A daily diary study examining prospective associations between minutes of daily dating app use, affect, and HIV risk among young sexual minority men

一项每日日记研究，探讨年轻性少数男性每日使用约会应用程序的时间、影响和艾滋病毒风险之间的前瞻性关联

• 批准号: 10762708
• 负责人: Kyle Jozsa
• 金额: $ 4.42万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10762708
• 关键词: AIDS prevention; Accounting; Affect; Affective; Age; Anecdotes; Anxiety; Area; Arousal; Behavioral; Cognition; Complement; Data; Data Analyses; Depressed mood; Development; Emotional; Emotions; Environmental Impact; Esthesia; Event; HIV; HIV Infections; HIV Seropositivity; HIV disparities; HIV risk; HIV/STD; Health Personnel; Health Professional; Health behavior; Infrastructure; International; Intervention; Link; Literature; Measurement; Mediating; Mediation; Mental Health; Methods; Modeling; Pathway interactions; Personal Satisfaction; Persons; Pharmaceutical Preparations; Population; Prevention Research; Race; Research; Research Personnel; Resources; Risk; Risk Assessment; Risk Behaviors; Risk Taking; Sampling; Sex Behavior; Sexual Dysfunction; Sexual Health; Sexual Partners; Sexual and Gender Minorities; Statistical Methods; Testing; Time; Training; Translational Research; Universities; Update; Vulnerable Populations; Well in self; Work; behavioral health; career; clinical care; condomless anal sex; design; diaries; disparity reduction; ethnic identity; experience; gender minority health; interest; longitudinal analysis; men who have sex with men; multilevel analysis; negative affect; novel; pre-exposure prophylaxis; prevent; prospective; psychosocial; recruit; rural setting; self esteem; sex; sexual minority men; skills; social cognitive theory; stem; theories; translational scientist; young adult; young men who have sex with men

Project Summary Young men who have sex with men (YMSM) between the ages of 18-29 are disproportionately affected by HIV, STIs, and poor mental health. The use of dating apps to find sexual or romantic partners among YMSM is nearly ubiquitous and has been associated with HIV and STI risk behaviors (e.g., condomless anal sex; CAS), though research on this association has been mixed. Recently, cross-sectional research and anecdotes from mental health providers have suggested that dating app use may be associated with poorer mental health and self-esteem among YMSM. Poorer mental health, in turn, has been linked to CAS and other HIV risk behaviors in this population. A small number of daily diary studies have linked nonclinical affective states (e.g., anxiety, negative arousal) with engagement in CAS. Results of these studies are mixed, though all suggest some prospective association between affect and HIV risk. However, none of these daily diary studies examined HIV risk in the context of dating app use because they collected data before dating apps became widespread. Thus, it may be that affective consequences of dating app use constitute an understudied mechanistic link between dating app use and engagement in HIV risk behavior. Given that no research to date has examined associations between dating app use and affect among YMSM longitudinally, the proposed daily diary study’s first aim is to examine prospective associations between daily dating app use and affective states among YMSM. Its second aim is to test the mediating effect of negative affect on the association between dating app use and CAS. Additionally, none of the aforementioned daily diary studies examined the effect of pre-exposure prophylaxis (PrEP; a medication that is nearly perfect at preventing HIV seroconversion when taken as directed) use on the link between affect and CAS because data were collected prior to the advent of PrEP. This constitutes a major gap in our understanding of HIV risk among YMSM because PrEP has been shown to affect their sexual risk appraisal and emotional associations with sexual partnering. Thus, to complement the Specific Aims described above, I will conduct exploratory analyses (e.g., sensitivity and moderation analyses) to better understand the impact of PrEP use on dating app use, negative affect, and sexual behavior among YMSM. The proposed study will allow me to build upon my training in qualitative and basic statistical methods by providing training in intensive longitudinal data analysis (i.e., multilevel modeling, mediation analyses, and moderation analyses). It will also afford me the opportunity to build upon my skills in recruitment, retention, and related longitudinal methods. Specifically, I will use resources and infrastructure available to me at Northwestern University and the Institute for Sexual and Gender Minority Health and Wellbeing to recruit a nationwide sample of YMSM that is diverse in terms of urban/rural locality and racial/ethnic identity. Such training will be crucial to the launch of my career as a successful independent researcher. Findings from the proposed research will inform research and intervention against HIV inequity among vulnerable YMSM.

项目摘要 与男人发生性关系（YMSM）18-29岁之间的年轻人受到了不成比例的影响 艾滋病毒，性传播感染和心理健康状况不佳。使用约会应用程序在YMMM中找到性或浪漫伴侣是 几乎无处不在，与HIV和STI风险行为有关（例如，无避孕套肛交； CAS）， 尽管对该关联的研究混杂在一起。最近，横断面研究和轶事 心理健康提供者建议，约会应用使用可能与精神健康较差有关 YMSM中的自尊。反过来，较差的心理健康与CAS和其他HIV风险行为有关 在这个人群中。少数日记研究已将非临床情感状态联系起来（例如焦虑， 负面唤醒）与CAS的参与。这些研究的结果混合在一起，尽管所有这些都暗示了一些 情感和艾滋病毒风险之间的前瞻性关联。但是，这些日记研究都没有检查HIV 在约会应用程序使用的背景下，风险是因为它们在约会应用程序之前收集了数据。 这可能是约会应用使用的情感后果构成了理解的机械链接 在约会应用程序使用与艾滋病毒风险行为的参与之间。鉴于迄今为止还没有研究 YMSM纵向的约会应用程序使用与影响之间的关联是拟议的每日日记研究 第一个目的是检查日常约会应用使用与情感状态之间的潜在关联 YMSM。它的第二个目的是测试负面影响对约会应用之间关联的中介作用 使用和cas。其他近似的每日日记研究都没有检查过暴露前的影响 预防症（PREP；将其视为预防HIV血清转化几乎是完美的药物 定向）在情感和CAS之间的链接上使用，因为在PREP冒险之前收集了数据。 这构成了我们对YMSM中艾滋病毒风险的理解的主要差距 影响他们的性风险评估和与性伴侣的情感联系。那就完成 上面描述的具体目的，我将进行探索性分析（例如，灵敏度和适度分析） 更好地了解准备使用对约会应用程序使用，负面影响和性行为的影响 YMSM。拟议的研究将使我能够以定性和基本统计​​方法的培训来进行培训 通过提供密集纵向数据分析（即多级建模，中介分析和 适度分析）。这也将使我有机会在招聘，保留和 相关的纵向方法。具体来说，我将使用可用于我可用的资源和基础架构 西北大学以及性别和性别少数族裔健康研究所 在城市/农村地区和种族/种族身份方面，YMSM的全国YMSM样本。这样的 培训对于我作为成功的独立研究人员的职业生涯至关重要。来自 拟议的研究将为脆弱YMSM之间的艾滋病毒不平等研究提供信息。