Capitalizing on the power of the Internet to survey Ugandan LGBT nationally

利用互联网的力量在全国范围内调查乌干达 LGBT

• 批准号: 9154454
• 负责人: Michele L. Ybarra
• 金额: $ 22.98万
• 依托单位: CENTER FOR INNOVATIVE PUBLIC HEALTH RESEARCH
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-04-05 至 2018-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9154454
• 关键词: AIDS prevention; AIDS/HIV problem; Adult; Advisory Committees; Affect; Africa South of the Sahara; African; Area; Behavior; Bisexual; Capital; Cities; Communities; Country; Data; Decision Making; Discrimination; Eastern Africa; Ensure; Epidemic; Epidemiology; Exclusion; Face; Focus Groups; Future; Gays; Gender Identity; HIV; HIV Seropositivity; HIV risk; Health Services Accessibility; Heterosexuals; Incidence; Income; Individual; Internet; Intervention; Language; Laws; Lesbian Gay Bisexual; Lesbian Gay Bisexual Transgender; Life; Literature; Morbidity - disease rate; Participant; Pattern; Play; Population; Prevalence; Prevention; Prevention program; Preventive; Protocols documentation; PubMed; Public Health; Public Health Practice; Publishing; Research; Respondent; Risk; Risk Behaviors; Role; Safety; Seroprevalences; Sexual Partners; Sexual and Gender Minorities; Surveys; Technology; Testing; Text; Time; Uganda; Ursidae Family; Vagina; Vulnerable Populations; Woman; aged; base; behavior change; burden of illness; cognitive testing; cost; design; high risk; high risk behavior; interest; male; man; men; men who have sex with men; mortality; novel strategies; population based; protective behavior; public health relevance; sex; sexual minority; social stigma; transgender; transgender men; transgender women; women who have sex with women

 DESCRIPTION (provided by applicant): HIV/AIDS is a major contributor to morbidity and mortality in Uganda, with an estimated 7.3% adults HIV positive. Men who have sex with men (MSM) bear a particularly high disease burden, with 13.2% living with HIV. Despite this increased risk, there is a considerable dearth of scientific literature documenting the barriers and facilitators to behavior change in this vulnerable population. We need to better understand the HIV risk and protective behaviors of MSM and other sexual minority men in Uganda, if we are to develop effective prevention programming. The almost complete lack of research examining the HIV risk of sexual minority women and transgender people is also problematic. Despite assumptions that sexual minority women are not at risk for HIV, compelling seroprevalence and HIV risk behavior data suggest otherwise. Of the handful of studies that have been published on African transgender people, all but one included these women under the rubric of MSM. Individuals who self-identify as women should not be classified in research as men. Moreover, the lack of research including transgender men in Uganda is concerning, particularly given higher risk behaviors in this group in other countries. This dearth in the literature is not inconsequential. Given the invisibility of the sexual and gender minority (SGM) populations in Uganda fueled by stigma, discrimination, and anti-gay laws, what little is known is largely based upon data collected in Kampala. Population-based HIV prevalence across Ugandan regions, however, range between 4.9-9.8%. SGM adults living outside of the capital seem likely to differ from those living the capital, including access to services, connection to an SGM community, and access to available sexual partners. A comprehensive survey that includes respondents from across the country can provide greater understanding of the HIV risks facing the SGM population in Uganda and, just as importantly, of the opportunities for prevention programming for Ugandan SGM communities. To bridge these identified gaps in the literature, our specific aims are as follows: Specific Aim 1. Conduct focus groups to identify sexual decision-making behavior, salient language to query sexual and gender identity, and a survey protocol that ensures the safety of participants. Specific Aim 2. Execute a cognitive test of the survey for understandability with a Content Advisory Team of SGM Ugandan adults. Specific Aim 3. Implement a quantitative survey nationally online to: (1) Identify factors that contextualize HIV preventive behavior for SGM men and women. (2) Articulate opportunities to harness the power of technology (e.g., Internet, text messaging) to safely deliver HIV prevention programming tailored to the needs of SGM.

 描述（由适用提供）：艾滋病毒/艾滋病是乌干达发病率和死亡率的主要贡献者，估计有7.3％的成年人艾滋病毒阳性。与男性发生性关系（MSM）的男性患有特别高的疾病伯恩（Burnen），患有艾滋病毒（HIV）13.2％。尽管风险增加了，但科学文献的死亡仍在考虑，以记录障碍和促进者，以改变这种脆弱人群的行为改变。如果我们要开发有效的预防节目，我们需要更好地了解乌干达MSM和其他性少数人的艾滋病毒风险和受保护的行为。几乎完全缺乏研究性少数族裔妇女和变性人的艾滋病毒风险的研究也是有问题的。尽管假设性少数妇女不面临艾滋病毒的风险，但迫使Serapravenence和HIV风险行为数据表明了这一点。在有关非洲跨性别者的少数研究中，除了这些妇女之外，所有这些研究都包括在MSM的标题下。自我认同为女性的个人不应在研究中被归类为男性。此外，涉及包括乌干达的跨性别男性在内的缺乏研究，特别是考虑到其他国家的这一群体的风险行为较高。文献中的死亡并不是无关紧要的。鉴于乌干达的性别和性别少数群体（SGM）的隐形性受到污名，歧视和反同性恋法律的影响，鲜为人知的主要是基于在坎帕拉收集的数据。然而，乌干达地区基于人群的艾滋病毒患病率在4.9-9.8％之间。居住在首都以外的SGM成年人似乎可能与居住资本的人不同，包括获得服务，与 SGM社区，并获得可用的性伴侣。一项包括来自全国各地的回应的综合调查可以为乌干达SGM人口面临的艾滋病毒风险提供更多的了解，并同样重要的是，为乌干达SGM社区提供预防编程的机会。为了弥合文献中这些确定的差距，我们的具体目的如下：特定目标1。进行焦点小组以确定性决策行为，显着的语言来查询性别和性别认同，并确保参与者安全的调查协议。具体目的2。对SGM乌干达成年人的内容咨询团队进行对调查的认知测试。特定目的3。在全国范围内在线实施定量调查，以：（1）确定对SGM男性和女性艾滋病毒预防行为背景下的因素。 （2）阐明机会来利用技术的力量（例如，互联网，文本消息传递），以安全地提供满足SGM需求的HIV预防节目。