Identifying the Mental Health Strengths and Resiliencies of Black MSM in New York City who maintain HIV-seronegativity

确定纽约市维持 HIV 血清阴性的黑人 MSM 的心理健康优势和弹性

基本信息

批准号：
8846889
负责人：
Jagadisa-devasri Dacus
金额：
$ 4.42万
依托单位：
CUNY GRADUATE SCH AND UNIV CTR
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-02-10 至 2016-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8846889
关键词：
21 year old AIDS prevention Accounting Address Affect Age Alcohol consumption Anus Area Attention Behavior Behavioral Categories Centers for Disease Control and Prevention (U.S.)Data Development Drug Formulations Drug usage Epidemic Feedback Focus Groups Funding Future Gays Gender Goals HIV HIV Infections HIV Seronegativity HIV Seroprevalence HIV diagnosis Harm Reduction Human immunodeficiency virus test Individual Infection Intervention Studies Interview Knowledge Literature Maintenance Mental Health Methodology National Institute of Mental Health New York City Outcome Pattern Pilot Projects Policies Population Positioning Attribute Prevalence Preventive Intervention Qualitative Methods Questionnaires Race Recording of previous events Reporting Research Research Personnel Risk Risk Reduction Safe Sex Scientist Seroprevalences Sexual Partners Sexually Transmitted Diseases Subgroup Surveys Testing Unsafe Sex antiretroviral therapy black men who have sex with men condoms disorder prevention high risk behavior innovation men men who have sex with men pandemic disease preference public health relevance resilience sex social theories therapy development transmission process uptake

项目摘要

DESCRIPTION (provided by applicant): In 2010, there was an estimated 10,600 new infections among Black men who have sex with men (MSM); and in 2011, Black MSM accounted for over 12,000 cases (39%) of all HIV diagnoses in all MSM, even though Blacks are only 12% of the general U.S. population. According to the CDC, seroprevalence data indicate that the Black MSM population is the most affected across all major demographic subgroups and categories of risk (gender, age, race, and behavior), even though they engage in less high-risk behaviors than other MSM. For example, they are more likely to use condoms and report less unprotected anal intercourse in mixed serostatus relationships. Although factors associated with higher rates of HIV infection in Black MSM have been identified (e.g., undiagnosed HIV infection and sexually transmitted infections), Black MSM who maintain seronegativity have not received much attention. HIV prevention aims to keep seronegatives negative, yet researchers have understudied the strategies, tactics, and mental health strengths and resilience of this group of Black MSM. Increasing our knowledge about their approach to remaining seronegative can augment the current HIV prevention portfolio. The scientific literature has not considered the mental health strengths and resilience of Black MSM in any depth. My study will address the critical need to fill the gap in the literature about behaviors, circumstances, or mental health-related strengths and resilience seronegative that Black MSM report enable them to remain seronegative. This study is intended to facilitate my long-term goal: To develop culturally congruent HIV prevention interventions constructed on the mental health-related strengths and resilience of Black MSM. The overall objective of this proposed study is to identify and understand the mental health-related strengths and resilience that contribute to sustained HIV-seronegativity in many Black MSM in New York City (NYC), a high HIV seroprevalence area. The rationale for the proposed study is that with the exception of my NIMH-funded pilot study that identified several protective factors Black MSM favored, such as alternatives to penetrative sex and managed alcohol and drug use and a recent study by Hussen and colleagues (2013), about Black MSM's HIV testing patterns, we know little about these men's approach to maintaining a seronegative status. I will accomplish this objective by pursuing the following two specific aims: 1) To identify and understand the mental health-related strengths and resilience that contribute to the maintenance of seronegativity in Black MSM and 2) To understand how and why Black MSM employed strategies and tactics found in the pilot as a means of maintaining their seronegative status.

描述（由申请人提供）：2010 年，估计有 10,600 例男男性行为黑人 (MSM) 新感染病例； 2011 年，尽管黑人仅占美国总人口的 12%，但黑人 MSM 占所有 MSM 艾滋病毒诊断病例的 12,000 多例 (39%)。根据 CDC，血清流行率数据表明，黑人 MSM 人群在所有主要人口亚组和风险类别（性别、年龄、种族和行为）中受影响最大，尽管他们的高风险行为比其他 MSM 少。例如，他们更有可能使用安全套，并且在混合血清状态关系中报告较少无保护的肛交。尽管已经确定了与黑人 MSM 中 HIV 感染率较高相关的因素（例如，未确诊的 HIV 感染和性传播感染），但保持血清阴性的黑人 MSM 并未受到太多关注。艾滋病毒预防的目的是保持血清阴性，但研究人员尚未充分研究这群黑人 MSM 的策略、策略以及心理健康优势和恢复力。增加我们对他们保持血清阴性的方法的了解可以增强当前的艾滋病毒预防组合。科学文献并未深入考虑黑人男男性接触者的心理健康优势和恢复力。我的研究将解决填补关于行为、环境或心理健康相关优势和血清阴性恢复力的文献空白的迫切需要，黑人 MSM 报告使他们能够保持血清阴性。这项研究旨在促进我的长期目标：根据黑人 MSM 的心理健康相关优势和适应能力，制定文化上一致的艾滋病毒预防干预措施。这项拟议研究的总体目标是确定和了解与心理健康相关的优势和恢复力，这些优势和恢复力有助于纽约市 (NYC) 这个 HIV 血清阳性率高的地区的许多黑人 MSM 持续保持 HIV 血清阴性。拟议研究的基本原理是，除了我的 NIMH 资助的试点研究外，该研究确定了黑人 MSM 青睐的几个保护因素，例如插入式性行为的替代方案以及控制酒精和药物的使用，以及 Hussen 及其同事最近的一项研究（2013），关于黑人男男性接触者的艾滋病毒检测模式，我们对这些男性维持血清阴性状态的方法知之甚少。我将通过追求以下两个具体目标来实现这一目标：1) 识别和了解有助于维持黑人 MSM 血清阴性的与心理健康相关的优势和复原力；2) 了解黑人 MSM 如何以及为何采用策略和方法在飞行员中发现的策略是维持其血清阴性状态的一种手段。