Exploring Stigmas and HIV Diagnosis Delay, Linkage and Retention for MSM in Ghana
探索加纳 MSM 的耻辱感和 HIV 诊断延迟、关联和保留
基本信息
- 批准号:9063191
- 负责人:
- 金额:$ 28.13万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2016
- 资助国家:美国
- 起止时间:2016-05-23 至 2018-04-30
- 项目状态:已结题
- 来源:
- 关键词:Acquired Immunodeficiency SyndromeAddressAffectAnti-Retroviral AgentsAppearanceApplications GrantsAreaAttentionBeliefBlood specimenCaringCitiesClinicClinicalCommunitiesContinuity of Patient CareCountryCritical CareDataDetectionDevelopmentDiagnosisDiscriminationDiseaseDistressEffectivenessElementsEpidemicEthnographyFactor AnalysisFrightFutureGenderGeneral PopulationGhanaHIVHIV SeropositivityHIV diagnosisHealth Services AccessibilityIndividualInfectionInterventionIntervention StudiesInterviewInvestigationKnowledgeLeadLinkMasculineMeasurementMediatingMediator of activation proteinMentorsMethodsModelingMorphologic artifactsOutcomePathway interactionsPrevalenceProcessPublic HealthPunishmentQualitative MethodsQualitative ResearchRecruitment ActivityReportingResearchRiskRoleSame-sexSamplingScientific Advances and AccomplishmentsSeedsShapesStressStructureSurveysSymptomsTestingTimeUnited States National Institutes of HealthVenipuncturesViralViral Load resultantiretroviral therapybasedesigndigitalexperienceimprovedinnovationinsightmaltreatmentmenmen who have sex with menmortalityoutreachpeerpeer supportprogramspublic health relevancesame sex behaviorsocialsocial stigmasymptom managementsymptomatic improvement
项目摘要
DESCRIPTION (provided by applicant): This application addresses PA-13-246. HIV prevalence among men who have sex with men (MSM) in Ghana is 17.5%, which is 15 times higher than that of the general population. Stigma against same-sex behaviors and identities are common in Ghana and often intertwined with symbolic HIV-related stigma beliefs, perpetuating the notion that infection is divine punishment for MSM. MSM who do not conform to local masculine gender norms are especially vulnerable to stigma. These stigmas can be major contributors to disengagement from HIV care for fear of ridicule and mistreatment. Linkage to and retention in HIV care are critical for achieving viral suppression, improving symptom management, and reducing risk of mortality. Disengagement can lead to decreased access to antiretroviral therapy and concomitant increases in HIV viral load, HIV symptoms and HIV symptom distress. Nonetheless, despite the extremely high HIV prevalence in MSM in Ghana, there are gaps in scientific knowledge regarding how intersecting HIV, same-sex, and gender nonconformity stigmas are associated with HIV care linkage and retention, HIV viral load and HIV symptom distress. Further, it is unknown if associations between stigmas and clinical outcomes are mediated by decreased linkage and retention in HIV care. We propose three aims to narrow these knowledge gaps and support future intervention research. In Aim 1 we will recruit venue-based (n=150) and peer-driven (n=75) samples of HIV positive MSM from four Ghanaian cities with the highest HIV prevalence in MSM, and compare the two strategies for which one produces the greatest yield of MSM that are disengaged from care. We will also conduct brief interviews with a subset of recruiters from the peer-driven sample to explore what challenges (including stigmas) were encountered during recruitment. In Aim 2 we will use structured survey data to test potential mediators (i.e., HIV care linkage and retention) that may explain associations between stigmas and clinical outcomes in the combined venue-based and peer-driven samples (N=225). The survey will include psychometrically validated scales for HIV, same-sex, and gender non-conformity stigmas and HIV symptom distress. HIV viral load will be quantified from venipuncture blood samples. In Aim 3 we will conduct an interpretive ethnography using qualitative interviews from MSM purposively selected from the combined sample because they were diagnosed with HIV late in the course of the disease (n=10) or because they have high HIV symptom distress scores, but are not linked to care (n=10) or were previously linked to HIV care but are not currently engaged (n=10). Interview data will be triangulated with other data collected throughout our time in the field, including unobtrusive observations, field notes, and digital photographs (artifacts) that document elements of the social and cultural contexts of the MSM. Findings from this study will lay the groundwork for the design of a field- based HIV care coordination intervention that integrates peer-outreach to identify MSM not currently in care and peer-support/mentoring strategies to help mitigate the impacts of stigmas on linkage and retention in care.
描述(通过应用程序证明):该申请涉及PA-13-246。 MSM不符合当地的性别规范,这些污名尤其容易受到污名尽管艾滋病毒负荷增加,艾滋病毒症状困扰。进一步,我们提出的三个目标是介导这些知识差距并支持未来的Intivure Inture Inture Inture Inture Inture Inture Intuper Inture Inture Inture Intuper Intudure Inture Intuper Intivent Is AIM 1,我们将招募污名和临床结果。 (n = 150)和同行驱动的(n = 75)来自MSM中NCE最高的加纳城市的艾滋病毒阳性MSM样本,并比较了一种从CARE中产生的最大MSM产量的两种策略还将在AIM 2中遇到来自Tchallenges(包括污名)的一部分招聘者(包括污名)。联合ASED和同伴驱动的样品中的临床结果(n = 225)。在疾病的后期(n = 10)或Hive Hive症状遇险评分中,从HIV中选择了MSM。 10。为设计基于现场的HIV协调的设计奠定了基础,该艾滋病毒的协调集成了同行偶像,以识别MSM目前尚未采用护理指导策略,以帮助减轻污名对联系和保留护理的影响。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
LaRon Earnest Nelson其他文献
LaRon Earnest Nelson的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('LaRon Earnest Nelson', 18)}}的其他基金
Multi-Level Intervention Addressing Intersectional Stigma to Improve HIV Testing in MSM
多层次干预解决交叉耻辱,改善男男性行为者的艾滋病毒检测
- 批准号:
10213837 - 财政年份:2019
- 资助金额:
$ 28.13万 - 项目类别:
Multi-Level Intervention Addressing Intersectional Stigma to Improve HIV Testing in MSM
多层次干预解决交叉耻辱,改善男男性行为者的艾滋病毒检测
- 批准号:
10431888 - 财政年份:2019
- 资助金额:
$ 28.13万 - 项目类别:
Partner-type Influence on Condom Use in Adolescent Girls
伴侣类型对青春期女孩使用安全套的影响
- 批准号:
7304930 - 财政年份:2004
- 资助金额:
$ 28.13万 - 项目类别:
Partner-type Influence on Condom Use in Adolescent Girls
伴侣类型对青春期女孩使用安全套的影响
- 批准号:
6990155 - 财政年份:2004
- 资助金额:
$ 28.13万 - 项目类别:
Partner-type Influence on Condom Use in Adolescent Girls
伴侣类型对青春期女孩使用安全套的影响
- 批准号:
6989053 - 财政年份:2004
- 资助金额:
$ 28.13万 - 项目类别:
Partner-type Influence on Condom Use in Adolescent Girls
伴侣类型对青春期女孩使用安全套的影响
- 批准号:
7150615 - 财政年份:2004
- 资助金额:
$ 28.13万 - 项目类别:
Partner-type Influence on Condom Use in Adolescent Girls
伴侣类型对青春期女孩使用安全套的影响
- 批准号:
6790436 - 财政年份:2004
- 资助金额:
$ 28.13万 - 项目类别:
相似国自然基金
时空序列驱动的神经形态视觉目标识别算法研究
- 批准号:61906126
- 批准年份:2019
- 资助金额:24.0 万元
- 项目类别:青年科学基金项目
本体驱动的地址数据空间语义建模与地址匹配方法
- 批准号:41901325
- 批准年份:2019
- 资助金额:22.0 万元
- 项目类别:青年科学基金项目
大容量固态硬盘地址映射表优化设计与访存优化研究
- 批准号:61802133
- 批准年份:2018
- 资助金额:23.0 万元
- 项目类别:青年科学基金项目
针对内存攻击对象的内存安全防御技术研究
- 批准号:61802432
- 批准年份:2018
- 资助金额:25.0 万元
- 项目类别:青年科学基金项目
IP地址驱动的多径路由及流量传输控制研究
- 批准号:61872252
- 批准年份:2018
- 资助金额:64.0 万元
- 项目类别:面上项目
相似海外基金
IAS 2023, the 12th IAS Conference on HIV Science, Brisbane, Australia, and virtually, 23-26 July 2023
IAS 2023,第 12 届 IAS HIV 科学会议,澳大利亚布里斯班,虚拟会议,2023 年 7 月 23-26 日
- 批准号:
10696505 - 财政年份:2023
- 资助金额:
$ 28.13万 - 项目类别:
Hermanos de Luna y Sol: A community-based HIV prevention intervention
Hermanos de Luna y Sol:基于社区的艾滋病毒预防干预措施
- 批准号:
10626689 - 财政年份:2023
- 资助金额:
$ 28.13万 - 项目类别:
The roles of FRCs in HIV-1 spread and establishment of latency
FRC 在 HIV-1 传播和潜伏期建立中的作用
- 批准号:
10759591 - 财政年份:2023
- 资助金额:
$ 28.13万 - 项目类别:
Applying Deep Learning for Predicting Retention in PrEP Care and Effective PrEP Use among Key Populations at Risk for HIV in Thailand
应用深度学习预测泰国主要艾滋病毒高危人群中 PrEP 护理的保留情况以及 PrEP 的有效使用
- 批准号:
10619943 - 财政年份:2023
- 资助金额:
$ 28.13万 - 项目类别:
The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM)Research Core - Methods
迈阿密大学艾滋病心理健康和艾滋病毒/艾滋病研究中心 - Center for HIV
- 批准号:
10686544 - 财政年份:2023
- 资助金额:
$ 28.13万 - 项目类别: