Relationship Context and condom Use to Prevent STDs

关系背景和使用安全套预防性传播疾病

• 批准号: 6495217
• 负责人: Jeanne M. Tschann
• 金额: $ 63.63万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-02-01 至 2007-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6495217
• 关键词: AIDS education /prevention; Central America; HIV infections; Hispanic Americans; Mexican Americans; adolescence (12-20); behavioral /social science research tag; communicable disease control; communication behavior; computer assisted instruction; condoms; culture; emotions; gender difference; human subject; interpersonal relations; interview; safe sex /sex abstinence; sex behavior; sex partner; sex roles; sexually transmitted diseases; social behavior

DESCRIPTION (provided by applicant): Latino adolescents in the U.S. are at higher risk of contracting STDs than European American adolescents, partially because of their lower rates of condom use. Condom use is a complex behavior. Because it is under the physical control of males, the dynamics between sexual partners are critical to effective use. This study will use qualitative and quantitative methods to examine the impact of sexual relationship dynamics on condom use among Mexican American and Central American adolescent heterosexual partners. The research will include both sexual partners. Based on a theoretical framework for relationship power and informed by our own previous work, we will examine how relationship power influences condom use among adolescents who disagree about whether or not to use condoms. We will examine whether sexual partners' relative personal resources (e.g., emotional investment in the relationship) and the influence strategies that each partner uses are related to actual condom use. We will also examine how specific elements of the cultural context (gender role beliefs, sexual comfort, comfort with sexual communication, and concern about negative responses) are linked to the influence strategies that Latino adolescents use to obtain condom use. Finally, through individual qualitative interviews with a subgroup of sexual partners who disagree about whether or not to use condoms, we will obtain a full description of relationship dynamics that relate to condom use. In this 5-year cross-sectional study, we will recruit 552 Mexican American and Central American adolescents, ages 16-20, and their sexual partners, from the membership of a large HMO. We will conduct qualitative interviews with 100 primary participants and their sexual partners who disagree about whether to use condoms. The proposed research is among the first empirical studies to examine how relationship dynamics such as relative power and influence strategies are related to condom use among Latino adolescents. It is also among the first studies of HIV risk behavior to include both sexual partners, an approach that will provide more complete information about relationship dynamics, and will facilitate the development of couple-based interventions. The results will provide critical information to refine STD/HIV interventions that teach safer sex negotiation skills, and to develop culturally appropriate interventions for Latino adolescents.

描述（由申请人提供）：美国的拉丁裔青少年处于 部分欧洲裔美国青少年感染性传播疾病的风险更高 因为他们的安全套使用率较低。使用安全套是一种复杂的行为。 因为它是在男性的身体控制之下，性之间的动态变化 合作伙伴对于有效利用至关重要。本研究将使用定性和 定量方法来检查性关系动态对 墨西哥裔美国人和中美洲青少年异性恋者使用安全套的情况 合作伙伴。该研究将包括双方性伴侣。基于一个 关系权力的理论框架，并以我们自己以前的经验为基础 工作中，我们将研究关系权力如何影响安全套的使用 对于是否使用安全套存在分歧的青少年。我们将检查 性伴侣的相对个人资源（例如情感 对关系的投资）以及每个合作伙伴的影响力策略 用途与实际使用安全套有关。我们还将研究具体如何 文化背景的要素（性别角色信仰、性舒适感、舒适感 性交流以及对负面反应的担忧）与 拉丁裔青少年为获得安全套使用而采用的影响策略。 最后，通过对性群体的个人定性访谈 对于是否使用安全套存在分歧的合作伙伴，我们将获得 与安全套使用相关的关系动态的完整描述。在这个 为期 5 年的横断面研究，我们将招募 552 名墨西哥裔美国人和中美洲人 16-20 岁的美国青少年及其性伴侣 大型 HMO 的会员资格。我们将对 100 名受访者进行定性访谈 主要参与者及其性伴侣对于是否要这样做存在分歧 使用避孕套。拟议的研究是首批实证研究之一 检查关系动态（例如相对权力和影响力）如何 策略与拉丁裔青少年使用安全套有关。它也在其中 第一项针对艾滋病毒风险行为的研究，将性伴侣纳入其中 将提供有关关系的更完整信息的方法 动态，并将促进基于夫妇的干预措施的发展。 结果将为完善性病/艾滋病毒干预措施提供关键信息 教授安全性行为谈判技巧，并培养适合文化的 对拉丁裔青少年的干预措施。