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: 7939627
• 负责人: THOMAS E GUADAMUZ
• 金额: $ 16.21万
• 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/7939627
• 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; Government Programs; HIV; HIV Infections; HIV Seropositivity; Heterosexuals; Homosexuality; Incidence; Intervention; Intervention Studies; Intervention Trial; Knowledge; 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; men; men who have sex with men; programs; public health relevance; sex; skills; social; social stigma; southeast Asian; success; surveillance data; therapy development; transgender

DESCRIPTION (provided by applicant): 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 formative evaluations 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. PUBLIC HEALTH RELEVANCE: 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.

描述（由申请人提供）：我的长期目标是成为行为干预研究的独立研究者。我的短期目标是应对与男性发生性关系（MSM）人口发生性关系的艾滋病毒危机的迅速升级。我的调查人员团队评估的MSM的最新监视数据发现，严重而不断扩大的流行病正在变得越来越糟，将曼谷的HIV患病率从2003年的17.3％增加到2005年的28.3％。这种流行病可能具有传播的潜力，影响了剑桥的新兴MSM社区，马来西亚，Myanmarmar，Mynammar和Viors。当前，在泰国没有评估过MSM的干预措施。我相信，由于先前在流行病学监视研究中的培训和经验以及基于社区的人群的采样，泰国语言和文化的本地流利性，并且已经在泰国进行了数年的研究，包括在泰国进行研究，包括在HIV率高和MSM中进行thail thail的一部分，因此我是一个理想的人，可以领导泰国MSM的干预措施。这些经历使我进入了这个关头，现在我准备超越描述性流行病学，以通过开发和测试社区级别的行为干预来应对泰国MSM之间不断升级的艾滋病毒危机。为了实现这一目标，我需要在三个领域进行跨学科培训：1）使用定性方法进行形成性评估，2）在社会和文化上发展适当的行为干预措施； 3）实施和评估社区级别的行为干预试验。我将在罗恩·斯塔尔（Ron Stall）博士的指导下，由来自众多学科的成功调查员团队指导我。我们还建议实施以下研究，该研究将作为“实验室”，以实践我学到的技能，作为本申请培训的一部分。研究1：居住在泰国Chiangmai的HIV阳性和负MSM的冒险行为的定性评估和分析。研究2：Chiangmai中MSM种群的行为干预发展。研究3：Chiangmai中MSM人群中试验社区级行为干预试验的实施和评估。公共卫生相关性：本申请中的研究计划将对与泰国男性发生性关系的男性对艾滋病毒危机的迅速升级，对该人群进行第一次行为干预审判。