Intimate Partner Violence and HIV Prevention among Sexual Minority Men

性少数男性的亲密伴侣暴力和艾滋病毒预防

• 批准号: 10254507
• 负责人: Erik D. Storholm
• 金额: $ 65.82万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10254507
• 关键词: AIDS prevention; Address; Adult; Alcohol consumption; Behavior; Buffers; Characteristics; Child Abuse; Chronic; Cohort Studies; Coping Skills; Cross-Sectional Studies; Data; Development; Diagnosis; Emotional; Etiology; Frequencies; HIV; HIV Seronegativity; HIV Seropositivity; HIV risk; Human immunodeficiency virus test; Individual; Interruption; Intervention; Knowledge; Life Experience; Link; Los Angeles; Measures; Mediating; Mental Health; Methodology; Methods; Minority; Outcome; Participant; Pathway interactions; Prevalence; Recommendation; Recording of previous events; Research; Research Activity; Risk; Risk Behaviors; Risk Factors; Severities; Sexual Partners; Sexually Transmitted Diseases; Shapes; Social support; Stress; Structure; Substance abuse problem; Testing; Time; Victimization; Violence; Woman; Work; base; cis-male; cohort; condomless anal sex; design; effective intervention; experience; follow-up; inattention; innovation; intimate partner violence; men; pre-exposure prophylaxis; prevent; primary outcome; prospective; protective behavior; psychologic; psychosocial; recruit; resilience; secondary outcome; self esteem; sexual minority; sexual risk behavior; sexual risk taking; social stigma; social structure; stressor; substance use; theories; uptake; violence perpetration; violence prevention; AIDS prevention; Address; Adult; Alcohol consumption; Behavior; Buffers; Characteristics; Child Abuse; Chronic; Cohort Studies; Coping Skills; Cross-Sectional Studies; Data; Development; Diagnosis; Emotional; Etiology; Frequencies; HIV; HIV Seronegativity; HIV Seropositivity; HIV risk; Human immunodeficiency virus test; Individual; Interruption; Intervention; Knowledge; Life Experience; Link; Los Angeles; Measures; Mediating; Mental Health; Methodology; Methods; Minority; Outcome; Participant; Pathway interactions; Prevalence; Recommendation; Recording of previous events; Research; Research Activity; Risk; Risk Behaviors; Risk Factors; Severities; Sexual Partners; Sexually Transmitted Diseases; Shapes; Social support; Stress; Structure; Substance abuse problem; Testing; Time; Victimization; Violence; Woman; Work; base; cis-male; cohort; condomless anal sex; design; effective intervention; experience; follow-up; inattention; innovation; intimate partner violence; men; pre-exposure prophylaxis; prevent; primary outcome; prospective; protective behavior; psychologic; psychosocial; recruit; resilience; secondary outcome; self esteem; sexual minority; sexual risk behavior; sexual risk taking; social stigma; social structure; stressor; substance use; theories; uptake; violence perpetration; violence prevention

SUMMARY/ABSTRACT Sexual minority men (SMM) experience intimate partner violence (IPV) at alarming rates. Prior work has linked IPV to sexual risk-taking behavior and increased risk for HIV seroconversion among SMM, but less is known about the impact of IPV on HIV and sexually transmitted infection (STI) testing/acquisition, pre-exposure prophylaxis (PrEP) uptake, and the persistence of PrEP use among SMM. While these findings reveal the potential for IPV to have a strong deleterious effect on HIV prevention, experiences of IPV are so varied among SMM (e.g., frequency, severity; steady vs. casual partnerships; mutual perpetration vs. only perpetrating or receiving violence; sexual vs. physical vs. psychological violence) that additional research is needed to unpack the overall association between IPV and HIV risk before effective interventions can be developed. Guided by a framework that combines the Syndemics and Minority Stress theories, the proposed innovative observational cohort study will examine how perpetration and/or receipt of various forms of IPV (e.g., physical, sexual, and psychological; in the context of steady or casual intimate relationships) contribute to HIV risk and protective behaviors among HIV-negative SMM over a 24-month timeframe in order to: 1. Examine the longitudinal associations of IPV with HIV testing, PrEP uptake, PrEP persistence, STI diagnosis, condomless anal sex, and HIV seroconversion. 2. Determine the structural- and individual-level and resilience and risk factors that may buffer or amplify associations between IPV and these HIV risk and protective behaviors. 3. Identify the characteristics of SMM, their intimate partners, and the relationship dynamics that serve to mediate or moderate the impact of IPV on HIV risk and protective behaviors. 4. Make recommendations for interventions that interrupt the pathways between IPV and HIV risk based on quantitative data from the cohort, and qualitative data guided by technical experts. We will assess sexual risk behavior, conduct HIV and STI testing, and assess PrEP uptake and persistence over the 24 months of follow-up. We hypothesize that greater frequency of IPV will be associated with history of childhood abuse, mental health problems, substance use, sexual risk taking and lower levels of HIV testing, PrEP uptake, and PrEP persistence. We anticipate that alcohol and substance use among participants and their partners will be highly associated with episodes of IPV (both victimization and perpetration) and with HIV risk behavior. We also hypothesize that coping skills and social support will moderate the effects of IPV on risk behavior, HIV testing, PrEP uptake, and PrEP persistence. The proposed study will advance our understanding of both the risk and resiliency factors relevant to preventing and reducing IPV, reducing IPV-associated risk behaviors, and increasing HIV protective behaviors among SMM. This research will inform the development and adaptation of IPV, HIV, and substance abuse interventions for SMM.

摘要/摘要 性少数民族（SMM）以惊人的速度经历亲密伴侣暴力（IPV）。先前的工作已链接IPV 对性冒险行为和SMM中HIV血清转化的风险增加，但对 IPV对HIV和性传播感染（STI）测试/采集，预防前预防（PREP）的影响 摄取，以及SMM之间的准备使用持续性。尽管这些发现揭示了IPV具有 在SMM中，对IPV的经验有很大的有害影响，SMM的经验越来越多（例如，频率， 严重程度；稳定与随意合作伙伴关系；相互犯罪与仅犯罪或接受暴力；性与 身体与心理暴力）需要进行其他研究，以解开 在有效干预措施之前，IPV和HIV风险。以结合结合的框架为指导 拟议的创新观测队列研究将研究如何研究联合学和少数族裔压力理论 进行各种形式的IPV（例如身体，性和心理学；在 稳定或偶然的亲密关系）在HIV阴性SMM中有助于艾滋病毒风险和保护行为 在24个月的时间内以：1。检查IPV的纵向关联与HIV测试，准备 吸收，持久性，性传播感染诊断，无避孕套肛交和HIV血清转化。 2。确定 结构性和个人水平以及韧性以及风险因素可能会缓冲或放大IPV之间的关联 以及这些艾滋病毒的风险和保护行为。 3。确定SMM的特征，其亲密伙伴和 关系动力学，可以调节或缓和IPV对艾滋病毒风险和保护行为的影响。 4。 对基于IPV和HIV风险之间的路径的干预措施提出建议 来自队列的定量数据以及由技术专家指导的定性数据。我们将评估性风险 行为，进行艾滋病毒和性传播感染测试，并在随访的24个月内评估预备力和持久性。 我们假设IPV的频率更高将与儿童虐待，心理健康有关 问题，使用物质，性风险服用以及较低的艾滋病毒测试水平，摄取准备和持久性。 我们预计参与者及其伴侣之间的酒精和用途将与 IPV发作（受害和实施）以及HIV风险行为。我们还假设应对 技能和社会支持将减轻IPV对风险行为，艾滋病毒测试，摄取和准备的影响 持久性。拟议的研究将提高我们对与风险和弹性因素有关的理解 防止和减少IPV，减少IPV相关的风险行为以及增加HIV保护行为 在SMM中。这项研究将为IPV，HIV和药物滥用的发展和适应提供信息 SMM的干预措施。