The recognition of AIDS as a global problem, rather than one limited to national boundaries, has required substantial changes in our understanding of the interplay between culture and human behavior and of the influences thereon. The importance of behavior in the acquisition, transmission, treatment, and prevention of HIV/AIDS has resulted in the active incorporation of models of behavior and behavioral change in virtually all successful prevention and treatment approaches. However, most effective behavioral intervention programs are based on Western-derived theories of behavior change (notably, social cognitive theory) that involve concepts of individual determinants of behavior. By contrast, in many of the countries (including China) now experiencing the HIV epidemic, the prevailing culture subscribes to the perspective of collective values, shared tradition, and communal decision-making rather than the individualistic perspective common in the United States and other Western countries. Therefore, an important research question will be whether a Western theory-based behavioral intervention program, through appropriate adaptation and modification, can be effective in a different cultural setting. In this application, we propose a community-based randomized controlled trial among 1,300 young rural-to-urban migrants (18 to 24 years of age), a population at risk of HIV/STD infection, in China to test the efficacy of cultural adaptation of a social cognitive theory-based behavioral intervention program in reducing sexual risk among young people in a different cultural setting. We also propose to examine whether the effectiveness of an intervention will be moderated by cultural orientation (e.g., individualism versus communalism) of a growing population of young migrants in China and whether the constructs of the Western-developed model of behavioral change predict changes in behavioral outcomes and biomarkers. The proposed intervention program is a multiple session behavioral intervention that will be delivered through small groups in a structured setting. The primary behavioral outcomes will be the consistent use of condoms. Incidence rates of three common STDs will be employed as biomarkers in the evaluation of intervention effect.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
3R01NR010498-01S1
Application #
7556042
Study Section
Special Emphasis Panel (ZRG1-AARR-F (52))
Program Officer
Hosseini, Jeanette M
Project Start
2007-09-29
Project End
2008-06-30
Budget Start
2008-01-14
Budget End
2008-06-30
Support Year
1
Fiscal Year
2008
Total Cost
$73,893
Indirect Cost
Name
Wayne State University
Department
Pediatrics
Type
Schools of Medicine
DUNS #
001962224
City
Detroit
State
MI
Country
United States
Zip Code
48202
Du, Hongfei; Li, Xiaoming; Lin, Danhua (2015) Individualism and sociocultural adaptation: Discrimination and social capital as moderators among rural-to-urban migrants in China. Asian J Soc Psychol 18:176-181
Du, Hongfei; Li, Xiaoming; Lin, Danhua et al. (2015) Collectivistic orientation, acculturative stress, cultural self-efficacy, and depression: a longitudinal study among Chinese internal migrants. Community Ment Health J 51:239-48
Du, Hongfei; Li, Xiaoming (2015) Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis. Health Psychol Rev 9:103-22
Wen, Ming; Su, Shaobing; Li, Xiaoming et al. (2015) Positive youth development in rural China: the role of parental migration. Soc Sci Med 132:261-9
Xiao, Zhiwen; Li, Xiaoming; Lin, Danhua et al. (2015) Mass Media and HIV/AIDS Prevention Among Female Sex Workers in Beijing, China. J Health Commun 20:1095-106
Qiao, Shan; Li, Xiaoming; Stanton, Bonita (2014) Practice and perception of parental HIV disclosure to children in Beijing, China. Qual Health Res 24:1276-86
Guo, Yan; Li, Xiaoming; Liu, Yinjie et al. (2014) Disclosure of same-sex behavior by young Chinese migrant men: context and correlates. Psychol Health Med 19:190-200
Li, Xiaoming; Lin, Danhua; Wang, Bo et al. (2014) Efficacy of theory-based HIV behavioral prevention among rural-to-urban migrants in China: a randomized controlled trial. AIDS Educ Prev 26:296-316
Du, Hongfei; Li, Xiaoming; Lin, Danhua et al. (2014) Hopelessness, individualism, collectivism, and substance use among young rural-to-urban migrants in China. Health Psychol Behav Med 2:211-220
Xiao, Zhiwen; Li, Xiaoming; Liu, Yingjie et al. (2013) Sexual communication and condom use among Chinese men who have sex with men in Beijing. Psychol Health Med 18:98-106

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