Reducing Sexual Risk in African American Men Who Have Sex With Men: Cooking Club

降低男男性接触者的非裔美国男性的性风险：烹饪俱乐部

• 批准号: 7231171
• 负责人: BERYL A KOBLIN
• 金额: $ 29.83万
• 依托单位: NEW YORK BLOOD CENTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2009-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7231171
• 关键词: AIDS education /prevention; African American; HIV infections; behavioral /social science research tag; clinical research; clinical trials; cognitive behavior therapy; community; cooperative study; food processing /preparation; group therapy; health disparity; high risk behavior /lifestyle; homosexuals; human subject; human therapy evaluation; interview; male; safe sex /sex abstinence; sex behavior

DESCRIPTION (provided by applicant): The disproportionate burden of HIV/AIDS among African American men who have sex with men (MSM) is stark and alarming, and the lack of an effective preventive vaccine or microbicide emphasizes the urgent need for effective behavioral interventions. Although considerable research has been conducted to develop behavioral interventions for MSM in general, few interventions have been developed exclusively for African American MSM whose social community involves a complex intersection of economics, ethnicity, family ties, community values, and personal aspirations, all of which impact on their intimate partnerships and sexual behavior. The specific aim of this study is to test the efficacy of a group-level, Social Cognitive Theory-based sexual risk-reduction intervention for African American HIV infected and uninfected MSM. The intervention weaves proven cognitive-behavioral sexual risk-reduction information and skills-building modules into cooking and meal-sharing activities to engage participants in creating supportive caring communities of friends that value health, self-worth, self-identification as MSM, and social integration. This is a novel ecological approach to HIV risk-reduction in that the intervention re-engineers the social environment and models interpersonal socialization that can be replicated by participants within their own social contexts. To accomplish the aim, we will build upon our partnerships with two community-based agencies in New York City and propose to conduct a randomized, controlled trial among 300 sexually active HIV infected and uninfected African American MSM. Study participants will be randomized to the experimental or control condition in a 1:1 ratio. At baseline and 3 months, standardized data collection using audio computer assisted self-interviewing (ACASI) technology will assess outcomes and covariates. The primary outcome will be the occurrence of unprotected receptive anal sex (URA) and unprotected insertive anal sex (UIA). Secondary outcomes will include 1) number of new and total male sex partners; 2) occurrence of URA and UIA while under the influence of substances; and 3) level of identity integration and self-efficacy for safer sex. This study also will assess moderators of the effect of the intervention on behavior change and other factors identified as important influences of risk behaviors will be assessed. The hypothesis to be tested is that a culturally appropriate, theory-based behavioral intervention that addresses sexual risk and related factors will reduce sexual risk behaviors among African American MSM.

描述（由申请人提供）：非裔美国男男性行为者 (MSM) 所承受的艾滋病毒/艾滋病负担非常严重且令人担忧，而且缺乏有效的预防性疫苗或杀菌剂强调了有效行为干预的迫切需要。尽管已经进行了大量研究来制定针对 MSM 的行为干预措施，但很少有专门针对非裔美国 MSM 制定的干预措施，他们的社会社区涉及经济、种族、家庭关系、社区价值观和个人愿望的复杂交叉，所有这些对他们的亲密伙伴关系和性行为的影响。本研究的具体目的是测试群体层面的、基于社会认知理论的性风险降低干预措施对非裔美国人 HIV 感染和未感染的 MSM 的有效性。该干预措施将经过验证的认知行为性风险降低信息和技能培养模块融入烹饪和膳食共享活动中，让参与者参与创建支持性关怀的朋友社区，这些社区重视健康、自我价值、自我认同为 MSM 和社交能力。一体化。这是降低艾滋病毒风险的一种新颖的生态方法，因为干预措施重新设计了社会环境并建立了人际社会化模型，参与者可以在自己的社会环境中复制这些模型。 为了实现这一目标，我们将在与纽约市两个社区机构的合作基础上，提议对 300 名性活跃的 HIV 感染者和未感染者非裔美国 MSM 进行一项随机对照试验。研究参与者将以 1:1 的比例随机分配至实验条件或对照条件。在基线和 3 个月时，使用音频计算机辅助自我访谈 (ACASI) 技术收集的标准化数据将评估结果和协变量。主要结果是无保护的接受性肛交（URA）和无保护的插入性肛交（UIA）的发生。次要结果将包括 1) 新的男性性伴侣和全部男性性伴侣的数量； 2) 在物质影响下发生URA和UIA； 3) 安全性行为的身份整合和自我效能水平。这项研究还将评估干预措施对行为改变的影响的调节因素，并将评估被确定为风险行为重要影响的其他因素。要检验的假设是，解决性风险和相关因素的文化上适当的、基于理论的行为干预将减少非裔美国男男性接触者中的性风险行为。