Dr. Cui Yang's long term career goal is to develop interventions to address alcohol use and risky HIV related behaviors among high-risk populations. There is an urgent need for the development of culturally-tailored intervention to reduce HIV infections among men who have sex with men and women (MSMW), a high priority population identified in the recent national plan for reducing HIV infection. This K99/ROO application is therefore uniquely timed to contribute to a growing field of HIV prevention science. Overseen by a team of mentors, Dr. Yang's training objectives include 1) To gain expertise in alcohol risk-reduction interventions, 2) To enhance knowledge of alcohol use measurement among high risk populations;and 3) To further develop skills in qualitative methods and application of advanced statistical methods. In the mentored phase research (K99), Dr. Yang will conduct both qualitative (n=40) and quantitative interviews with 40 participants recruited from Baltimore, MD to 1) explore the social factors associated with alcohol use in the context of high risk sex behaviors, 2) to examine the feasibility of peer-driven intervention, and 3) to develop reliable and valid measures of alcohol use. The training objectives and mentored phase research are instrumental to the successful advancement to the ROO phase research which proposes to develop intervention materials and will compare outcomes between two study conditions: (1) standard individual voluntary counseling and testing (VCT) (n=100), and (2) experimental condition (n=100). In the experimental condition, participants will be trained in the reduction of alcohol use and sexual risk behaviors, peer outreach, and communication skills so that they can conduct HIV prevention and alcohol reduction outreach among their risk network members. Participants in the comparison group will receive the standard care of HIV testing and counseling. All participants will be assessed at baseline and 6-month follow up. Finding of this pilot peer-driven intervention will provide significant preliminary data for an R01 grant of a prevention intervention to address issues of sexual health and alcohol-related risks among men who have HIV or at a higher risk of acquiring HIV.

Public Health Relevance

The proposed intervention described in this application is to train affected men as peer health educators to promote the reduction of alcohol use and risky behavior that could prevent or reduce the transmission of HIV among men and women. Results from this intervention will inform future peer-driven interventions and the translation of such an intervention to the other settings, where alcohol and risky behaviors often co-occur.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Career Transition Award (K99)
Project #
5K99AA020782-02
Application #
8541682
Study Section
Special Emphasis Panel (ZAA1-DD (01))
Program Officer
Freeman, Robert
Project Start
2012-09-10
Project End
2014-08-31
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
2
Fiscal Year
2013
Total Cost
$141,098
Indirect Cost
$10,452
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Yang, Cui; Guadamuz, Thomas E; Lim, Sin How et al. (2016) Factors Associated with Alcohol Use Before or During Sex Among Men Who Have Sex with Men in a Large Internet Sample from Asia. LGBT Health 3:168-74
Li, Ji; Yang, Cui; Davey-Rothwell, Melissa et al. (2016) Associations Between Body Weight Status and Substance Use Among African American Women in Baltimore, Maryland: The CHAT Study. Subst Use Misuse 51:669-81
Yang, Cui; Linas, Beth; Kirk, Gregory et al. (2015) Feasibility and Acceptability of Smartphone-Based Ecological Momentary Assessment of Alcohol Use Among African American Men Who Have Sex With Men in Baltimore. JMIR Mhealth Uhealth 3:e67
Liao, Meizhen; Kang, Dianmin; Tao, Xiaorun et al. (2014) Syndemics of syphilis, HCV infection, and methamphetamine use along the east coast of China. BMC Public Health 14:172
Tobin, Karin; Davey-Rothwell, Melissa; Yang, Cui et al. (2014) An examination of associations between social norms and risky alcohol use among African American men who have sex with men. Drug Alcohol Depend 134:218-21
Tobin, Karin Elizabeth; Yang, Cui; Sun, Christina et al. (2014) Discrepancies between HIV prevention communication attitudes and actual conversations about HIV testing within social and sexual networks of African American men who have sex with men. Sex Transm Dis 41:221-6
Yang, Cui; Latkin, Carl; Luan, Rongsheng et al. (2013) Factors associated with drinking alcohol before visiting female sex workers among men in Sichuan Province, China. AIDS Behav 17:568-73
Yang, Cui; Latkin, Carl; Tobin, Karin et al. (2013) INFORMAL SOCIAL SUPPORT AND DEPRESSION AMONG AFRICAN AMERICAN MEN WHO HAVE SEX WITH MEN. J Community Psychol 41:435-445
Yang, Cui; Davey-Rothwell, Melissa; Latkin, Carl (2013) ""Drinking buddies"" and alcohol dependence symptoms among African American men and women in Baltimore, MD. Drug Alcohol Depend 128:123-9
Yang, Cui; Latkin, Carl; Muth, Stephen Q et al. (2013) Injection Drug Users' Involvement In Drug Economy: Dynamics of Sociometric and Egocentric Social Networks. Connect (Tor) 33:24-34