Black Women's Perspectives about Sexually Transmitted Infection Risk: A Grounded Theory Study

黑人女性对性传播感染风险的看法：扎根理论研究

• 批准号: 9261236
• 负责人: Natasha Kaella Crooks
• 金额: $ 2.87万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-30 至 2017-08-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9261236
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Affect; American; Area; Behavior; Behavioral; Belief; Centers for Disease Control and Prevention (U.S.); Cessation of life; Chlamydia; Color; Communicable Diseases; Contracts; Data; Development; Diagnosis; Discipline of Nursing; Disease; Ectopic Pregnancy; Education; Emotions; Epidemiology; Evidence based intervention; Female; Foundations; Future; Goals; Gonorrhea; Grant; HIV; Health; Health Promotion; Healthcare Systems; Income; Individual; Individual Differences; Infection; Infection prevention; Infertility; Intervention; Intervention Studies; Interview; Knowledge; Lead; Life; Link; Mentorship; Minority; Minority Groups; Modeling; Morbidity - disease rate; Newborn Infant; Newly Diagnosed; Outcome; Pelvic Inflammatory Disease; Perception; Physical environment; Population; Prevention; Primary Prevention; Qualitative Methods; Race; Recording of previous events; Recurrence; Reproductive Health; Research; Research Personnel; Research Training; Resources; Risk; Science; Secondary to; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Shapes; Syphilis; Testing; Time; Training; Underserved Population; United States; Violence; Woman; abstracting; age group; aged; base; cost; design; disorder prevention; ethnic minority population; experience; genital herpes; health disparity; health equity; improved; insight; men; peer influence; prevent; preventive intervention; programs; racial and ethnic; racial minority; relationship abuse; sex risk; social; theories; therapy design; young woman

Abstract The purpose of this application is to provide the applicant training to become an independent investigator with a research program that investigates the sociocultural conditions contributing to sexually transmitted infection (STI) risk of young Black women. STIs are defined as preventable communicable diseases, such as chlamydia, gonorrhea, syphilis and genital herpes that can be acquired and transmitted through sexual contact. Annually more than 20 million Americans contract STIs and cost the health care system approximately $16 billion. Women are biologically more susceptible to STIs than men. Each year 1 in 4 women contracts an STI placing them at risk for pelvic inflammatory disease, infertility, HIV/AIDS, newborn morbidity, and death. Nearly half of newly diagnosed STIs occur in young people aged 15 to 24 years. More than 40% of infected young women have at least one subsequent STI within a year. Black females in this age group are disproportionately affected by STIs. Black women are twelve times more likely to contract gonorrhea and five times more likely to contact chlamydia than white women. Black women are nearly three times more likely to have a subsequent STI than women of other racial/ethnic backgrounds. The majority of STI research that includes Black women focuses on HIV/AIDS prevention and either excludes other STIs or considers them secondary to HIV. Most STI prevention studies focus on primary prevention of first infection, rather than recurrence among women previously diagnosed with STIs, who have a high likelihood of becoming re-infected. Limited research has been conducted on the prevention of recurring STIs. Gaining an understanding of the sociocultural conditions that influence sexual behavior is essential to inform interventions designed to reduce STI risk and recurrence. Thus, the purpose of the proposed grounded theory study is to develop a conceptual model from the perspectives of young Black women that explains the sociocultural conditions contributing to STI risk, specifically to the risk of recurrent infection. The proposed grounded theory study will facilitate development of a conceptual model, based on the interview data from 20 to 30 young Black women with a history of STIs, to explain the sociocultural conditions contributing to STI risk. The training grant will support coursework, directed study, mentorship, and resources to accomplish the short-term goal of building a foundation for a program of research focused on STI prevention in young Black women. The long-term goal is to develop evidence-based interventions to prevent STIs in women of color, including but not limited to Black women. The proposed study is well-aligned with the NINR priority of “Wellness: Promoting Health and Preventing Illness” by focusing on “nursing science that seeks to promote health and prevent illness….in minority and underserved populations.”

抽象的 本申请的目的是为申请人提供培训，使其成为一名独立调查员 调查导致性传播感染的社会文化条件的研究计划 (STI) 年轻黑人女性的性传播疾病被定义为可预防的传染病，例如衣原体、 淋病、梅毒和生殖器疱疹可通过性接触获得和传播。 每年有超过 2000 万美国人感染性传播感染，医疗保健系统为此付出了约 16 美元的费用 从生物学角度来看，女性比男性更容易感染性传播感染。每年有四分之一的女性感染性传播感染。 使他们面临盆腔炎、不孕症、艾滋病毒/艾滋病、新生儿发病和死亡的风险。 一半新诊断的性传播感染发生在 15 至 24 岁的年轻人中，超过 40% 的受感染年轻人。 该年龄段女性在一年内至少发生一次性传播感染的比例不成比例。 受性传播感染影响的黑人女性感染淋病的可能性是普通女性的十二倍，感染淋病的可能性是普通女性的五倍。 黑人女性感染衣原体的可能性比白人女性高出近三倍。 大多数性传播感染研究都包括黑人女性。 重点关注艾滋病毒/艾滋病的预防，并排除其他性传播感染或认为它们是次要于艾滋病毒的。 预防研究的重点是初次感染的一级预防，而不是女性中的复发 以前被诊断患有性传播感染，并且很可能再次感染的研究有限。 了解预防性传播感染复发的社会文化条件。 影响性行为对于减少性传播感染风险和复发的干预措施至关重要。 因此，所提出的扎根理论研究的目的是从 年轻黑人女性的观点解释了导致性传播感染风险的社会文化条件， 特别是针对复发感染的风险，拟议的扎根理论研究将有助于开发一种新的方法。 概念模型，基于对 20 至 30 名有性传播感染史的年轻黑人女性的访谈数据， 解释导致性传播感染风险的社会文化条件。培训补助金将支持有针对性的课程作业。 研究、指导和资源，以实现为项目奠定基础的短期目标 研究重点是年轻黑人女性性传播感染的预防，长期目标是开发基于证据的研究。 拟议的研究旨在预防有色人种女性（包括但不限于黑人女性）的性传播感染。 与 NINR 的“健康：促进健康和预防疾病”优先事项高度一致，重点关注 “旨在促进健康和预防疾病的护理科学......在少数群体和服务不足的人群中。”