The Role of Religion in the Social Cognitive Model of Sexual Risk

宗教在性风险社会认知模型中的作用

• 批准号: 7753612
• 负责人: Brooke E.E. Montgomery
• 金额: $ 2.99万
• 依托单位: UNIV OF ARKANSAS FOR MED SCIS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2011-06-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7753612
• 关键词: Accounting; Address; Affect; African American; Alcohol consumption; American; Arkansas; Attention; Behavior; Church; Cocaine Users; Cognitive; Communities; Complex; Coping Skills; Data; Development; Dimensions; Drug usage; Effectiveness; Emotional; Funding; Future; HIV; Health; Health Promotion; Health behavior; Institution; Intervention; Life; Link; Measurable; Measures; Mediating; Mediator of activation protein; Mental Health; Modeling; Nature; Parents; Pathway interactions; Pharmaceutical Preparations; Population; Populations at Risk; Prevalence; Prevention program; Recommendation; Religion; Religion and Spirituality; Religious Belief; Research; Research Personnel; Research Proposals; Risk; Risk Behaviors; Risk Reduction; Role; Rural; Sampling; Self Efficacy; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Social Network; Social support; Source; Techniques; Testing; Underserved Population; Unsafe Sex; Vulnerable Populations; Work; base; behavior change; cocaine use; condoms; design; experience; faith-based intervention; high risk; high risk sexual behavior; improved; innovation; non-drug; programs; public health relevance; sex; sex risk; sexual encounter; social; social cognitive theory; sound; statistics; success; theories; therapy development; transmission process

DESCRIPTION (provided by applicant): HIV and STIs are disproportionately affecting African American communities, especially in the South. Drug use is a major contributing factor to the increased HIV risk experienced by many African Americans. Stimulant use in particular has been associated with increased participation in high-risk sexual behaviors such as inconsistent condom use, multiple sexual partners, and trading sex for drugs and money. This puts African American cocaine users at tremendous risk of HIV transmission. Theory-based culturally-tailored risk reduction interventions are necessary to effectively address HIV risk in this vulnerable yet underserved population. Studies have found that faith-based interventions are particularly effective and well-received among at-risk African Americans because of strong cultural and personal connections to religion and religious institutions, particularly among African Americans living in the Southern U.S. In addition, studies have shown that certain dimensions of religion are associated with decreased participation in risky behaviors such as drug use and unsafe sex practices, especially among African Americans. Yet, little research has been done to examine not only the association between sexual risk and religion but also the intrapersonal and interpersonal mechanisms that underlie this association. Through the use of correlation statistics, multivariate regressions, and path analyses the proposed study aims to investigate Social Cognitive Theory-based pathways through which religion affects sexual risk within a unique sample of African American cocaine users living in the rural South. Using supplementary assessments of baseline data gathered through the parent study, Reducing Sexual Risk among Rural African American Cocaine Users (1R01DA024575-01), the proposed study aims to test study hypotheses and explore the extent to which the social-cognitive mediators explain and do not explain the hypothesized associations. The specific aims of the proposed study are to; (1) test several pathways that could account for the relationships among various religion constructs, SCT-based constructs, and sexual risk behaviors, and (2) examine important potential moderators and covariates that could influence these pathways and have important implications for intervention development. PUBLIC HEALTH RELEVANCE: The proposed study is both significant and innovative because of its exploration of inter- and intrapersonal pathways through which religion may influence sexual risk, its application of health behavior theory to religion-health research, and its incorporation of an understudied at-risk population. The results from this study will provide researchers with improved understanding of the important yet complex relationship between religion and sexual risk, which could be used to develop theoretical faith-based risk reduction interventions for rural African American communities that are disproportionately affected by HIV and STIs.

描述（由申请人提供）：艾滋病毒和性传播感染对非裔美国人社区，尤其是南方的社区的影响不成比例。吸毒是许多非裔美国人经历的HIV风险增加的主要因素。尤其是兴奋剂的使用与增加对高风险性行为的参与有关，例如使用避孕套，多个性伴侣以及将性交易以供毒品和金钱交易。这使非裔美国可卡因使用者处于艾滋病毒传播的巨大风险。基于理论的文化降低风险降低干预措施是为了有效解决这个脆弱但服务不足的人群中的艾滋病毒风险。研究发现，基于信仰的干预措施在高风险的非洲裔美国人中特别有效且受到了良好的评价，因为与宗教和宗教机构之间有着密切的文化和个人联系，尤其是在美国南部居住在美国南部的非裔美国人中，研究表明，某些宗教方面与诸如毒品使用和非法性行为的危险行为降低有关，尤其是在毒品上的危险行为，尤其是美国人，尤其是美国人。然而，几乎没有研究不仅要研究性风险与宗教之间的关联，而且还研究了这种关联构成的人际和人际交往机制。通过使用相关统计数据，多元回归和路径分析拟议的研究旨在调查基于社会认知理论的途径，宗教在居住在南部农村地区的非裔美国人可卡因使用者的独特样本中影响性风险。利用对父母研究收集的基线数据的补充评估，减少了非裔美国可卡因使用者的性风险（1R01DA024575-01），该研究旨在测试研究假设并探索社会认知媒介的程度，并没有解释和解释该假设的协会。拟议研究的具体目的是； （1）测试几种可以说明各种宗教结构，基于SCT的结构和性风险行为之间的关系的途径，以及（2）检查重要的潜在主持人和协变量，这些主持人和协变量可能影响这些途径，并且对干预发展具有重要意义。公共卫生相关性：拟议的研究既重要又具有创新性，因为它探索了宗教可能影响性风险的人际关系途径，其健康行为理论在宗教健康研究中的应用以及其纳入了被认为是危险的人口的人口。这项研究的结果将使研究人员对宗教与性风险之间重要但复杂的关系有了深入的了解，这些关系可用于开发基于理论的基于信仰的风险降低风险降低干预措施，这些干预措施对受艾滋病毒和性传播感染的不成比例影响的非裔非裔美国人社区。