Culture and HIV risk in a diverse population

不同人群中的文化和艾滋病毒风险

基本信息

批准号：
9514444
负责人：
Ellen Benoit
金额：
$ 65.9万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-25 至 2021-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9514444
关键词：
AIDS prevention Acquired Immunodeficiency Syndrome Age Alcohol or Other Drugs use Anal Sex Attention Attitude Characteristics Chlamydia Church Communities Development Diagnosis Education Ethnic group Exposure to Frequencies Gays Gonorrhea HIV Infections HIV risk HIV/STD Image Individual Infection Intervention Interview Knowledge Latino Methods Morals New York City Parents Participant Pattern Population Population Heterogeneity Pornography Prevention education Prevention program Preventive Intervention Process Research Resources Risk Role Sampling Schools Sex Behavior Sex Orientation Sexual Health Sexual Partners Sexuality Socialization Source Stigmatization Syphilis Time Trust Work age group cohort effective intervention ethnic diversity improved men men who have sex with men peer prevent public health relevance racial and ethnic sex sex risk sexual role theories therapy design web site young man young men who have sex with men

项目摘要

DESCRIPTION (provided by applicant): Despite considerable attention to the sexual health of young men who have sex with men (YMSM), new HIV and STD infections are rapidly increasing among this population. A critical aspect of sexual behavior among YMSM is the process of sexual socialization - the process by which individuals gain knowledge, attitudes, and norms about sexuality, sexual behavior, and sexual risk. Sexual scripts theory provides a framework to understand the sexual socialization process, specifically how individuals receive cultural scenarios from external sources (cultural scripts), interpret them (intrapsychic scripts), and enact them with sexual partners (interpersonal scripts). To understand this phenomenon and inform the development of, and improve existing, interventions for YMSM, the proposed study will conduct mixed-methods interviews with an ethnically diverse sample of 160 urban YMSM (33% Black, 33% Latino, 33% White; of whom 50% within each racial/ethnic group will be ages 16-20 and 50% will be ages 21-25). Aim 1. Examine the content of cultural scenarios that YMSM are exposed to, from different sources, about when/what age they should have sex, who are acceptable partners, the frequency and types of sexual (risk) behaviors that are appropriate, and the role of substance use in sexual interactions. Aim 2. Examine the processes by which YMSM interpret, resolve discrepancies between, and enact these cultural scenarios into sexual behaviors, including the process by which scripts are reappraised and enacted differently over time (e.g., due to maturation, new relationship contexts, exposure to new cultural scenarios). Aim 3. Examine how the content and sources of cultural scenarios to which YMSM are exposed and their interpretation, enactment, and reappraisal of these scripts over time, differ by selected participant characteristics; and how these differences in scripts serve to explain differences in sexual risk behaviors. Aim 4: Investigate the views of YMSM regarding the need for, desired content of, and method of delivery for sexual education and HIV prevention interventions for YMSM.

描述（由申请人提供）：尽管人们对男男性行为者（YMSM）的性健康给予了相当多的关注，但该人群中新的艾滋病毒和性病感染正在迅速增加，YMSM 中性行为的一个重要方面是性行为的过程。性社会化——个人获得有关性、性行为和性风险的知识、态度和规范的过程。性脚本理论提供了一个理解性社会化过程的框架，特别是个人如何从外部来源接收文化场景（文化脚本）。），解释为了了解这一现象并为 YMSM 的发展提供信息并改进现有的干预措施，拟议的研究将对不同种族的样本进行混合方法访谈。 160 名城市 YMSM（33% 黑人、33% 拉丁裔、33% 白人；其中每个种族/族裔群体中 50% 年龄在 16-20 岁之间，50% 年龄在目标 1. 检查 YMSM 从不同来源接触到的文化场景的内容，包括他们应该何时/什么年龄发生性行为、谁是可接受的伴侣、发生性行为（风险）的频率和类型。目标 2. 检查 YMSM 解释、解决这些文化情景之间的差异并将这些文化情景落实到性行为中的过程，包括重新评估和制定脚本的过程。随着时间的推移，制定的内容会有所不同（例如，由于成熟、新的关系背景、接触新的文化场景）。目标 3. 检查 YMSM 所接触的文化场景的内容和来源以及它们对这些脚本的解释、制定和重新评估。随着时间的推移，因选择而异特征；以及脚本中的这些差异如何解释性危险行为的差异。目标 4：调查 YMSM 对于参与者对 YMSM 性教育和艾滋病毒预防干预措施的需求、期望内容和提供方法的看法。