Gender, Power and Latino Mens HIV Risk

性别、权力和拉丁裔男性艾滋病毒风险

• 批准号: 7893642
• 负责人: MIGUEL A MUNOZ-LABOY
• 金额: $ 56.84万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 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 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7893642
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Age-Years; Area; Asians; Behavior; Bisexual; Bisexuality; Cause of Death; Cessation of life; Color; Communities; Cultural Backgrounds; Data Analyses; Data Collection; Ecology; Employment; Epidemic; Epidemiology; Ethnography; Evidence based intervention; Family; Gender; Goals; Group Interviews; HIV; HIV/STD; Health; Heterosexuals; Injecting drug user; Intervention; Interview; Latino; Life; Maps; Marketing; New York; New York City; Occupations; Pacific Island Americans; Perception; Persons; Play; Population; Prevention Research; Prevention strategy; Public Health; Religion and Spirituality; Research; Research Design; Research Project Grants; Risk; Risk Behaviors; Risk-Taking; Role; Services; Shapes; Site; United States; Woman; Workplace; contextual factors; coping; design; evidence base; informant; innovation; male; member; men; men who have sex with men; men' s group; metropolitan; neglect; prevent; prevention service; programs; public health priorities; public health relevance; racial and ethnic; research and development; social inequality; theories; transmission process; AIDS prevention; Acquired Immunodeficiency Syndrome; Age-Years; Area; Asians; Behavior; Bisexual; Bisexuality; Cause of Death; Cessation of life; Color; Communities; Cultural Backgrounds; Data Analyses; Data Collection; Ecology; Employment; Epidemic; Epidemiology; Ethnography; Evidence based intervention; Family; Gender; Goals; Group Interviews; HIV; HIV/STD; Health; Heterosexuals; Injecting drug user; Intervention; Interview; Latino; Life; Maps; Marketing; New York; New York City; Occupations; Pacific Island Americans; Perception; Persons; Play; Population; Prevention Research; Prevention strategy; Public Health; Religion and Spirituality; Research; Research Design; Research Project Grants; Risk; Risk Behaviors; Risk-Taking; Role; Services; Shapes; Site; United States; Woman; Workplace; contextual factors; coping; design; evidence base; informant; innovation; male; member; men; men who have sex with men; men' s group; metropolitan; neglect; prevent; prevention service; programs; public health priorities; public health relevance; racial and ethnic; research and development; social inequality; theories; transmission process

DESCRIPTION (provided by applicant): AIDS has been a leading cause of death among Latino women and men 25 to 44 years of age for more than a decade. The few HIV prevention and treatment interventions developed specifically for Latino men have focused on injecting drug users (IDU) or men who have sex with men (MSM), but have neglected a critical epidemiological group, men who have sex with men and with women (MSMW). This group is particularly relevant in understanding the spread of HIV given the role they play in sexual network connections between the homosexually active male population and heterosexual population. The proposed study will develop an innovative pilot intervention for behaviorally bisexual Latino men. We propose the following specific aims: 1) To describe the mechanisms by which contextual factors of labor and cultural backgrounds (such as access to employment, ethnic-racial tensions, coping with job-related situations, heterosexism and gender norms in the workplace) influence bisexual men's likelihood of engaging in risky sexual practices; 2)To explore how men's notions of power are shaped by the centrality of family and religious background, and how these factors in turn, facilitate or prevent sexual risk taking among bisexual Latino men; 3) To describe bisexual Latino men's ideologies of HIV risk, the geographical context of HIV risk, and how bisexual risk behavior, and how they are related or not to gender and power dynamics in the men's lives; and, 4) To examine how the perceptions of members of AIDS Service Delivery Organizations (ASDOs) of societal notions of Latino masculinity and bisexuality create or limit access to HIV prevention services for bisexual Latino men in the New York Metropolitan Area. To accomplish these aims, we propose a 4-year ethnographic study design with two components of data collection. The first component will consists of in-depth interviews with behaviorally bisexual Latino men (n=160) from five research sites in the New York City metropolitan area. The first two years of the study will be dedicated to the in-depth interviews component. The second data collection component of the study will be an ethnography. This component will last 3 years, beginning in years 1 and 2 with key informant interviews (n=25) and continuing in year 3 with ethnographic mapping and 25 group interviews with AIDS Service Delivery Organizations across the 5 research sites. The last year of the project will focus on using Intervention Mapping (IM) to analyze the data collected and design the pilot intervention to reduce HIV risk among bisexual Latino men. The proposed study will be one of the first large-scale research projects to focus on issues of bisexuality and HIV risk among Latinos in the United States. PUBLIC HEALTH RELEVANCE: 1. Given the raise in HIV cases in the United States, particularly among homosexually and bisexually active men of color, this study takes an innovative approach to the examination of HIV risk among by exploring how broad forms of social inequality and the sexual ecology of bisexual behavior among Latino men constrain the options for a relatively less powerful group of men, and how ideologies of masculinity intersect with structural social inequalities to create HIV risks for bisexual Latino men. 2. This will be one of the first large-scale research projects to focus on issues of bisexuality and HIV risk among Latinos and the first one to examine how the context of labor and sexual markets shape the sexual lives and health risks of bisexual men of color. 3. The proposed study will be one of the few research projects that utilize HIV prevention research to design a multilevel, theory and evidence-based intervention to reduce HIV/STI risk for bisexual Latino men, a consistently overlooked population in public health.

描述（由申请人提供）：十多年来，艾滋病一直是25至44岁的拉丁裔男女死亡的主要原因。专门针对拉丁裔男性开发的少数​​艾滋病毒预防和治疗干预措施是注射吸毒者（IDU）或与男性发生性关系的男性（MSM），但忽略了一个关键的流行病学群体，男性与男性和女性发生性关系（MSMW）。鉴于他们在同性活跃的男性人群与异性恋人群之间的性网络联系中所起的作用，该群体在理解HIV的传播方面特别重要。拟议的研究将针对行为双性恋拉丁裔男人开发创新的飞行员干预。我们提出以下具体目的：1）描述劳动和文化背景的上下文因素（例如获得就业，种族 - 种族紧张局势，应对与工作相关的情况，在工作场所中的性别规范）的机制影响双重男性从事风险性行为的可能性； 2）探索男人的权力观念如何受家庭和宗教背景的中心地位，以及这些因素又如何促进或防止双性恋拉丁裔男人之间的性风险； 3）描述艾滋病毒风险的双性恋拉丁裔男性意识形态，艾滋病毒风险的地理环境以及双性恋风险行为以及他们如何与男人生活中的性别和权力动态有关的关系；以及4）研究拉丁裔男子气概和双性恋社会观念的艾滋病服务交付组织（ASDOS）的看法如何创造或限制纽约大都会地区的双性恋拉丁裔男人的艾滋病毒预防服务。为了实现这些目标，我们提出了一项为期4年的人种学研究设计，并具有两个数据收集的组成部分。第一个组成部分将包括对纽约市大都会地区五个研究地点的行为双性恋拉丁裔男性（n = 160）的深入访谈。研究的前两年将致力于深入的访谈部分。研究的第二个数据收集部分将是民族志。该组成部分将持续3年，从1年级和2年开始，进行了关键的线人访谈（n = 25），并在第3年继续进行民族志映射和25个小组访谈，并在5个研究站点中与艾滋病服务交付组织进行了25次小组访谈。该项目的最后一年将着重于使用干预映射（IM）分析收集的数据并设计试验干预措施，以降低双性恋拉丁裔男性的艾滋病毒风险。拟议的研究将是最早关注美国拉丁裔双性恋和艾滋病毒风险问题的大型研究项目之一。 公共卫生相关性：1。鉴于美国的艾滋病毒案件增加，特别是在同性恋和双眼积极活跃的有色人种中，这项研究采取了一种创新的方法来检查艾滋病毒风险，通过探讨社会不平等的广泛形式的社会不平等和性生态学的性生态学，在拉丁裔男性中如何构成相对强大的男性和较大的男性构造的构建型，并构成与男性的相对较小的群体，并且是对妇女的构建型，并且是对男性的，并且是对妇女的构成型，并且是对妇女的构成型，并且是对男性的构成型，并且是对妇女的构成型，并且是对男性的构成型，并且是对男性的构成型男志行为，并且是对妇女的构成型男妇的态度。双性恋拉丁裔男人的风险。 2。这将是最早关注拉丁美洲人双性恋和艾滋病毒风险问题的大规模研究项目之一，也是第一个研究劳动力和性市场背景如何影响有色人种的性生活和健康风险的问题。 3。拟议的研究将是使用艾滋病毒预防研究来设计多级，理论和循证干预措施的少数研究项目之一，以减少双性恋拉丁裔男性的HIV/STI风险，这是公共卫生中始终被忽视的人群。