Young Hispanic Men - Entre Culturas: Navigating Culture, Identity and HIV Risk

年轻西班牙裔男性 - Entre Culturas：驾驭文化、身份和艾滋病毒风险

• 批准号: 7874550
• 负责人: MARIA ISABEL FERNANDEZ
• 金额: $ 35.23万
• 依托单位: NOVA SOUTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-29 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7874550
• 关键词: Adherence; Adult; Age; American; Anal Sex; Area; Behavior; Communities; Data; Development; Discrimination; Educational Curriculum; Family; Feeling; Focus Groups; Friends; Future; Gays; HIV; Health education; Hispanics; Homosexuals; Internet; Intervention; Intervention Studies; Interview; Life; Literature; Mainstreaming; Modality; Modeling; Multiple Partners; Participant; Positioning Attribute; Prevalence; Prevention; Process; Randomized; Recruitment Activity; Relative (related person); Reporting; Research; Resources; Risk; Risk Behaviors; Risk Reduction; Sampling; Sex Orientation; Sexual Partners; Social isolation; Social support; Staging; Target Populations; Testing; Thinking; Time; Unsafe Sex; base; behavioral/social science; demographics; design; efficacy testing; emerging adulthood; flexibility; follow-up; high risk; informant; innovation; men; men who have sex with men; pilot trial; post intervention; psychological distress; racism; recreational drug use; sex; sex risk; theories; therapy development; young adult

DESCRIPTION (provided by applicant): The critical task of emerging adulthood, the life period when risk-behaviors peak, is the development of an integrated adult identity (professional, sexual and cultural). For young Hispanic men who are having sex with men (YHMSM) developing a gay identity in a culture whose traditional norms stigmatize and reject homosexual thoughts, feelings and behaviors and that expects strong adherence to cultural norms, this process can be particularly challenging and risky. Not only does it entail participating in behaviors that are not generally accepted by mainstream Hispanic culture, but they are doing so in Miami, a context where HIV prevalence among MSM is high. Urgently needed for YHMSM are tailored interventions that utilize effective, flexible approaches such as Motivational Enhancement Interventions (MEIs) that can be delivered through the Internet, a modality thoroughly embraced by young adults and one that offers much promise for intervention research. In this Stage 1a/b study, we will develop and pilot test a culturally and developmentally tailored MEI to reduce risky sex (unprotected anal sex and multiple partners) among YHMSM to be delivered face-to-face (FtF) and through the Internet using a real-time implementation approach. In Stage 1a, we will collect quantitative and qualitative data to identify the cultural, developmental, and personal factors associated with risky sex in YHMSM, develop a tailored MEI for two delivery modalities, and a health education control (HEALTH) comparable in time and number of sessions. We will recruit across-sectional sample of 100 YHMSM from community and Internet venues to complete an ACASI. We will supplement these data with 25 qualitative interviews, 10 key informant interviews and 6-8 focus groups to guide intervention development. In Stage 1b, we will test the newly developed MEI's acceptability and feasibility, obtain effect size estimates of the intervention's strength to reduce risky sex, and determine if it is ready to be moved to Stage 2 for efficacy testing. We will recruit a total of 90 YHMSM from community and Internet venues and randomly assign them to one of the 3 conditions (MEI-FtF; MEI-lnternet; HEALTH). Participants will complete assessments using ACASI at baseline, 3 and 6 month post intervention. After each session, they will complete acceptability and feasibility assessments. If the pilot trial shows promise, we will be well positioned to move the intervention to full-scale efficacy testing and advance prevention efforts for YHMSM.

描述（由申请人提供）：成年初期（危险行为达到顶峰的人生阶段）的关键任务是发展综合的成人身份（职业、性和文化）。对于在传统规范污蔑和拒绝同性恋思想、感情和行为并期望严格遵守文化规范的文化中发展同性恋身份的年轻西班牙裔男男性行为者 (YHMSM) 来说，这个过程可能特别具有挑战性和风险。这不仅需要参与主流西班牙文化不普遍接受的行为，而且他们在迈阿密这样做，而男男性接触者中艾滋病毒感染率很高。 YHMSM 迫切需要采用有效、灵活的方法进行量身定制的干预措施，例如可以通过互联网提供的动机增强干预措施 (MEI)，这是一种被年轻人彻底接受的方式，并且为干预研究提供了很大的希望。在本阶段 1a/b 研究中，我们将开发并试点测试一种针对文化和发展量身定制的 MEI，以减少 YHMSM 中的危险性行为（无保护的肛交和多个伴侣），并通过面对面 (FtF) 和互联网进行交付，使用实时实施方法。在第 1a 阶段，我们将收集定量和定性数据，以确定与 YHMSM 中危险性行为相关的文化、发育和个人因素，为两种分娩方式制定量身定制的 MEI，以及在时间和数量上可比较的健康教育控制 (HEALTH)会话数。我们将从社区和互联网场所招募 100 个 YHMSM 的跨部门样本来完成 ACASI。我们将通过 25 次定性访谈、10 次关键知情者访谈和 6-8 个焦点小组来补充这些数据，以指导干预措施的制定。在第 1b 阶段，我们将测试新开发的 MEI 的可接受性和可行性，获得干预措施减少危险性行为强度的效应大小估计，并确定是否准备好进入第 2 阶段进行功效测试。我们将从社区和互联网场所招募总共 90 名 YHMSM，并将他们随机分配到 3 个条件之一（MEI-FtF；MEI-Internet；HEALTH）。参与者将使用 ACASI 在基线、干预后 3 个月和 6 个月完成评估。每次会议结束后，他们将完成可接受性和可行性评估。如果试点试验显示出希望，我们将处于有利地位，将干预措施转向全面的功效测试，并推进 YHMSM 的预防工作。