Exploring Associations of Autonomy Supportive Sexual Health Communication, Needs Satisfaction, and Sexual Health Behaviors for Black MSM in the House Ball Community

探索众议院舞会社区中黑人 MSM 的自主支持性健康沟通、需求满足和性健康行为之间的关联

基本信息

批准号：
10676770
负责人：
Martez Dexter Ray Smith
金额：
$ 0.45万
依托单位：
UNIVERSITY OF ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-01 至 2023-08-31
项目状态：
已结题

项目摘要

Abstract Black and Latinx men who have sex with men (MSM) have the highest risk of HIV of any group in the U.S. with overall prevalence ranging from 21% to 28%. This ratio could be even higher among Black and Latinx MSM belonging to the House Ball Community (HBC), an understudied subculture comprised primarily of Black and Latinx sexual and gender minorities (primarily gay and bisexual men), with documented HIV prevalence ranging from 4% to 38%, the majority (76%) of which remain undiagnosed. These data mandate urgency to build upon and expand the repertoire of culturally-congruent interventions that reduce HIV risk for Black and Latinx MSM, especially among members of the House Ball Community (HBC). HBC-MSM often seek sexual health advice from trusted and influential members of social and/or sexual network members and such advice has been linked with less sexual risk behavior, although evidence is mixed. Basic Psychological Needs Theory, a sub-theory of Self-Determination Theory (SDT), will be utilized as a framework to further understand how sexual health communication influences sexual health behaviors of HBC- MSM. The proposed quantitative study will advance this goal by describing characteristics of sexual health communication embedded within social and sexual networks, and identifying the effects of sexual health communication on sexual health behaviors among a sample of Black and Latinx HBC-MSM. Such knowledge is necessary to expand understanding of how sexual health communication impacts sexual health behaviors. The study provides an unprecedented perspective on sexual health preferences and motivations as participants socialize and function in HBC. The information generated on the effects of autonomy support on sexual-risk behaviors will help improve current HIV prevention interventions, as well as inform the development of future interventions, tailored to HBC-MSM.

抽象的与男性发生性关系（MSM）的黑人和拉丁裔男性在美国任何群体中艾滋病毒的风险最高总体患病率从21％到28％不等。在黑色和拉丁MSM中，这个比率可能更高属于房屋球社区（HBC），是一个研究的亚文化，主要由黑色和黑人组成 Latinx性和性别少数群体（主要是同性恋和双性恋男人），艾滋病毒患病率有记录从4％到38％不等，其中大多数（76％）仍未诊断。这些数据要求建立并扩大了文化和一致干预措施的曲目，以降低黑人和黑人风险 Latinx MSM，尤其是在房屋球社区（HBC）的成员中。 HBC-MSM经常寻求社会和/或性有影响力的成员的性健康建议网络成员和此类建议与性风险行为较少有关，尽管证据好坏参半。基本的心理需求理论，一种自决理论（SDT），将被用作框架进一步了解性健康沟通如何影响HBC的性健康行为 MSM。拟议的定量研究将通过描述性健康的特征来推进这一目标嵌入社会和性网络中的沟通，并确定性健康的影响黑色和拉丁人HBC-MSM样本中有关性健康行为的沟通。这样的知识对于扩大对性健康沟通如何影响性健康行为的理解是必要的。该研究提供了关于性健康偏好和动机的前所未有的观点参与者在HBC中进行社交和功能。关于自主支持对的影响的信息性风险行为将有助于改善当前的HIV预防干预措施，并为发展提供信息未来的干预措施，量身定制为HBC-MSM。