Gender informed HIV intervention development for urban African American youth

针对城市非裔美国青年的性别知情艾滋病毒干预发展

• 批准号: 7883562
• 负责人: M. Margaret Dolcini
• 金额: $ 45.19万
• 依托单位: OREGON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7883562
• 关键词: 17 year old; AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Adolescence; Adolescent; Adult; Advocate; African American; Age; Behavior; Behavioral; Belief; Belief System; Characteristics; Chicago; Cognition; Cognitive; Communication; Communities; Conscious; Data; Development; Dimensions; Environment; Family; Female Adolescents; Feminine; Film; Focus Groups; Future; Gender; Goals; HIV; HIV Infections; HIV/STD; Health; Healthcare; Heterosexuals; Human immunodeficiency virus test; Individual; Infection; Intervention; Investigation; Life; Link; Low income; Masculine; Neighborhoods; Participant; Pathway interactions; Phase; Population; Prevention; Prevention Research; Race; Religion; Religion and Spirituality; Risk; Risk-Taking; Role; Safe Sex; San Francisco; Sex Behavior; Sexuality; Social Impacts; Socialization; Structure; Testing; Vulnerable Populations; Work; Youth; base; behavioral health; cognitive system; condoms; expectation; experience; health belief; high risk behavior; innovation; male; peer; phase 1 study; prevent; public health relevance; sex; sexual relationship; skills; social; therapy development

DESCRIPTION (provided by applicant): Urban African American youth evidence high levels of HIV/STI risk behavior, high rates of STIs, and may represent a continuing pool of new HIV infections among heterosexual African Americans. HIV/STI infections are concentrated among those living in low-income urban environments. Although HIV/STI prevention efforts with adolescents have been modestly successful, new directions have been advocated that include basic and prevention research that is more ecologically, developmentally, and gender focused. In the proposed study, we will draw on an ecological-cognitive framework in examining potential relationships among gender ideologies (e.g., beliefs concerning masculine and feminine roles) and the social, cognitive and behavioral aspects of sexuality in relation to broader social/developmental factors relevant to the low-income neighborhood context of heterosexual African Americans during middle adolescence (15-17 years of age). We will examine differences in these relationships in sexually experienced and non-experienced youth in low-income neighborhoods, both within and across two large US urban centers (Chicago and San Francisco). Further, within an ecological-cognitive framework, our goal is to identify risk-relevant gender-related beliefs and their antecedents that may be amenable to and acceptable for HIV prevention in this population. We propose a three phase qualitative investigation. In Phase I (n = 100) we will identify relationships among social/developmental factors (e.g., adult role expectations, partner availability; socialization experiences), gender beliefs, and cognitive, behavioral, social, and health aspects of sexuality relevant to HIV/STI risk. Phase II (n = 100) will further develop an in-depth understanding of promising themes and pathways identified in Phase I, particularly those with components that may be amenable to intervention. The final phase of the study will focus on assessing the acceptability of intervening on specific beliefs (and/or population segments) and identifying acceptable intervention approaches. The proposed qualitative study will provide important theoretical advances in addressing gender ideologies and other social/developmental factors that impact HIV related sexual behavior in low-income urban communities and will develop the basic structure for an innovative gender informed HIV intervention to address these issues in urban African American youth. The long-term goal of this work is to develop and rigorously test gender informed HIV interventions for this vulnerable population. PUBLIC HEALTH RELEVANCE: Urban African American youth evidence high levels of HIV/STI risk behavior, high rates of STIs, and may represent a continuing pool of new HIV infections among heterosexual African Americans. HIV/STI infections are concentrated among those living in low-income urban environments. Although HIV/STI prevention efforts with adolescents have been modestly successful, more work is needed. The proposed study will take a broad approach to understanding the ecological, developmental, and gender related factors that influence sexual risk-taking among African American adolescents (15-17 years old) living in poor neighborhoods in two US AIDS epicenters. The proposed study will contribute to theoretical and intervention development for this vulnerable population.

描述（由申请人提供）：非裔美国人青年证据证据高水平的HIV/STI风险行为，性传播感染率高，可能代表异性恋非裔美国人中持续的新艾滋病毒感染。 HIV/STI感染集中在生活在低收入城市环境中的人们。尽管与青少年的艾滋病毒/STI预防措施取得了适度的成功，但已经提倡新的方向，其中包括基本和预防研究，这些研究更加生态，发育和性别。在拟议的研究中，我们将借鉴一个生态认知框架，以研究性别意识形态之间的潜在关系（例如，关于男性和女性角色和女性角色的信念）以及性别与更广泛的社会/发展因素有关的性行为与更广泛的社会/发展因素有关的社会，认知和行为方面与低级非洲非洲裔美国人相关的更广泛的社会/发展因素（年龄在中等范围内）。我们将研究这些关系中在两个大型城市中心（芝加哥和旧金山）内部和跨越低收入社区的性经验丰富和经验丰富的青年中的差异。此外，在一个生态认知框架内，我们的目标是确定与风险相关的信念及其前身，这些信念可能适合于该人群中的HIV预防艾滋病毒。我们提出了三阶段定性研究。在第一阶段（n = 100）中，我们将确定社会/发展因素之间的关系（例如，成人角色期望，合作伙伴的可用性；社会化经验），性别信念以及与HIV/STI风险相关的性行为的认知，行为，社会和健康方面。 II阶段（n = 100）将进一步深入了解在I期中确定的有希望的主题和途径，尤其是那些可能会适合干预的组件的途径。该研究的最后阶段将重点介绍干预特定信念（和/或人口细分）并确定可接受的干预方法的可接受性。拟议的定性研究将在解决低收入城市社区中影响艾滋病毒相关的性行为的性别意识形态和其他社会/发展因素方面提供重要的理论进步，并将开发出创新的性别性别知情HIV干预的基本结构，以解决城市非裔美国青年中这些问题。这项工作的长期目标是为这一脆弱人群开发和严格测试性别知情的HIV干预措施。 公共卫生相关性：非裔美国人青年证据证明高水平的艾滋病毒/性传播感染风险行为，性传播感染率很高，可能代表异性恋非裔美国人中持续的新艾滋病毒感染。 HIV/STI感染集中在生活在低收入城市环境中的人们。尽管与青少年的艾滋病毒/STI预防努力取得了适度的成功，但需要更多的工作。拟议的研究将采取广泛的方法来理解影响在美国两个艾滋病中心的贫困社区中的非裔美国青少年（15-17岁）的生态，发展和性别相关因素。拟议的研究将为这一脆弱人群的理论和干预发展做出贡献。