YMSM Drug Use, Sexual Risk & Health Promoting Behaviors

YMSM 吸毒、性风险

• 批准号: 7479033
• 负责人: Michele D. Kipke
• 金额: $ 10万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7479033
• 关键词: 18 year old; Acculturation; Acquired Immunodeficiency Syndrome; Address; Adolescence; Adolescent; Adult; Affect; Age; Alcohol or Other Drugs use; Area; Behavior; Bisexual; Buffers; Characteristics; Communities; Data; Data Collection; Development; Discrimination; Drug usage; Ensure; Environment; Epidemiologic Studies; Ethnography; Event; Family; Family member; Frequencies; Friends; Funding; Gays; HIV; HIV Infections; HIV Seropositivity; Health; Heterosexuals; Homeless Youth; Hospitals; Human Development; Incidence; Individual; Infection; Influentials; Institution; Intervention; Interview; Life; Los Angeles; Mediator of activation protein; Modeling; Nature; Numbers; Outcome; Pattern; Phase; Play; Policy Maker; Population; Prevention; Prevention intervention; Probability Samples; Process; Protocols documentation; Race; Range; Rate; Recruitment Activity; Religion and Spirituality; Research; Research Personnel; Resources; Risk; Risk Behaviors; Role; Sampling; Schools; Services; Sex Behavior; Sexual Partners; Social Network; Social Work; Social support; Source; Stigmatization; Structure; Surveys; Target Populations; Testing; Time; Variant; Victimization; Violence; Work; Workplace; Youth; alcohol and other drug; base; cohort; condoms; design; experience; instrument; interest; male; member; men; men who have sex with men; peer; protective behavior; racial and ethnic; residence; size; social; theories

Despite significant advances made in reducing gay men's involvement in HIV risk-related sexual behaviors and the incidence of new infection in this population, there has been little progress made in reducing young gay men's risk for HIV infection. Prevention efforts have in part failed because significant gaps exist in our understanding of the broad array of individual, familial, social, and community characteristics that both individually and collectively influence young gay and bisexual males to engage in both risk and protective factors. Building on our own research with young gay and bisexual men, as well as other high risk youth, Childrens Hospital Los Angeles is proposing to conduct theory-driven (i.e., the social ecological model) longitudinal research to examine young gay and bisexual males' use of drugs and involvement in HIV risk and protective behaviors in the context of individual experiences (e.g., sexual identity and coming out experience; racial/ethnic identity) and the family (e.g., family composition and environment; familial support/rejection), which in turn will be examined in the context of the youth's interpersonal relationships (e.g., number and nature of intimate relationships; peer ties and integration; peer support), and community contexts (e.g., integration and linkage with community of residence, racial/ethnic community; religious organizations; school; workplace; the gay community; and social service agencies). The proposed study will involve two phases of research. During Phase 1, formative ethnographic research will be conducted to further characterize and contextualize the constructs of interest and the proposed relationship between these constructs and the proposed dependent or outcome variables, and refine and/or adapt existing survey instruments that are appropriate for use with the target population. During Phase 2, longitudinal epidemiologic research will be conducted by following a cohort of 880 ethnically diverse young gay and bisexual males, ages 18 to 22, for 30 months (at baseline and then at 6, 12, 18, 24, and 30 months following baseline); subjects will be recruited using a venue-based probability sampling design, stratefied by race/ethncity and generational status. Longitudinal ethnographic research will also be conducted with a subset of 200 subjects recruited from the larger cohort; data collection will occur at baseline, 12 and 24 months.

尽管在减少男同性恋参与艾滋病毒风险相关性行为方面取得了重大进展 以及该人群中新发感染的发生率，在减少年轻人感染方面取得的进展甚微 男同性恋者感染艾滋病毒的风险。预防工作之所以失败，部分原因在于我们的能力存在巨大差距。 了解广泛的个人、家庭、社会和社区特征 单独和集体影响年轻同性恋和双性恋男性参与风险和保护性活动 因素。基于我们对年轻同性恋和双性恋男性以及其他高风险青少年的研究， 洛杉矶儿童医院建议进行理论驱动（即社会生态模型） 纵向研究调查年轻同性恋和双性恋男性吸毒和参与艾滋病毒风险的情况 以及个人经历背景下的保护行为（例如，性别认同和出柜） 经验;种族/族裔身份）和家庭（例如，家庭组成和环境；家庭 支持/拒绝），这反过来将在青少年的人际关系背景下进行审查 （例如，亲密关系的数量和性质；同伴关系和融合；同伴支持）和社区 背景（例如，与居住社区、种族/民族社区的融合和联系；宗教 组织；学校;工作场所；同性恋群体；和社会服务机构）。拟议的研究将 涉及两个阶段的研究。在第一阶段，将进行形成性民族志研究 进一步描述兴趣的结构和这些结构之间的拟议关系并使其背景化 构建和提议的因变量或结果变量，并完善和/或调整现有调查 适合目标人群使用的工具。在第 2 阶段，纵向 流行病学研究将通过跟踪 880 名不同种族的年轻同性恋者和 双性恋男性，年龄 18 至 22 岁，持续 30 个月（基线以及随后的 6、12、18、24 和 30 个月） 基线）；将使用基于场地的概率抽样设计来招募受试者，分层为 种族/民族和代际地位。纵向民族志研究也将与 从较大队列中招募的 200 名受试者的子集；数据收集将在基线、12 日和 24 日进行 几个月。

项目成果

Harassment, discrimination, violence, and illicit drug use among young men who have sex with men.

男男性接触者中的骚扰、歧视、暴力和非法药物使用。

• 发表时间: 2010-08
• 作者: Wong, Carolyn F;Weiss, George;Ayala, George;Kipke, Michele D
• 通讯作者: Kipke, Michele D

Use and perceptions of the internet for sexual information and partners: a study of young men who have sex with men.

互联网对性信息和伴侣的使用和看法：一项针对男男性行为的年轻男性的研究。

• 发表时间: 2011-08
• 影响因子: 3.8
• 作者: Kubicek, Katrina;Carpineto, Julie;McDavitt, Bryce;Weiss, George;Kipke, Michele D
• 通讯作者: Kipke, Michele D

Pathways towards risk: syndemic conditions mediate the effect of adversity on HIV risk behaviors among young men who have sex with men (YMSM).

风险途径：综合症条件介导了逆境对男男性行为者 (YMSM) 中艾滋病毒风险行为的影响。

• 发表时间: 2014-10
• 作者: Herrick, Amy;Stall, Ron;Egan, James;Schrager, Sheree;Kipke, Michele
• 通讯作者: Kipke, Michele

Making Informed Decisions: How Attitudes and Perceptions Affect the Use of Crystal, Cocaine and Ecstasy among Young Men who Have Sex with Men.

做出明智的决定：态度和看法如何影响男男性接触者中水晶、可卡因和摇头丸的使用。

• 发表时间: 2007
• 影响因子: 1.7
• 作者: Kubicek, Katrina;McDavitt, Bryce;Carpineto, Julie;Weiss, George;Iverson, Ellen F;Kipke, Michele D
• 通讯作者: Kipke, Michele D

The Healthy Young Men's Study: Sampling Methods to Recruit a Random Cohort of Young Men Who Have Sex with Men.

健康年轻男性研究：随机招募男男性行为年轻男性群体的抽样方法。

• 发表时间: 2009-10-01
• 影响因子: 1.5
• 作者: Ford, Wesley L;Weiss, George;Kipke, Michele D;Ritt;Iverson, Ellen;Lopez, Donna
• 通讯作者: Lopez, Donna