Longitudinal Pathways to HIV-Risk Behaviors Among African American & Latina Women

非裔美国人艾滋病毒风险行为的纵向途径

• 批准号: 9053464
• 负责人: JUDITH S BROOK
• 金额: $ 57.56万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-15 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9053464
• 关键词: AIDS/HIV problem; Abstinence; Adolescence; Adolescent; Adult; Affect; Affective; African American; Alcohol or Other Drugs use; Applications Grants; Behavioral; Color; Complex; Data; Development; Discrimination; Distal; Drug usage; Epidemic; Ethnic Origin; Ethnic group; Exposure to; Family; Female; Gender; HIV; HIV risk; Health; Health Services Accessibility; Incidence; Individual; Intervention; Interview; Investigation; Latina; Life; Life Cycle Stages; Link; Mediating; Mediation; Mediator of activation protein; Mental Depression; Modeling; Multiple Partners; Neighborhoods; Parents; Participant; Pathway interactions; Perception; Play; Policies; Prevalence; Prevention program; Public Health; Puerto Rican; Recording of previous events; Research; Resources; Risk; Risk Behaviors; Risk Factors; Role; Safe Sex; Sampling Studies; Self Efficacy; Services; Social support; Staging; Surveys; Time; United States; Violence; Woman; base; contextual factors; coping; design; early experience; emerging adulthood; high risk; innovation; intervention program; mortality; neighborhood disadvantage; programs; public health relevance; racial and ethnic; racial discrimination; racial disparity; racial identity; sex risk; socioeconomic disadvantage; sound; theories; transmission process; urban area; young adult

DESCRIPTION (provided by applicant): This proposed study of urban Black and Latina women has two major aims. The first is to examine the longitudinal pathways to HIV risk behaviors (unprotected intercourse, multiple/concurrent partners, having a high-risk partner) focusing on the integration of structural/contextual with interpersonal and individual risk factors as predictors. Drug use will be examined as a behavioral risk factor mediating the relationship between structural risks and HIV-risk behaviors. The proposal is informed by Family Interactional Theory and the Theory of Gender and Power, as it applies to HIV-risk behaviors among women of color. The proposed research uses a life-course perspective to examine this critical issue by focusing on both antecedent and concurrent predictors of engagement in HIV-risk behaviors among African American and Puerto Rican women in their thirties. Second, the research will examine the ability of resource factors (i.e., ethnic pride, problem-focused coping, social support) to mitigate structural risk factors (e.g., neighborhood disadvantage) for HIV-risk behaviors. This grant proposal will capitalize on a wealth of data collected at key developmental stages over a period of 20 years as part of the Harlem Longitudinal Development Study (HLDS). Identification of the risk factors for HIV-risk behaviors and the pathways through which they operate will have important implications for public health. Findings from this research can be integrated into prevention and intervention programs aimed at reducing the transmission of HIV and other STIs among women disproportionately at risk. The sample for this study will consist of 450 women who were previously seen in adolescence (T1, T2), emerging adulthood (T3), and young adulthood (T4). At T5, face-to-face interviews will be conducted with the participants. Psychometrically sound scales will be developed from the surveys.

描述（由申请人提供）：这项针对城市黑人和拉丁裔女性的拟议研究有两个主要目标。第一个是检查艾滋病毒风险行为的纵向路径（无保护性交、多个/同时性伴侣、拥有高风险伴侣），重点关注结构/背景与人际和个人风险因素的整合 作为预测因子。吸毒将被视为调节结构性风险和艾滋病毒风险行为之间关系的行为风险因素。该提案以家庭互动理论和性别与权力理论为基础，适用于有色人种女性的艾滋病毒风险行为。拟议的研究采用生命历程的视角来研究这一关键问题，重点关注三十多岁的非裔美国和波多黎各女性参与艾滋病毒危险行为的先行因素和同时预测因素。其次，该研究将考察资源因素（即种族自豪感、以问题为中心的应对方式、社会支持）减轻艾滋病毒风险行为的结构性风险因素（例如邻里劣势）的能力。作为哈林区纵向发展研究 (HLDS) 的一部分，这项拨款提案将利用 20 年来在关键发展阶段收集的大量数据。识别艾滋病毒危险行为的危险因素及其运作途径将对公共卫生产生重要影响。这项研究的结果可以纳入预防和干预计划，旨在减少高危女性中艾滋病毒和其他性传播感染的传播。本研究的样本将包括 450 名曾在青春期 (T1、T2)、成年初期 (T3) 和青年期 (T4) 观察过的女性。在T5，将对参与者进行面对面采访。心理测量学上的合理量表将从调查中制定。

项目成果

Sexual Risk Behaviors Among Black and Puerto Rican Women in Their Late Thirties: A Brief Report.

三十多岁的黑人和波多黎各妇女的性危险行为：简短报告。

• DOI: 10.1007/s10903-019-00877-7
• 发表时间: 2019
• 期刊: Journal of immigrant and minority health
• 影响因子: 1.9
• 作者: Pahl,Kerstin;Lee,JungYeon;Capasso,Ariadna;Lekas,Helen-Maria;Brook,JudithS;Winters,Jewel
• 通讯作者: Winters,Jewel