Intervention to Prevent At-Risk Sexual Behavior in African American Boys

预防非洲裔美国男孩危险性行为的干预措施

• 批准号: 9171579
• 负责人: Tanya M. Coakley
• 金额: $ 44.74万
• 依托单位: UNIVERSITY OF NORTH CAROLINA GREENSBORO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9171579
• 关键词: AIDS/HIV problem; Accounting; Address; Adolescence; Adolescent; Affect; African American; Age; Anal Sex; Attitude; Behavior; Behavioral; Belief; Bisexual; Centers for Disease Control and Prevention (U.S.); Child; Chlamydia; Coitus; Communicable Diseases; Communication; Communities; Data; Decision Making; Development; Educational process of instructing; Fathers; Focus Groups; Frequencies; Gays; Goals; Gonorrhea; Government; HIV; HIV Infections; Health; Health Communication; Housing; Infection; Intention; Intervention; Knowledge; Mediating; Methods; Modeling; Oral; Outcome; Parents; Perception; Policies; Pregnancy; Prevention; Process; Public Health; Race; Randomized; Research; Research Personnel; Risk; Role; Safe Sex; Self Efficacy; Sex Behavior; Sexual Abstinence; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Son; Syphilis; Teenagers; Time; Vagina; Waiting Lists; Work; Youth; base; birth control; boys; condoms; design; disorder prevention; effective intervention; efficacy testing; evidence base; high risk; improved; innovation; intervention effect; male; man; men; pleasure; post intervention; preadolescence; prevent; sex; sex risk; sexual debut; sexually active; social cognitive theory; theories; unintended pregnancy

PROJECT SUMMARY The U.S. Government and the Center for Disease Control and Prevention (CDC) have made it a priority, outlined in the White House National HIV/AIDS Strategy (NHAS) 2015 Policy, to prevent the spread of sexually transmitted infections (STIs) and teen parenthood in African-American male youth because of the high risk and burden for HIV for African Americans. African-American (AA) male youth are at high risk of engaging in at-risk sexual behaviors (ASB) (e.g., multiple sexual partners, sexual intercourse without a condom), which contribute to unintended pregnancy and sexually transmitted infections (STIs) such as HIV. Clear communication between parents and their preadolescents about sexual health is associated with higher rates of sexual abstinence, condom use, and intent to delay initiation of sexual intercourse, which can prevent STIs and unintended pregnancy among youth. However, research indicates that AA fathers talk less with their sons about sex than other fathers. There is a paucity of research addressing whether and how AA fathers overcome barriers such as lack of knowledge and negative attitudes toward talking with their sons about sex. Thus, there is a critical need to study processes specific to optimizing father-son sexual health communication. This study will be conducted in NC barbershops, using 150 AA fathers (including father figures) who will be randomized to the intervention or wait-list control condition. The intervention is designed to enhance father-son communication about sexual health and prevent sons' onset of sexual activity and/or engaging in at-risk sexual behaviors. Assessments will be administered at pre-intervention baseline, immediate post-intervention, and 3- month post-intervention. The sons (150), ages 10 – 15 years, will be assigned to conditions according their fathers and will participate in assessments at parallel times. Specific aims are to: Aim 1: Develop an innovative father intervention to prevent at-risk sexual behaviors among their sons. Preliminary data from our previous focus groups will inform the development of a culturally appropriate and theory-based intervention to enhance fathers' (a) STI knowledge, (b) efficacy to communicate with their sons about sexual health, and (c) frequency of father-son sexual health communication. Aim 2: Implement the innovative father intervention to improve father-son communication about sex. Aim 3: Test the efficacy of an innovative father intervention to improve father-son communication about sexual health over time. Working Hypothesis: Sons in the intervention condition will have more appropriate attitudes, intent and behavior regarding engaging in sexual activity than sons in the wait-list control over time. Aim 4: Examine mediating effects of the intervention for effective father- son sexual health communication on sons' sexual activity attitudes, intentions, and behaviors. Working Hypothesis: By enhancing the fathers' behavior, a father intervention will affect sons' attitudes, intention, and behavior regarding engaging in sexual activity.

项目概要 美国政府和疾病控制与预防中心 (CDC) 已将其列为优先事项， 白宫国家艾滋病毒/艾滋病战略 (NHAS) 2015 年政策中概述了防止性行为传播的措施 由于高风险和非裔美国男性青年的传播感染（性传播感染）和青少年父母身份 非裔美国人 (AA) 男性青年参与高危人群的风险很高。 性行为（ASB）（例如，多个性伴侣、不使用安全套的性交），这会导致 意外怀孕和艾滋病毒等性传播感染 (STI) 的清晰沟通。 父母和青春期前儿童之间关于性健康的了解与更高的性行为率相关 禁欲、使用安全套以及延迟性交开始的意图，这可以预防性传播感染和 然而，研究表明，AA 父亲与儿子的谈话较少。 与其他父亲相比，关于 AA 父亲是否以及如何克服这些问题的研究很少。 例如缺乏知识以及对与儿子谈论性的消极态度。 这项研究迫切需要研究优化父子性健康沟通的具体过程。 将在北卡罗来纳州理发店进行，使用 150 名 AA 父亲（包括父亲形象），他们将被随机分配到 干预或等待名单控制条件。 关于性健康的沟通并防止儿子发生性活动和/或从事有风险的性行为 评估将在干预前基线、干预后立即进行，以及 3- 干预后一个月，年龄为 10 至 15 岁的儿子（150 名）将根据他们的情况进行分配。 父亲们将同时参加评估，具体目标是： 目标 1：开发创新型产品。 父亲干预以防止儿子发生危险性行为。 焦点小组将为制定文化上适当且基于理论的干预措施提供信息，以加强 父亲的 (a) 性传播感染知识，(b) 与儿子就性健康进行沟通的效率，以及 (c) 频率 目标2：实施创新的父亲干预以改善父子性健康沟通。 目标 3：测试创新的父亲干预措施对改善性的有效性。 随着时间的推移，父子之间关于性健康的沟通工作假设：儿子参与干预。 与其他情况相比，患者在进行性活动时会有更适当的态度、意图和行为 目标 4：检查有效父亲干预措施的中介作用。 儿子性健康沟通关于儿子的性活动态度、意图和行为。 假设：通过增强父亲的行为，父亲的干预会影响儿子的态度、意图和行为。 有关进行性活动的行为。