ASIAN IMMIGRANT COMMUNITY INSTITUTIONS IN NYC AND HIV

描述（由申请人提供）：拟议的研究旨在评估社区机构在鼓励或阻碍纽约市（NYC）亚裔移民社区内艾滋病毒预防活动中的作用。亚洲移民社区的社区机构在促进或挑战社区社会规范方面发挥着关键作用，这些规范通过指导社区成员对艾滋病毒的社会理解和塑造社会实践以及组织政策和程序，促进或阻碍艾滋病毒预防干预措施。社区的社会规范也塑造了个人对风险的看法和他们参与保护行为的意愿。 本研究的具体目的是：1）调查移民社区的社会经济结构、社区机构和现行社会规范之间的关系; 2）确定社区机构的政策和做法如何创造、传播、执行和挑战现行社区社会规范; 3）评估参与社区机构内部和周围形成的社交网络如何影响个人对与艾滋病毒风险预防和行为有关的社会规范的解释、传播、强化和挑战;（4）确定个人对社区制度和网络规范的采纳如何促进或阻碍个人、组织和社区层面的艾滋病预防工作。 在第一阶段，使用关键信息提供者访谈和服务和组织的种族目录中的数据，将对纽约市华人、亚裔印度人和韩国人社区的社区组织进行编目、分类和映射，以了解社区机构的整体系统和适当的抽样框架。在第二阶段，将从第一阶段确定的机构中选出30所社区机构，通过半结构化访谈、实地观察和年度报告、通讯、布道等内容分析进行深入研究。还将利用二级数据来源编制三个族裔社区的社区概况。在第三阶段，将对数据进行分析，以构建上述关系的解释性模型，并对社区机构及其在艾滋病毒预防中的潜在作用、应如何对待社区机构以及激励社区机构在艾滋病毒预防中发挥更大作用的战略进行分类。将采用“扎根理论”方法分析数据。

DESCRIPTION (provided by applicant): The proposed study aims to assess the role of community institutions in encouraging or impeding HIV prevention activities within Asian immigrant communities in New York City (NYC). Community institutions in Asian immigrant communities play a key role in promoting or challenging community social norms, which facilitate or impede HIV prevention interventions by guiding community members' social understanding of HIV and shaping social practices and organizational policies and procedures. Community social norms also shape individuals' perception of risk and their willingness to engage in protective behaviors. The specific aims of the study are: 1) To investigate the relationship between community social and economic structures, community institutions, and prevailing social norms in immigrant communities; 2) To determine how the policies and practices of community institutions create, transmit, enforce and challenge prevailing community social norms; 3) To assess how participation in social networks that form within and around community institutions influence individuals' interpretation, transmission, reinforcement, and challenging of social norms related to HIV risk prevention and behavior; and 4) To determine how individuals' adoption of community institution and network norms promote or deter HIV prevention efforts at the individual, organizational, and community levels. In Phase 1, using data from key-informant interviews and ethnic directories of services and organizations, community organizations in the Chinese, Asian Indian, and Korean communities in NYC will be catalogued, typed and mapped to provide an understanding of the overall system of community institutions and a suitable sampling frame. In Phase 2, thirty community institutions will be chosen from the institutions identified in Phase 1 for in-depth study through semi-structured interviews, field observation, and content analysis of annual reports, newsletters, sermons, etc.). Community profiles for each of the three ethnic communities will also be developed using secondary data sources. In Phase 3, data will be analyzed to construct explanatory models of the relationships described above and a typology of community institutions and their potential role in HIV prevention, how they should be approached, and strategies of motivating them to take on an expanded role in HIV prevention. A "grounded theory" approach will be used to analyze the data.