African American Young Mens Study

非裔美国青年男性研究

• 批准号: 7794872
• 负责人: Michele D. Kipke
• 金额: $ 58.85万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7794872
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Affect; African American; American; Behavior; Centers for Disease Control and Prevention (U.S.); Child; Color; Communities; Country; Cultural Characteristics; Data Collection; Development; Discrimination; Drug usage; Epidemic; Ethnography; Event; Family; Fathers; Focus Groups; Friends; Gays; Goals; HIV; HIV Infections; HIV Seropositivity; Hispanics; House Call; Housing; Illicit Drugs; Individual; Infection; Intervention; Interview; Latino; Liquid substance; Los Angeles; Methods; Minority; Mothers; NIH Program Announcements; Nature; Participant; Perception; Phase; Play; Population; Prevention; Prevention Research; Preventive; Preventive Intervention; Procedures; Qualitative Research; Race; Reporting; Research; Research Design; Research Methodology; Risk; Risk Behaviors; Role; Social Network; Social support; Source; Subgroup; Surveys; Survival Rate; Time; United States National Institutes of Health; Woman; base; density; design; ethnic discrimination; experience; family structure; health disparity; high risk; meetings; member; men; men who have sex with men; peer; protective behavior; psychosocial; public health relevance; racial and ethnic; response; sex risk; social; success; surveillance study

DESCRIPTION (provided by applicant): This revised application is being resubmitted in response to the National Institutes of Health's Program Announcement entitled, "Health Disparities in HIV/AIDS: Focus on African Americans" (PA-06-069, reissued as PA-07-116), which recognizes that "African Americans [represent] a group that has experienced exceptionally high rates of new HIV infections and worse survival rates than other ethnic/racial groups in this country." To be sure, as we are now in the third decade of the HIV epidemic, African American men who have sex with men remain disproportionately affected by the HIV/AIDS epidemic in the US. Perhaps the most hidden segment of this population are African American young men who have sex with men (AAYMSM), who now represent the largest proportion of new infections among men who have sex with men (MSM). Though HIV prevention efforts using bar settings or community-based organizations targeting the gay community have been met with success, research indicates that many at-risk AAYMSM do not frequent these venues. Instead, large numbers of AAYMSM can be reached through the Ball and House communities. The Ball community revolves around collectives called "Houses," which are racial, ethnic, and sexual minority defined communities that are characterized by groups of young men who create a family structure with an appointed "mother," "father" and other members called "the children." The Houses offer members a network of friends and a place to turn to for support, positive affirming norms, collective identity, and connectedness among AAYMSM. Often young men join a House after having been rejected by their own family. The Balls, which are held several times a month, are lavish celebrations/competitions that serve as a social event for MSM of color, particularly AAYMSM. Our own research suggests that the Ball and House communities could be ideal settings in which to conduct HIV prevention research with AAYMSM. We are therefore proposing to conduct ethnographic and survey research to better understand and examine: 1) the structural, social, and cultural characteristics of the Ball and House communities; 2) Ball and House members' use of illicit drugs and involvement in HIV risk and protective behaviors, and their social and sexual networks; and 3) the role that rejection, discrimination, and internalized homophobia play with respect to encouraging drug use and HIV risk. PUBLIC HEALTH RELEVANCE: As we are now in the third decade of the HIV epidemic, African American men who have sex with men remain disproportionately affected by the HIV/AIDS epidemic in the US. Perhaps the most hidden segment of this population are African American young men who have sex with men (AAYMSM), who now represent the largest proportion of new infections among men who have sex with men. Our own research suggests that the Ball and House communities could be ideal settings in which to deliver HIV prevention interventions targeted to AAYMSM. We are therefore proposing to conduct ethnographic and survey research designed to characterize the risk behaviors of members of these communities, as well as identify opportunities for HIV prevention.

描述（由申请人提供）：该修订后的申请正在响应美国国立卫生研究院的计划公告，题为“艾滋病毒/艾滋病的健康差异：关注非裔美国人的健康差异”（PA-06-069，以PA-07的重新发行-116），它认识到“非洲裔美国人（代表）与该国其他种族/种族群体相比，新的艾滋病毒感染率异常高，生存率较差的群体。”可以肯定的是，正如我们现在处于艾滋病毒流行的第三个十年一样，与男人发生性关系的非裔美国人对美国的艾滋病毒/艾滋病流行的影响不成比例。该人群中最隐藏的部分也许是与男人发生性关系的非裔美国人年轻人，他们现在是与男性发生性关系的男性中最大的新感染（MSM）。尽管使用酒吧设置或针对同性恋社区的社区组织的艾滋病毒预防工作已经取得了成功，但研究表明，许多处于危险的AAYMSM并不经常使用这些场所。取而代之的是，可以通过球和房屋社区到达大量AAYMSM。鲍尔社区围绕着称为“房屋”的集体，这些集体是种族，种族和性少数民族定义的社区，这些社区的特征是年轻人，他们用任命的“母亲”，“父亲”和其他称为“父亲”的家庭结构创建家庭结构。孩子们。”这些房屋为会员提供了一个朋友网络，并可以在AAYMSM之间提供支持，积极肯定的规范，集体身份和联系。年轻人经常在被自己的家人拒绝后加入房屋。每月几次举行的球是豪华的庆祝活动/比赛，是MSM的社交活动，尤其是Aaymsm。我们自己的研究表明，舞会和房屋社区可能是与AAYMSM进行艾滋病毒预防研究的理想环境。因此，我们建议进行人种志和调查研究以更好地理解和检查：1）球和房屋社区的结构，社会和文化特征； 2）球和众议院成员使用非法药物，参与艾滋病毒风险和保护行为及其社会和性网络； 3）在鼓励吸毒和艾滋病毒风险方面，拒绝，歧视和内部恐同症的作用起着。公共卫生相关性：由于我们现在处于艾滋病毒流行的第三个十年中，与男人发生性关系的非裔美国人对美国的艾滋病毒/艾滋病流行的影响不成比例。这个人群中最隐藏的部分也许是与男人发生性关系的非裔美国人年轻人，他们现在是与男性发生性关系的男性中最大的新感染。我们自己的研究表明，球和房屋社区可能是提供针对AAYMSM的艾滋病毒预防干预措施的理想环境。因此，我们建议进行人种志学和调查研究，旨在表征这些社区成员的风险行为，并确定预防艾滋病毒的机会。

项目成果

High-risk sexual activity in the House and Ball community: influence of social networks.

House and Ball 社区中的高风险性活动：社交网络的影响。

• DOI: 10.2105/ajph.2013.301543
• 发表时间: 2014
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Schrager,ShereeM;Latkin,CarlA;Weiss,George;Kubicek,Katrina;Kipke,MicheleD
• 通讯作者: Kipke,MicheleD

Community-engaged research to identify house parent perspectives on support and risk within the House and Ball scene.

社区参与的研究，以确定寄宿家长对寄宿和舞会场景中的支持和风险的看法。

• DOI: 10.1080/00224499.2011.637248
• 发表时间: 2013
• 期刊: Journal of sex research
• 影响因子: 3.6
• 作者: Kubicek,Katrina;Beyer,WilliamH;McNeeley,Miles;Weiss,George;Omni,LegendaryFatherTazUltra;Kipke,MicheleD
• 通讯作者: Kipke,MicheleD

Minority stress experiences and psychological well-being: the impact of support from and connection to social networks within the Los Angeles House and Ball communities.

• DOI: 10.1007/s11121-012-0348-4
• 发表时间: 2014-02
• 期刊: PREVENTION SCIENCE
• 影响因子: 3.5
• 作者: Wong, Carolyn F.;Schrager, Sheree M.;Holloway, Ian W.;Meyer, Ilan H.;Kipke, Michele D.
• 通讯作者: Kipke, Michele D.