HIV Prevention for High Risk African American Young Men

高危非洲裔美国年轻男性的艾滋病毒预防

• 批准号: 7563928
• 负责人: Michele D. Kipke
• 金额: $ 11.81万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-15 至 2011-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7563928
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Achievement; Address; Adolescent; Adult; Affect; African; African American; Age; American; Behavior; Behavioral; Caucasians; Caucasoid Race; Centers for Disease Control and Prevention (U.S.); Coitus; Communities; Country; Data; Development; Drug usage; Educational Curriculum; Ensure; Environment; Environmental Risk Factor; Evidence based intervention; Exercise; Feeling hopeless; Future; HIV; HIV Infections; HIV Seropositivity; Illicit Drugs; Individual; Infection; Intervention; Latino; Longitudinal Studies; Los Angeles; Male Adolescents; Mentors; Motivation; NIH Program Announcements; Nature; Participant; Performance; Population; Prevalence; Preventive Intervention; Provider; Race; Relative (related person); Reporting; Research; Research Methodology; Risk; Risk Behaviors; Risk Factors; Risk Reduction; School-Age Population; Schools; Services; Sex Behavior; Sexual Abstinence; Social Discrimination; Survival Rate; Suspension substance; Suspensions; Target Populations; Testing; Time; United States National Institutes of Health; Victimization; Violence; Work; Youth; alcohol misuse; base; cohort; community setting; experience; health disparity; high risk; meetings; men; men who have sex with men; middle school; public health relevance; racial discrimination; racism; response; sex; sex risk; sexual relationship; skills; social; surveillance study; theories; transgender

DESCRIPTION (provided by applicant): This application is being submitted in response to the NIH's Program Announcement entitled, "Health Disparities in HIV/AIDS: Focus on African Americans" (PA-07-289), which recognizes that "African Americans [represent] a group that has experienced exceptionally high rates of new HIV infections and worse survival rates than other ethnic/racial groups in this country" A particular focus of this program announcement is the development of "theoretically based, developmentally appropriate, and culturally sensitive HIV preventive interventions targeting individual, social, and environmental factors for vulnerable African-American populations (e.g., men who have sex with men (MSM), sex workers, youth)." The specific aims of this R21 application are to: 1) adapt an effective, evidence-based intervention called Project AIM (Adult Identity Mentoring) so that it is developmentally appropriate and culturally relevant for use with African-American (AA) young men who have sex with men (YMSM) in Los Angeles; 2) pilot test the feasibility and acceptability of the new intervention that we will call Young Men's AIM (YM-AIM); and 3) identify barriers and facilitators with respect to implementing YM-AIM in community settings. Data from our own Healthy Young Men's (HYM) Study provides strong evidence that AAYMSM are significantly more likely to have experienced racial discrimination and to report significantly higher levels of internalized homophobia than Latino and Caucasian YMSM. AAYMSM are also significantly more likely to experience various forms of violence and victimization, including homophobia, when growing up, sexual/social discrimination based on race, and institutional racism relative to Caucasian and Latino YMSM. These experiences of racism, homophobia, and violence were in turn found to be significantly associated with illicit drug use, alcohol misuse, and involvement in HIV sexual risk behaviors. These and other findings emphasize the need for prevention interventions that are tailored to meet the unique needs and risk profiles of AAYMSM. In this study, we are proposing to adapt an existing HIV prevention intervention called Project AIM for use with 18-24 year old AAYMSM. Project AIM is an effective, evidence-based intervention with demonstrated short- and long-term increases in sexual abstinence and reductions in sexual activity among African-American adolescent males. Drawing upon the Theory of Possible Selves, Project AIM seeks to steer adolescents away from risky behavioral choices by offering alternative avenues to define themselves as adults. Findings from our HYM study, including findings from mixed-methods research conducted with a cohort of 126 AAYMSM (ages 18 to 24 years), will inform the adaptation of Project AIM. We will also engage and solicit input from AAYMSM and local youth service providers. Once adapted, the new intervention (YM-AIM) will be pilot tested to determine its feasibility and acceptability and to identify barriers and facilitators with respect to implementing YM-AIM in community settings. PUBLIC HEALTH RELEVANCE Rates of HIV infections continue to rise among African American young men who have sex with men, and yet it remains the case that few prevention interventions have been developed specifically for this population. We are proposing to adapt and pilot test the Adolescent Identity Mentoring (AIM) intervention, an evidence-based prevention intervention that has previously been found to be effective with younger high-risk African American youth.

说明（由申请人提供）：本申请是为了响应 NIH 题为“艾滋病毒/艾滋病的健康差异：关注非裔美国人”(PA-07-289) 的计划公告而提交，该公告承认“非裔美国人 [代表] 与该国其他族裔/种族群体相比，该群体的新艾滋病毒感染率异常高，存活率更差” 该计划公告的一个特别重点是开发“基于理论的、适合发展的、针对弱势非裔美国人群体（例如男男性行为者（MSM）、性工作者、青少年）的个人、社会和环境因素的文化敏感的艾滋病毒预防干预措施。”该 R21 应用程序的具体目标是： 1) 采用名为 AIM 项目（成人身份指导）的有效、基于证据的干预措施，使其在发展上适合并具有文化相关性，适用于患有以下疾病的非洲裔美国 (AA) 年轻男性：洛杉矶的男性性行为 (YMSM)； 2) 试点测试新干预措施的可行性和可接受性，我们将其称为年轻人 AIM (YM-AIM)； 3) 确定在社区环境中实施 YM-AIM 的障碍和促进因素。我们自己的健康年轻人 (HYM) 研究的数据提供了强有力的证据，表明 AAYMSM 比拉丁裔和白种人 YMSM 更有可能遭受种族歧视，并且报告的内在同性恋恐惧症水平明显更高。与白人和拉丁裔 YMSM 相比，AAYMSM 也明显更有可能经历各种形式的暴力和受害，包括成长过程中的恐同症、基于种族的性/社会歧视以及制度性种族主义。反过来，这些种族主义、恐同症和暴力经历又被发现与非法药物使用、酗酒和参与艾滋病毒性危险行为显着相关。这些和其他发现强调需要采取专门的预防干预措施来满足 AAYMSM 的独特需求和风险状况。在这项研究中，我们建议对现有的艾滋病毒预防干预措施（称为 AIM 项目）进行调整，以用于 18-24 岁的 AAYMSM。 AIM 项目是一项有效的、基于证据的干预措施，已证明非裔美国青少年男性短期和长期性禁欲的增加和性活动的减少。 AIM 项目借鉴了可能的自我理论，旨在通过提供替代途径来将自己定义为成年人，从而引导青少年远离危险的行为选择。我们的 HYM 研究结果，包括对 126 名 AAYMSM（18 至 24 岁）队列进行的混合方法研究结果，将为 AIM 项目的调整提供信息。我们还将与 AAYMSM 和当地青年服务提供商合作并征求意见。一旦适应，新的干预措施（YM-AIM）将进行试点测试，以确定其可行性和可接受性，并确定在社区环境中实施 YM-AIM 的障碍和促进因素。 公共卫生相关性 在男男性行为的非洲裔美国年轻男性中，艾滋病毒感染率持续上升，但专门针对这一人群制定的预防干预措施仍然很少。我们提议调整并试点测试青少年身份指导（AIM）干预措施，这是一种基于证据的预防干预措施，此前已被发现对年轻的高危非裔美国青年有效。

项目成果

Photovoice as a tool to adapt an HIV prevention intervention for African American young men who have sex with men.

Photovoice 作为一种工具，针对男男性行为的非洲裔美国年轻男性进行艾滋病毒预防干预。

• 发表时间: 2012-07
• 影响因子: 1.9
• 作者: Kubicek, Katrina;Beyer, William;Weiss, George;Kipke, Michele D
• 通讯作者: Kipke, Michele D