BMSM和其他社交网络其他MSM之间存在哪些障碍和艾滋病毒测试的障碍； d）评估特定的社会心理和行为变量（即，性认同，药物使用，不安全的性别，与同性恋相关的污名，与HIV相关的污名，同性恋社区的依恋和族裔社区的依恋）如何相对于信息扩散方法以及HIV测试偏好；并且，e）确定意图接受HIV测试。这项研究的理论框架主要基于合理行动的理论，其次是基于创新理论的扩散。为了实现这些目标，我们将在其社交网络中招募总共300 BMSM和其他MSM。在特定场所和特殊社区活动中，通过主动和被动招聘方法招募了1（100）个BMSM。然后，这100个BMSM将从其社交网络中招募200个其他MSM参加研究（即受访者驱动的抽样）。数据分析将利用多元分析技术（即回归分析，逻辑回归）来确定人际关系沟通和HIV测试意图变量之间关系的力量和强度。定量评估将通过Audio-Casi进行；定性评估将通过结构化的个人访谈进行管理。同时研究定性和定量数据的混合方法策略将用于探索研究理论理论（TRA）框架的组成部分，以及通过人际关系沟通预防HIV的内容和背景。这项研究的结果将有助于更好地理解有关与男人及其朋友，同伴和性伴侣发生性关系的黑人之间有关预防艾滋病毒和艾滋病毒检测的特定信息。调查结果还将提供有关这种类型的人际交流如何与艾滋病毒测试的行为意图有关的信息。这项研究的信息将有助于为艾滋病毒的预防和测试工作以及为了降低健康差异而创建的社会营销和临床干预措施，如《健康人民2010年的健康目标》概述，以及最近的疾病预防控制中心文档，这是对非裔美国人艾滋病毒/艾滋病危机的强烈反应。