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（由适用提供）：尽管非常关注与男性发生性关系的年轻人（YMSM），新的艾滋病毒和性病感染的性健康状况正在迅速增加。 YMSM中性行为的一个关键方面是性社会化的过程 - 个人获得有关性，性行为和性风险的知识，陪伴和规范的过程。性脚本理论提供了一个框架来了解性社会化过程，特别是个人如何从外部来源（文化脚本）中获得文化情景，解释它们（杂乱的脚本），并与性伴侣（人际关系脚本）一起制定。为了了解这种现象，并为YMSM的开发和改善了现有的干预措施，这项拟议的研究将对160个城市YMSM的种族多样化样本进行混合方法（33％的黑人，33％的拉丁裔，33％的拉丁裔，33％的白色；在每个种族/种族中，其中50％的人数为16-20％和50％和50％和50％的年龄和50％的年龄为21-25）。目标1。检查YMSM从不同来源，他们应该/年龄的年龄，可接受的伴侣，合适的性（风险）行为的频率和类型以及物质使用在性互动中的作用的频率和类型。目标2。检查目标3。检查YMSM暴露的文化场景的内容和来源如何以及它们的解释，颁布和重新评估这些脚本会随着时间的流逝而不同，而随着时间的推移，脚本会随着时间的推移重新编写和颁布的脚本不同（例如，由于成熟，新的关系内容，新的文化情景，新的关系内容，新的关系内容，外观）。目标3。检查YMMM所曝光的文化场景的内容和来源如何以及它们的解释，成文和重新评估这些脚本随着时间的流逝而不同参与者特征；以及脚本中的这些差异如何解释性风险行为的差异。目标4：调查YMSM对YMSM的性教育和艾滋病毒预防干预措施的需求，所需内容和交付方法的看法。