The Social Context of Disclosure and HIV Sexual Risk among Bisexual Black Men

双性恋黑人男性的信息披露和艾滋病毒性风险的社会背景

基本信息

批准号：
7270127
负责人：
DAVID J. MALEBRANCHE
金额：
$ 16.26万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-08-01 至 2008-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7270127
关键词：
AIDS prevention AIDS/HIV problem Address Affect African American Anal Sex Attention Automobile Driving Behavior Behavioral Bisexual Centers for Disease Control and Prevention (U.S.)Cities Communities Complex Country Daily Decision Making Depth Development Disclosure Economics Epidemic Ethnic Origin Female Future Gays Gender Gender Role HIV HIV Infections HIV Seropositivity Heterosexuals Homosexuals Interview Knowledge Life Life Experience Link Literature Pattern Population Prevalence Prevention intervention Process Public Health Purpose Qualitative Methods Recruitment Activity Religion and Spirituality Reporting Research Research Personnel Review Literature Risk Sex Behavior Sexual Partners Sexual Transmission Social Environment Structure Subgroup USA Georgia United States Vagina Western Asia Georgia Woman condoms interest male man men men who have sex with men men&apos s group metropolitan programs protective behavior sex social transmission process

项目摘要

DESCRIPTION (provided by applicant): Project Summary - HIV is disproportionately impacting African Americans in this country, specifically men who have sex with men (MSM) and heterosexual women. Recent public health and media attention has been given to behaviorally bisexual Black men who may serve as a potential "bridge" of transmission between the Black heterosexual female and MSM communities. To date, however, there is little information on this subpopulation of Black MSM and the dynamics that influence HIV sexual risk in their daily lives. This study's broad term objectives are to qualitatively explore and discover: 1) The specific social context influencing the lives of behaviorally bisexual Black men; 2) The varied influences on patterns of social and partner disclosure of their same-sex behavior; and 3) The factors influencing their sexual risk with both Female and male sexual partners. For this purpose, 60 Black men who are currently behaviorally bisexual (both HIV-positive and HIV-negative) will be recruited in Atlanta, Georgia, and will undergo semi-structured interviews regarding their lives and the unique forces that influence potential sexual risk and HIV transmission for themselves and their sexual partners. Relevance - This project is particularly relevant to public health as it will provide essential information on the demographic, social and behavioral aspects of sexual transmission of HIV among a subpopulation of the Black community that has been relatively understudied to this point. Specifically, it will fill gaps in the current HIV literature and knowledge, given the high HIV prevalence among Black MSM and Black heterosexual women, the speculation that behaviorally bisexual Black men are important factors in the linking of these two epidemics, and the lack of formative research specifically addressing this group of men. The information gained from this study will be invaluable in informing future quantitative research efforts for this population, as well as guiding the development of current HIV prevention interventions for this group of men and the entire Black community.

描述（由申请人提供）：项目摘要 - 艾滋病毒对这个国家的非裔美国人影响尤为严重，特别是男男性行为者 (MSM) 和异性恋女性。最近的公共卫生和媒体关注行为双性恋黑人男性，他们可能成为黑人异性恋女性和 MSM 社区之间传播的潜在“桥梁”。然而，迄今为止，关于黑人男男性接触者这一亚群以及影响他们日常生活中艾滋病毒性风险的动态的信息很少。这项研究的广泛目标是定性地探索和发现：1）影响双性恋黑人男性生活的特定社会背景； 2）对社会和伴侣披露同性行为的模式的不同影响； 3) 影响其与女性和男性性伴侣发生性风险的因素。为此，将在佐治亚州亚特兰大招募 60 名目前行为双性恋（艾滋病毒阳性和艾滋病毒阴性）的黑人男性，并对他们的生活以及影响潜在性风险和影响的独特力量进行半结构化访谈。自身及其性伴侣的艾滋病毒传播。相关性 - 该项目与公共卫生特别相关，因为它将提供有关黑人社区亚人群中艾滋病毒性传播的人口、社会和行为方面的重要信息，而迄今为止，该亚人群的研究相对较少。具体来说，它将填补当前艾滋病毒文献和知识的空白，因为黑人男男性接触者和黑人异性恋女性中的艾滋病毒感染率很高，推测行为双性恋的黑人男性是这两种流行病之间的联系的重要因素，而且缺乏形成性的证据。专门针对这一人群的研究。从这项研究中获得的信息对于为该人群未来的定量研究工作以及指导针对该人群和整个黑人社区制定当前的艾滋病毒预防干预措施具有非常宝贵的信息。