Reducing sexual risk among African American heterosexual men

降低非裔美国异性恋男性的性风险

• 批准号: 8103719
• 负责人: BERYL A KOBLIN
• 金额: $ 20万
• 依托单位: NEW YORK BLOOD CENTER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8103719
• 关键词: Reducing; sexual; risk; among; African

DESCRIPTION (provided by applicant): Abstract The purpose of this study is to develop and pilot test a novel group-level intervention to reduce sexual risk behavior and increase HIV testing among heterosexually active African American men. Heterosexually active men have been called the "forgotten group" in HIV prevention, with the bulk of interventions focusing on women or other groups at high risk of HIV. In the United States, heterosexual contact is currently the second highest mode of HIV acquisition and African Americans are over-represented among these cases. New York City is the metropolitan area with the largest number of AIDS cases among African American men attributed to heterosexual contact. We propose a mixed-method study among adult heterosexually active African American men living in high prevalence neighborhoods with the aims to: 1) explore through in-depth qualitative interviews and focus groups personal, behavioral, and socio-structural factors that affect HIV sexual risk behavior and HIV testing rates, and participant perspectives on intervention characteristics; 2) develop and pilot test the intervention; and 3) estimate the efficacy of the intervention on reducing sexual risk behaviors and increasing HIV testing. To achieve these aims, we propose to conduct 6 focus groups and 50 in-depth interviews to elicit: (a) descriptions and reflections on personal, behavioral and socio-structural factors that impact on HIV sexual risk behavior and HIV testing. These factors will be examined from a general perspective and through questions that elicit descriptions, reflections, and comparisons of past sexual risk events, both high and low risk, and the factors affecting the course of those events; (b) participant perspectives on intervention characteristics that may effectively lead to reductions in high risk behavior and increases in HIV testing. We will then develop and pilot test a multi-session group-level intervention informed by the findings of our formative research, and pilot test the interview instrument. In the last phase, we will conduct a pre-post test study by enrolling 50 heterosexually active African American men at risk of HIV infection into the intervention. At baseline and 3 months, standardized data collection using audio computer assisted self-interviewing technology will assess outcomes and covariates. The primary outcomes for the estimating efficacy will be the occurrence of unprotected vaginal intercourse and/or unprotected anal intercourse with female partners and concurrent partnering with female and/or male partners. Secondary outcomes will include occurrence of HIV testing and number of new and total female and male sex partners. The results of this proposed project will be used to estimate sample size or effect size for scaling up to a randomized controlled trial. The heterosexual HIV epidemic is a growing public health problem in the United States. African Americans are over-represented among these cases, contributing to the growing health disparities that characterize the HIV epidemic in the US. This study will develop and test a behavioral intervention to reduce sexual risk and increase HIV testing among heterosexually active African American men.

描述（由申请人提供）：摘要本研究的目的是开发和试点测试一种新颖的群体干预措施，以减少异性恋活跃的非洲裔美国男性的性危险行为并增加艾滋病毒检测。异性恋活跃的男性被称为艾滋病毒预防中的“被遗忘的群体”，大部分干预措施都集中在女性或其他艾滋病毒高危群体。在美国，异性接触是目前感染艾滋病毒的第二大方式，而非裔美国人在这些病例中所占比例过高。纽约市是非裔美国男性中因异性接触而感染艾滋病病例最多的大都市区。我们建议对生活在高流行率社区的成年异性恋活跃非裔美国男性进行一项混合方法研究，目的是：1）通过深入的定性访谈和焦点小组探讨影响艾滋病毒性风险的个人、行为和社会结构因素行为和艾滋病毒检测率，以及参与者对干预特征的看法； 2) 开发并试点测试干预措施； 3) 评估干预措施对减少危险性行为和增加艾滋病毒检测的效果。为了实现这些目标，我们建议开展 6 个焦点小组和 50 次深度访谈，以引发： (a) 对影响艾滋病毒性危险行为和艾滋病毒检测的个人、行为和社会结构因素的描述和反思。这些因素将从总体角度进行审查，并通过问题来引起对过去性风险事件（高风险和低风险）以及影响这些事件进程的因素的描述、反思和比较； (b) 参与者对可能有效减少高危行为和增加艾滋病毒检测的干预特征的看法。然后，我们将根据我们的形成性研究结果制定并试点测试多会议小组级别的干预措施，并试点测试访谈工具。在最后阶段，我们将招募 50 名有艾滋病毒感染风险的异性恋活跃非裔美国男性参与干预措施，进行前后测试研究。在基线和 3 个月时，使用音频计算机辅助自我访谈技术进行标准化数据收集将评估结果和协变量。评估功效的主要结果是与女性伴侣发生无保护阴道性交和/或无保护肛交以及与女性和/或男性伴侣同时发生性关系。次要结果将包括艾滋病毒检测的发生以及新的和全部的女性和男性性伴侣的数量。该拟议项目的结果将用于估计样本量或效应量，以扩大到随机对照试验。异性恋艾滋病毒流行是美国日益严重的公共卫生问题。非裔美国人在这些病例中所占比例过高，导致健康差距日益扩大，成为美国艾滋病毒流行的特征。这项研究将开发和测试一种行为干预措施，以降低异性恋活跃的非洲裔美国男性的性风险并增加艾滋病毒检测。

项目成果

Knowing is not enough: a qualitative report on HIV testing among heterosexual African-American men.

• DOI: 10.1080/09540121.2014.963009
• 发表时间: 2015
• 期刊: AIDS care
• 影响因子: 1.7
• 作者: Bond KT;Frye V;Taylor R;Williams K;Bonner S;Lucy D;Cupid M;Weiss L;Koblin BA;Straight Talk Study Team
• 通讯作者: Straight Talk Study Team

Straight talk: HIV prevention for African-American heterosexual men: theoretical bases and intervention design.

直言不讳：非洲裔美国异性恋男性的艾滋病毒预防：理论基础和干预设计。

• DOI: 10.1521/aeap.2012.24.5.389
• 发表时间: 2012
• 期刊: AIDS education and prevention : official publication of the International Society for AIDS Education
• 作者: Frye,Victoria;Bonner,Sebastian;Williams,Kim;Henny,Kirk;Bond,Keosha;Lucy,Debbie;Cupid,Malik;Smith,Stephen;Koblin,BerylA
• 通讯作者: Koblin,BerylA