Despite overall declines in HIV transmission in the US, HIV/AIDS diagnoses among men who have sex with men (MSM) has increased from 2001-06. Venues where MSM gather continue to serve as integral locations where health and community service providers engage MSM for HIV testing, education, and prevention. Meanwhile, these providers face added challenges both with locating target populations and in translating interventions to non-traditional settings (e.g., Internet). While there have been studies conducted within venues where MSM meet sex partners, there is little cross-venue analyses, thus little contextualization of how venue-level characteristics (e.g., alcohol/drugs in bars, anonymous chat online, dark/quiet spaces in bathhouses) can create social norms that can significantly impact how MSM negotiate HIV-associated risk behavior (e.g., serostatus disclosure, condom use). Consistent with the SC2 mechanism, the proposed pilot study will use probability-based recruitment methods to identify and longitudinally follow (for 6 months) three diverse samples of sexually active MSM (N = 150): one sample recruited via bathhouses (n = 50), one recruited at bars (n = 50), and one recruited off the Internet (n = 50). Measures will be both qualitative and quantitative in nature. In addition to identifying venue-level patterns and the prevalence of HIV-associated risk behavior (i.e., sexual behavior specific to the venues where partners were met), this study will focus on identifying venue- level characteristics (e.g., lighting;sound;perceived social norms around unsafe sex, drug, or alcohol use;perception of anonymity) in an effort to determine their impact on participant's sexual behavior and sexual decision making. Additional attention will be paid to intersecting roles that alcohol and club drugs may play in venues and subsequent sexual behaviors with partners met via venues. Finally, using a longitudinal design, this study will track changes in participant's sexual behaviors, substance use behaviors, and venue frequenting to identify connections between venue-specific partners and subsequent sexual behaviors, HIV-risk, drug, and alcohol use. Consistent with the SC2 mechanism, this pilot study will serve as the basis for developing and testing a venue-based intervention to reduce HIV transmission risks among MSM. Given the study's findings, and the SC2 mechanism's objective (long-term development of a new line of research), this will warrant developing PI- initiated R34 and/or R01 grants. To accomplish these goals, Dr. Christian Grov (PI) has partnered with Dr. Jeffrey Parsons (Mentor), who is an accomplished NIH-funded investigator with expertise in translating formative research findings into interventions. Together, they have created a comprehensive PI development plan that is equipped with a 4-phase timeline and measurable indicators of success.

Public Health Relevance

The findings of this study will facilitate a more nuanced understanding of HIV-associated risk behaviors contextualized within social atmospheres (venues) that men who have sex with men (MSM) encounter their sex partners. These data will, in turn, inform venue-based HIV prevention and intervention efforts, and treatments designed to reduce MSM's HIV associated risk behaviors. Consistent with the SC2 mechanism, the pilot data generated from this study will serve as the basis for developing and testing a venue-based intervention to reduce HIV transmission risks among MSM.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Pilot Research Project (SC2)
Project #
5SC2AI090923-03
Application #
8231386
Study Section
Special Emphasis Panel (ZRG1-AARR-F (08))
Program Officer
Roe, Joanad'Arc C
Project Start
2010-03-15
Project End
2014-02-28
Budget Start
2012-03-01
Budget End
2014-02-28
Support Year
3
Fiscal Year
2012
Total Cost
$185,773
Indirect Cost
$62,691
Name
Brooklyn College
Department
Other Health Professions
Type
Schools of Arts and Sciences
DUNS #
620127691
City
New York
State
NY
Country
United States
Zip Code
11210
Grov, Christian; Cruz, Jackeline; Parsons, Jeffrey T (2014) Men who have sex with men's attitudes toward using color-coded wristbands to facilitate sexual communication at sex parties. Sex Res Social Policy 11:11-19
Grov, Christian; Breslow, Aaron S; Rendina, H Jonathon et al. (2014) Men who have sex with mens' exposure to, use of, and subjective experiences with the 'NYC Condom'. AIDS Behav 18:2172-7
Grov, Christian; Rendina, H Jonathon; Parsons, Jeffrey T (2014) Comparing three cohorts of MSM sampled via sex parties, bars/clubs, and Craigslist.org: implications for researchers and providers. AIDS Educ Prev 26:362-82
Grov, Christian; Rendina, H J; Ventuneac, Ana et al. (2014) Partners met via sex parties present significantly greater odds for condomless anal sex among MSM: an event-level analysis of venues where male partners are met. J Acquir Immune Defic Syndr 67:564-8
Grov, Christian; Ventuneac, Ana; Rendina, H Jonathon et al. (2013) Recruiting men who have sex with men on Craigslist.org for face-to-face assessments: implications for research. AIDS Behav 17:773-8
Grov, Christian; Agyemang, Linda; Ventuneac, Ana et al. (2013) Navigating condom use and HIV status disclosure with partners met online: a qualitative pilot study with gay and bisexual men from Craigslist.org. AIDS Educ Prev 25:72-85
Grov, Christian; Ventuneac, Ana; Rendina, H Jonathon et al. (2013) Perceived importance of five different health issues for gay and bisexual men: implications for new directions in health education and prevention. Am J Mens Health 7:274-84