Understanding and reducing HIV risk behavior and substance use among self-identified bisexual adolescent men

了解并减少自我认同的双性恋青少年男性的艾滋病毒危险行为和药物使用

基本信息

批准号：
10339344
负责人：
Brian Feinstein
金额：
$ 16.6万
依托单位：
ROSALIND FRANKLIN UNIV OF MEDICINE & SCI
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-11-03 至 2023-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10339344
关键词：
AIDS prevention Address Adolescent Adult Affect Age Area Award Behavior Behavior Therapy Behavioral Bisexual Bisexuality Clinical Investigator Award Code Communities Contraceptive methods Decision Making Diagnosis Enrollment Environment Face Feedback Funding Gays Gender Goals HIV HIV risk HIV/STD Health education Heterosexuals Human immunodeficiency virus test Institutes Intervention Interview Knowledge Mentorship Motivation Outcome Measure Personal Satisfaction Phase Population Population Intervention Prevention Qualitative Methods Research Research Activity Research Personnel Resources Risk Risk Behaviors Risk Factors Risk Reduction Sampling Self Efficacy Sex Behavior Sexual Health Sexual Partners Sexual and Gender Minorities Stigmatization Sum Target Populations Testing Time Training Training Activity United States National Institutes of Health Universities Waiting Lists Writing Youth acceptability and feasibility active control adolescent health adolescent substance use behavior change career career development condoms coping disparity reduction efficacy testing ethnic difference ethnic diversity follow-up gender minority health gender minority health research health care service utilization health disparity populations high risk high risk population intervention refinement men men who have sex with men method development motivational intervention neglect peer pilot test preference preventive intervention primary outcome programs racial and ethnic randomized trial sex sexual identity skills social stigma stressor substance use substance use prevention therapy development translational research program young adult young man

项目摘要

Project Summary: Young gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by HIV. Despite this burden, most HIV prevention interventions target adult MSM (most of whom identify as gay) and heterosexual youth, creating an urgent need for interventions for gay and bisexual adolescents. Further, self- identified bisexual men, especially adolescents, have been neglected in research. This is a critical problem because: (1) there are as many, if not more, bisexual adolescent men than gay adolescent men; (2) bisexual adolescent men engage in several HIV risk behaviors more than their gay peers; (3) bisexual adolescent men are at increased risk for substance use–a robust risk factor for HIV; and (4) bisexual men face unique HIV prevention issues. Given that bisexual men are rarely included in research and most existing research on them focuses on “behaviorally bisexual” adult men, little is known about factors that drive engagement in risk behavior among self-identified bisexual adolescent men. Attending to bisexual identity is critical to reducing HIV and substance use, because bisexuality is highly stigmatized and stigma-related stressors (e.g., concerns about disclosing one’s bisexual identity) impact sexual behavior, substance use, and healthcare utilization. Interventions are also more effective when tailored to populations, underscoring the need for an intervention for self-identified bisexual adolescent men. The goals of this study are to: (1) examine factors that drive engagement in HIV risk behavior and substance use among self-identified bisexual adolescent men; and (2) develop and pilot test a tailored HIV and substance use prevention intervention for this population. In Phase 1, interviews will be conducted with 60 diverse self-identified bisexual adolescent men ages 14-17 focused on sexual identity, sexual decision-making, substance use motivations, and intervention preferences/barriers. In Phase 2, a tailored intervention will be developed using findings from Phase 1. In Phase 3, feasibility, acceptability, and preliminary efficacy will be tested in a pilot randomized trial (N = 60) with a waitlist control and one-month follow-up. This award will provide the applicant with career development training in adolescent health, qualitative methods, and intervention development at Northwestern University’s Institute for Sexual and Gender Minority Health and Wellbeing–a well-resourced, rich intellectual environment for training scholars in sexual and gender minority health research. The training and research activities will facilitate the applicant’s transition to an independent investigator with a program of research focused on understanding and eliminating HIV and substance use disparities affecting bisexual men. In sum, self-identified bisexual adolescent men are at increased risk for HIV and substance use, but little is known about factors that drive their engagement in risk behavior. By focusing on self-identified bisexual adolescent men–an underrepresented, health disparity population–this study can identify prevention targets and reduce disparities in HIV and substance use.

项目摘要：年轻的同性恋，双性恋和其他与男性发生性关系的男性受艾滋病毒的影响不成比例。尽管有这种伯恩，但大多数艾滋病毒预防干预措施都针对成人MSM（大多数人认为是同性恋）和异性恋青年，迫切需要对同性恋和双性恋青少年进行干预。此外，自我在研究中忽略了已确定的双性恋男人，尤其是青少年。这是一个关键问题因为：（1）比同性恋青少年男人多，甚至更多的双性恋青春期男人；（2）双性恋青春期男性比同性恋同龄人更多地从事艾滋病毒风险行为。（3）双性恋青春期男人使用物质使用的风险增加 - 艾滋病毒的强大风险因素；（4）双性恋男人面对独特的艾滋病毒预防问题。鉴于双性恋男人很少被包括在研究中，并且对他们的大多数现有研究专注于“行为双性恋”成年男性，对推动风险行为参与的因素知之甚少在自我认同的双性恋青春期中。参加双性恋身份对于减少艾滋病毒和药物使用，因为双性恋是高度污名化和与污名相关的压力源（例如，对披露双性恋身份）影响性行为，物质使用和医疗保健利用。量身定制人口时，干预措施也更有效，强调了对干预措施的需求自我认同的双性恋青春期男人。这项研究的目标是：（1）驱动参与度的考试因素在自我认同的双性恋青少年男性中，在艾滋病毒风险行为和药物中使用；（2）开发和飞行员测试针对该人群的量身定制的艾滋病毒和药物使用预防干预措施。在第1阶段，面试将是由60名潜水员自我认同的双性恋青春期男性14-17岁的男性进行性认同，性别身份决策，药物使用动机和干预偏好/障碍。在第二阶段，量身定制将使用第1阶段的发现开发干预，可行性，可接受性和初步疗效将在候补控制和一个月随访的试验随机试验（n = 60）中进行测试。这奖项将为申请人提供青少年健康，定性方法和西北大学性和性别少数民族健康研究所的干预发展以及福祉 - 一个资源丰富，丰富的知识环境，用于培训性别和性别少数学者健康研究。培训和研究活动将促进申请人向独立的过渡研究人员的研究计划重点是理解和消除艾滋病毒和吸毒影响双性恋男人的差异。总而言之，自我认同的双性恋青少年男性的艾滋病毒风险增加和物质使用，但对推动其参与风险行为的因素知之甚少。通过关注自我认同的双性恋青少年男性（人数不足，健康差异人群）可以识别预防目标并减少艾滋病毒和物质使用中的分布。