Identifying Predictors of Condom Use

确定安全套使用的预测因素

• 批准号: 10821861
• 负责人: JORDYN MCCRIMMON
• 金额: $ 3.94万
• 依托单位: NORTH CAROLINA STATE UNIVERSITY RALEIGH
• 依托单位国家: 美国
• 财政年份: 2024
• 资助国家: 美国
• 起止时间: 2024-01-01 至 2026-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10821861
• 关键词: AIDS prevention; Address; Adolescent; Age; Attention; Attitude; Award; Behavior; Biological; Black Populations; Black race; Code; Cognitive; Consensus; Contraceptive Agents; Contraceptive methods; Data; Decision Making; Development; Environmental Risk Factor; Face; Goals; HIV; Health behavior; Healthcare; Hispanic; Individual; Inequity; Influentials; Interview; Knowledge; Literature; Mentors; Meta-Analysis; Modeling; Outcome; Parents; Personality; Population; Preventive measure; Procedures; Publications; Qualitative Methods; Qualitative Research; Reporting; Research; Research Methodology; Research Personnel; Risk; Risk Reduction; Role; Sampling; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Structure; Techniques; Time; Training; Training Activity; United States; United States National Institutes of Health; Work; Youth; adolescent sexual health; age group; analytical method; career; career networking; condom use rate; condoms; contextual factors; empowerment; experience; health disparity; neglect; peer; pre-exposure prophylaxis; psychologic; psychosocial; racial discrimination; recruit; sexual relationship; skills; social; social health determinants; social structure; sociodemographics; socioenvironmental factor; structural determinants; systematic review; theories; timeline; unintended pregnancy

Project Summary Black adolescents are disproportionately at risk of negative sexual health outcomes, such as HIV and other sexually transmitted infections (STIs), compared to their peers. Condoms are an effective preventative measure for adolescents, as they are more accessible than other forms of HIV prevention (e.g., pre-exposure prophylaxis) in addition to being the only form of contraceptive that reduces the risk of both STIs and unintended pregnancy. However, condom use among Black adolescents is particularly low, with Black adolescents reporting lower condom use at last intercourse than White and Hispanic adolescents. Black individuals face interpersonal experiences (e.g., racial discrimination) and structural inequities (e.g., healthcare and condom access) influential to their condom use decisions. Adolescent condom use decisions may also be influenced by the rapid biological changes taking place during this developmental period and the navigation of romantic and sexual relationships for the first time. Prior literature has mostly focused on individual-level (i.e., individual attributes) predictors of condom use, finding somewhat conflicting results and neglecting the structural, environmental, and contextual predictors influential to condom use for this age group. Thus, the purpose of this study is two-fold: (1) to use meta-analytic methods to systematically review and statistically synthesize the literature surrounding individual-level predictors of condom use for Black adolescents (Aim 1) and (2) to use in-depth individual interviews to address the gaps in prior literature surrounding the role of structural, contextual, and environmental factors in condom use among Black adolescents (Aim 2). The proposed study will utilize the Multiple Domain Model of Condom Use, a model outlining both the cognitive decision-making around condom use, as well as the socio-structural, environmental, and contextual factors influential to condom use, as a framework to address multilevel predictors of condom use decisions amongst this population. Through conducting this F31 study in coordination with the proposed training activities, the F31 PI will meet the following training goals: 1) gain proficiency in meta-analytic techniques; 2) gain proficiency in qualitative research methods; 3) gain theoretical and empirical knowledge of the health disparities experiences by Black adolescents; 4) develop expertise in adolescent sexual health and behaviors; and 5) build publication record, presentation skills, and professional network through professional development training, all of which will aid in their goal of becoming an independent researcher.

项目摘要 黑人青少年面临不成比例的性健康结果，例如艾滋病毒和其他 与同龄人相比，性传播感染（STIS）。避孕套是有效的预防措施 青少年的量度比其他形式的艾滋病毒预防更容易获得 预防）除了是降低性传播疾病风险的唯一形式 意外怀孕。但是，黑人青少年中使用避孕套特别低，黑色 与白人和西班牙裔青少年相比，在最后性交中报告使用避孕套的青少年。黑色的 个人面临人际交往经历（例如种族歧视）和结构性不平等（例如，医疗保健 避孕套访问）对他们的避孕套使用决策的影响。青少年使用避孕套的决定也可能是 受到此发育时期发生的快速生物学变化的影响以及导航 第一次浪漫和性关系。先前的文献主要集中于个人级别（即 个人属性）使用安全套的预测指标，发现一些矛盾的结果并忽略了 结构，环境和上下文预测因该年龄段使用避孕套的影响。因此， 这项研究的目的是两个方面：（1）使用荟萃分析方法系统地审查和统计 综合了围绕黑人青少年的辅助辅助方法的单个级别预测指标的文献（AIM 1） （2）使用深入的个人访谈来解决有关围绕角色的先前文献的差距 黑人青少年使用避孕套的结构，情境和环境因素（AIM 2）。这 拟议的研究将利用多个避孕套使用模型，该模型概述了认知的模型 围绕避孕套的决策以及社会结构，环境和背景因素 对避孕套的影响，作为解决避孕套使用决策的多层预测指标的框架 这个人口。通过与拟议的培训活动进行协调的F31研究，F31 PI将符合以下培训目标：1）提高荟萃分析技术的能力； 2）熟练 定性研究方法； 3）获得对健康差异经历的理论和经验知识 黑人青少年； 4）发展青少年性健康和行为方面的专业知识； 5）建立出版物 通过专业发展培训记录，演示技巧和专业网络，所有这些都将 帮助他们成为一名独立研究人员的目标。