ASIAN IMMIGRANT COMMUNITY INSTITUTIONS IN NYC AND HIV

描述(申请人提供)：这项拟议的研究旨在评估社区机构在鼓励或阻碍纽约市(NYC)亚洲移民社区内的艾滋病毒预防活动方面的作用。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，这些社会规范通过引导社区成员对艾滋病毒的社会理解以及塑造社会做法和组织政策和程序，促进或阻碍艾滋病毒预防干预措施。社区社会规范也塑造了个人的风险感知和从事保护性行为的意愿。 这项研究的具体目的是：1)调查移民社区的社区社会和经济结构、社区机构和主流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建、传播、执行和挑战社区的主流社会规范；3)评估在社区机构内部和周围形成的社会网络的参与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；以及4)确定个人采用社区机构和网络规范如何在个人、组织和社区层面促进或阻止艾滋病毒预防工作。 在第一阶段，将使用主要信息提供者访谈和服务和组织的种族名录的数据，对纽约市华人、亚裔印度人和韩国社区的社区组织进行编目、分类和绘制，以提供对社区机构的整体系统和合适的抽样框架的了解。在第二阶段，将从第一阶段确定的机构中挑选30家社区机构，通过半结构化访谈、实地观察和年度报告、通讯、布道等的内容分析，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模型，以及社区机构的类型及其在预防艾滋病毒方面的潜在作用，应如何处理这些机构，以及鼓励它们在预防艾滋病毒方面发挥更大作用的战略。我们将使用“扎根理论”的方法来分析数据。

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.