The Influence of Developmental Assets on Intersectional Stigma and HIV Prevention Behaviors in Black MSM

发展资产对黑人男男性接触者交叉耻辱和艾滋病毒预防行为的影响

• 批准号: 10619940
• 负责人: Donte Boyd
• 金额: $ 45.01万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10619940
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Adolescent Development; Adverse event; Affect; Age; Area; Attention; Awareness; Behavior; Behavioral; Black race; Buffers; Cities; Communities; Decision Making; Development; Discrimination; Disparity; Environment; Etiology; Factor Analysis; Family; Family member; Future; Gays; Goals; HIV; HIV Infections; HIV Seronegativity; HIV Seropositivity; HIV diagnosis; Health Promotion; Health behavior; Heterosexuals; Homophobia; Human immunodeficiency virus test; Incidence; Individual; Inequity; Internet; Intervention; Interview; Knowledge; Learning; Lesbian Gay Bisexual Transgender; Measurement; Methods; Midwestern United States; Modeling; Morality; Outcome; Pattern; Perception; Personal Satisfaction; Phase; Population; Prevalence; Prevention program; Religion; Research; Research Personnel; Risk; Risk Factors; Risk Reduction; Sampling; Senior Scientist; Stereotyping; Structure; Surveys; Testing; United States; Work; Youth; age group; age stratification; aged; aspirate; black men; black men who have sex with men; condomless anal sex; condoms; coping; design; empowerment; evidence base; expectation; experience; health care service; maltreatment; men who have sex with men; mortality; peer; pre-exposure prophylaxis; prevent; prevention service; racial diversity; racism; recruit; resilience; self esteem; sexual debut; sexual risk behavior; social; social skills; social stigma; substance misuse; therapy development; time use; transmission process; uptake; young adult

ABSTRACT Young Black men who have sex with men (YBMSM) are disproportionately affected by HIV in the United States, yet research has focused only on identifying and reducing HIV-associated risk factors and has not extended to simultaneously ascertain and increase beneficial assets present in their lives. This study will investigate how strength-based approaches can optimize HIV outcomes and promote the health and well-being of YBMSM. The developmental assets framework focuses on identifying external assets in four domains (i.e., support, empowerment, boundaries/expectations, and constructive use of time) and internal assets in four domains (i.e., positive identity, positive values, social competencies, and commitment to learning). The model includes a total of 40 assets within these domains and posits that an increase in the number of assets is associated with an increase in the likelihood of an individual to show positive outcomes despite encountering adverse events. The goal of the asset-building framework is to identify as many assets as possible. The currently available evidence indicates that LGBT youth have fewer assets than non-LGBT youth; however, the prevalence of these assets specifically among YBMSM has not yet been established. Gaps in the scientific knowledge pertaining to the influence of external and internal assets on HIV prevention outcomes among YBMSM must be filled so that proper intervention strategies can be developed to reduce the disproportionate HIV incidence. In Aim 1, we will identify developmental assets and their associations with HIV prevention behaviors (HIV Testing and PrEP Use). In Phase 1, we will conduct a cross-sectional internet-based survey with a non-probability sample of HIV- negative YBMSM (N=500), ages 14–25 years old from two Midwestern US cities. We will use a latent profile analysis (LPA) to identify patterns of internal and external assets YBMSM may have and explore how these patterns of assets are associated with PrEP use and recent HIV testing. In AIM 1a we will examine whether intersectional stigma moderates the effects of associations between the internal and external assets and HIV prevention behaviors. In Aim 2, we will examine perceptions of how developmental assets influence HIV prevention behaviors (HIV Testing and PrEP Use) using content analysis. We will conduct in-depth semi- structured interviews with a purposive sub-sample (n=40) stratified by age groups and the number of developmental assets—high (n=10) versus low (n=10)—for YBMSM ages 14–17 and young adults ages 18–25 on HIV prevention behaviors (n=20). Youth will be queried about their knowledge on intersectional stigma and how it contributes to their engagement in HIV prevention behaviors.

抽象的 与男人发生性关系（YBMSM）的年轻黑人在美国受艾滋病毒的影响不成比例 然而，研究仅着重于识别和减少与HIV相关的危险因素，并未扩展到 同样确定和增加了生活中的有益资产。这项研究将研究如何 基于力量的方法可以优化HIV结果并促进YBMSM的健康和福祉。这 开发资产框架的重点是确定四个领域的外部资产（即支持， 在四个领域中的授权，边界/期望以及时间的建设性使用）和内部资产 （即积极的身份，积极价值观，社会能力和对学习的承诺）。该模型包括 这些域内共有40个资产，并认为资产数量增加与 增加个人表现出积极成果目的地遇到不利事件的可能性的可能性增加。这 资产建设框架的目标是确定尽可能多的资产。当前可用的证据 表明LGBT青年的资产少于非LGBT青年。但是，这些资产的流行率 特别是在YBMSM之间尚未建立。科学知识的差距与 必须填补外部和内部资产对YBMSM中艾滋病毒预防结果的影响，以便 可以制定适当的干预策略来减少不成比例的艾滋病毒事件。在AIM 1中，我们 将确定发展资产及其与HIV预防行为的关联（HIV测试和PREP 使用）。在第1阶段，我们将对HIV-的非概率样本进行基于互联网的横断面调查 负YBMSM（n = 500），来自美国两个城市的14-25岁。我们将使用潜在资料 分析（LPA）识别YBMSM的内部和外部资产模式可能具有并探讨这些方式 资产模式与PREP使用和最近的HIV测试有关。在AIM 1A中，我们将检查是否 交叉污名调节了内部和外部资产与艾滋病毒之间关联的影响 预防行为​​。在AIM 2中，我们将研究对发展资产如何影响HIV的看法 使用内容分析的预防行为（HIV测试和PREP使用）。我们将进行深入的半决赛 按年龄组分层的自然子样本（n = 40）的结构化访谈和 发展资产 - 高（n = 10）与低（n = 10） - YBMSM年龄在14-17岁，年轻人18-25岁的年轻人 艾滋病毒预防行为（n = 20）。年轻人将询问他们对交叉污名的知识和 它如何有助于他们参与艾滋病毒预防行为。