HIV/STD Risk Among Young Expectant Fathers: Relationship Attachment & Transition

年轻准爸爸的艾滋病毒/性病风险：关系依恋

• 批准号: 7167578
• 负责人: Trace S Kershaw
• 金额: $ 49.92万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-22 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7167578
• 关键词: HIV infections; adolescence (12-20); age at pregnancy; behavior prediction; behavioral /social science research tag; clinical research; community; decision making; dyadic interaction; family structure /dynamics; health behavior; high risk behavior /lifestyle; human pregnant subject; human subject; interpersonal relations; interview; longitudinal human study; male; racial /ethnic difference; sex behavior; sex partner; sexually transmitted diseases; social psychology

DESCRIPTION (provided by applicant): Men are understudied in the area of sexual risk and maternal-child health. The role men play in the health and sexual decisions of young couples transitioning to parenthood has not been fully explored. The inclusion of men in prevention research is essential to understanding the interpersonal context in which decisions are made about sexual behavior, personal health, and family functioning. In the proposed research, using the guiding framework of attachment theory we will examine HIV/STI risk behavior, relationship quality, and parenting functioning for young expectant fathers and their pregnant adolescent partners from pregnancy to parenthood. Since much of sexual risk occurs in the context of romantic relationships, it is essential to understand how each member of a romantic dyad influence sexual risk behavior, and how changes in relationships during important life transitions (e.g. parenthood) influence behavioral and biological outcomes associated with HIV/STD risk. We will examine these issues in a multi- site longitudinal study of young expectant fathers and their pregnant adolescent partners (n=300 dyads) to be conducted in health clinics in Connecticut. Data will be collected through Audio Computer Assisted Self- Interview (ACASI) and semi-annual STD testing. Both members of the dyad will be assessed at three time points regardless of relationship status: during 3rd trimester of pregnancy, 6-months postpartum, and 12 months postpartum. Therefore, we can assess sexual risk behavior within couples and across new partnerships for both young men and women. The results of this study can promote theoretical development and provide empirical information to enhance current and future interventions to prevent HIV, and other STDs for both young men and women. In addition, results will inform couple-based interventions that focus on relationship maintenance and family strengthening as well as HIV prevention during times of stress and transition.

描述（由申请人提供）：男性在性风险和母子健康领域进行了研究。男人在过渡到父母的年轻夫妇的健康和性决定中所扮演的角色尚未得到充分探讨。将男性纳入预防研究对于理解人际背景至关重要的是，在人际关系上做出了关于性行为，个人健康和家庭功能的决策。在拟议的研究中，使用依恋理论的指导框架，我们将研究艾滋病毒/STI的风险行为，关系质量和育儿的功能，从怀孕到父母的年轻父亲及其怀孕的青少年伴侣。由于大部分性风险发生在浪漫关系的背景下，因此必须了解浪漫二元组的每个成员如何影响性风险行为，以及在重要的生命过渡期间（例如，父母身份）如何影响与HIV/STD风险相关的行为和生物学结果。我们将在康涅狄格州卫生诊所进行的一项多站点的年轻父亲及其怀孕的青少年伴侣（n = 300个二元组）的多站点纵向研究中检查这些问题。数据将通过音频计算机辅助自我访谈（ACASI）和半年度性病测试收集。无论关系状况如何，二元组的两个成员将在三个时间点进行评估：在怀孕的第三个三个月，产后6个月和产后12个月。因此，我们可以评估夫妻内部以及在新的伙伴关系中为年轻男女的性风险行为。这项研究的结果可以促进理论发展，并提供经验信息，以增强当前和未来的干预措施，以防止艾滋病毒和其他性病，以及其他性病。此外，结果将为夫妇的干预措施提供信息，这些干预措施专注于维持关系和家庭加强以及在压力和过渡期间预防艾滋病毒。