The Role of Religion in the Social Cognitive Model of Sexual Risk

宗教在性风险社会认知模型中的作用

• 批准号: 7615829
• 负责人: Brooke E.E. Montgomery
• 金额: $ 2.97万
• 依托单位: UNIV OF ARKANSAS FOR MED SCIS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2011-06-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7615829
• 关键词: Accounting; Address; Affect; African American; Alcohol consumption; American; Arkansas; Attention; Behavior; Church; Cocaine Users; Cognitive; Communities; Complex; Coping Skills; Data; Development; Dimensions; Drug usage; Effectiveness; Emotional; Funding; Future; HIV; Health; Health Promotion; Health behavior; Institution; Intervention; Life; Link; Measurable; Measures; Mediating; Mediator of activation protein; Mental Health; Modeling; Nature; Parents; Pathway interactions; Pharmaceutical Preparations; Population; Populations at Risk; Prevalence; Prevention program; Recommendation; Religion; Religion and Spirituality; Religious Belief; Research; Research Personnel; Research Proposals; Risk; Risk Behaviors; Risk Reduction; Role; Rural; Sampling; Self Efficacy; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Social Network; Social support; Source; Techniques; Testing; Underserved Population; Unsafe Sex; Vulnerable Populations; Work; base; behavior change; cocaine use; condoms; design; experience; faith-based intervention; high risk; high risk sexual behavior; improved; innovation; non-drug; programs; public health relevance; sex; sex risk; sexual encounter; social; social cognitive theory; sound; statistics; success; theories; therapy development; transmission process

DESCRIPTION (provided by applicant): HIV and STIs are disproportionately affecting African American communities, especially in the South. Drug use is a major contributing factor to the increased HIV risk experienced by many African Americans. Stimulant use in particular has been associated with increased participation in high-risk sexual behaviors such as inconsistent condom use, multiple sexual partners, and trading sex for drugs and money. This puts African American cocaine users at tremendous risk of HIV transmission. Theory-based culturally-tailored risk reduction interventions are necessary to effectively address HIV risk in this vulnerable yet underserved population. Studies have found that faith-based interventions are particularly effective and well-received among at-risk African Americans because of strong cultural and personal connections to religion and religious institutions, particularly among African Americans living in the Southern U.S. In addition, studies have shown that certain dimensions of religion are associated with decreased participation in risky behaviors such as drug use and unsafe sex practices, especially among African Americans. Yet, little research has been done to examine not only the association between sexual risk and religion but also the intrapersonal and interpersonal mechanisms that underlie this association. Through the use of correlation statistics, multivariate regressions, and path analyses the proposed study aims to investigate Social Cognitive Theory-based pathways through which religion affects sexual risk within a unique sample of African American cocaine users living in the rural South. Using supplementary assessments of baseline data gathered through the parent study, Reducing Sexual Risk among Rural African American Cocaine Users (1R01DA024575-01), the proposed study aims to test study hypotheses and explore the extent to which the social-cognitive mediators explain and do not explain the hypothesized associations. The specific aims of the proposed study are to; (1) test several pathways that could account for the relationships among various religion constructs, SCT-based constructs, and sexual risk behaviors, and (2) examine important potential moderators and covariates that could influence these pathways and have important implications for intervention development. PUBLIC HEALTH RELEVANCE: The proposed study is both significant and innovative because of its exploration of inter- and intrapersonal pathways through which religion may influence sexual risk, its application of health behavior theory to religion-health research, and its incorporation of an understudied at-risk population. The results from this study will provide researchers with improved understanding of the important yet complex relationship between religion and sexual risk, which could be used to develop theoretical faith-based risk reduction interventions for rural African American communities that are disproportionately affected by HIV and STIs.

描述（由申请人提供）：艾滋病毒和性传播感染对非裔美国人社区的影响尤为严重，尤其是在南方。吸毒是许多非裔美国人艾滋病毒风险增加的一个主要因素。兴奋剂的使用尤其与高风险性行为的增加有关，例如不一致地使用安全套、多个性伴侣以及以性换取毒品和金钱。这使非裔美国可卡因吸食者面临艾滋病毒传播的巨大风险。为了有效解决这一弱势但服务不足的人群的艾滋病毒风险，有必要采取基于理论、因地制宜的风险降低干预措施。研究发现，基于信仰的干预措施在高危非裔美国人中尤其有效且受到欢迎，因为它们与宗教和宗教机构有着密切的文化和个人联系，特别是在生活在美国南部的非裔美国人中。此外，研究表明，宗教的某些方面与吸毒和不安全性行为等危险行为的参与减少有关，特别是在非裔美国人中。然而，很少有研究不仅考察性风险与宗教之间的关联，而且还考察这种关联背后的个人内部和人际机制。通过使用相关统计、多元回归和路径分析，拟议的研究旨在调查基于社会认知理论的途径，宗教通过这些途径影响生活在南方农村的非裔美国可卡因使用者的独特样本中的性风险。通过对母研究“减少农村非裔美国可卡因吸食者的性风险”(1R01DA024575-01) 收集的基线数据进行补充评估，拟议的研究旨在检验研究假设并探讨社会认知中介因素解释和不解释的程度。解释假设的关联。拟议研究的具体目标是： (1) 测试可以解释各种宗教建构、基于 SCT 的建构和性风险行为之间关系的几种途径，以及 (2) 检查可能影响这些途径并对干预发展产生重要影响的重要潜在调节因素和协变量。公共健康相关性：拟议的研究既重要又具有创新性，因为它探索了宗教可能影响性风险的人际和人际途径，将健康行为理论应用于宗教健康研究，并纳入了一项尚未得到充分研究的研究。危险人群。这项研究的结果将使研究人员更好地了解宗教与性风险之间重要而复杂的关系，这可用于为受艾滋病毒和性传播感染影响尤为严重的农村非裔美国社区制定基于信仰的理论风险降低干预措施。