Condom Use Among African American Females: Testing the Theory of Gender and Power

非裔美国女性使用安全套：检验性别与权力理论

• 批准号: 7419488
• 负责人: Lara Mireille DePadilla
• 金额: $ 2.65万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-01-01 至 2009-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7419488
• 关键词: AIDS prevention; Accounting; Acquired Immunodeficiency Syndrome; Address; Adolescent; Affect; Affective; African American; Age; Alcohol or Other Drugs use; Americas; Behavior; Behavioral; Categories; Characteristics; Chlamydia; Coitus; Communication; Data; Data Analyses; Data Set; Disease; Economics; Employment Status; Equation; Evidence based intervention; Female; Female Adolescents; Frequencies; Fright; Funding; Gender; Goals; Gonorrhea; HIV; Health behavior; Healthy People 2010; Incidence; Individual; Inequality; Infection; Intervention; Knowledge; Link; Maintenance; Measurement; Measures; Mediation; Medical Surveillance; Mental Depression; Methods; Modeling; National Institute of Mental Health; Population; Prevention Research; Prevention intervention; Preventive; Public Health; Race; Randomized Controlled Trials; Rate; Religious Belief; Reporting; Research; Risk; Risk Factors; Sampling; Self Efficacy; Sex Behavior; Sexually Transmitted Diseases; Social Welfare; Structure; Testing; United States; Validation; Woman; Youth; abstracting; age group; aged; base; concept; condoms; contextual factors; design; emotional abuse; expectation; insight; knowledge base; men; peer; physical abuse; self esteem; sex; social; social attachment; theories; young adult

DESCRIPTION (provided by applicant): The proposed research focuses on African American female adolescents and young adults, a population that is overrepresented in rates of sexually transmitted diseases, including HIV, in the United States. To understand why African American female adolescents and young women are vulnerable to HIV/STDs, contextual factors must be considered. The public health adaptation of the sociological theory of gender and power (TGP) provides a framework of social structural constructs that may be used to model contextual determinants of HIV/STD preventive behavior such as consistent condom use and it is one of the major underlying theoretical frameworks guiding the design of three evidence-based interventions for young women. The TGP describes three structures: the sexual division of labor, the structure of affective attachments and social norms, and the sexual division of power. These are hypothesized to generate acquired risks and individual risk factors for disease. This study seeks to test and validate a structural equation model of the direct and indirect effects of acquired social and relational risks and individual risk factors on consistent condom use among African American female adolescents and young women based on the TGP. The findings will address the NIMH Division of AIDS and Health and Behavior Research goal of HIV prevention research aimed at better-understanding the multiple levels of dyadic, social and structural factors that impact HIV risk. This study is a secondary analysis of data collected during AFIYA, a randomized controlled trial of an HIV prevention maintenance intervention for young African American women, currently funded by NIMH. Behavioral data derived in part from the TGP is being collected from 800 African American young women, ages 15-20. Multiple associations between selected theoretical constructs will be tested using structural equation modeling with the baseline data. The sample will be randomly split into two datasets; one dataset will serve to develop the model and the other dataset will be used to validate the model. Public Health Relevance: An objective of Healthy People 2010 is to increase the proportion of adolescents who abstain from sexual intercourse or use condoms if currently sexually active. To better understand sexual behavior among African American female adolescents and young women it is crucial to account for social and relational influences. An empirical test of how the social structural theory of gender and power predicts condom use can provide insight into how to measure and model the associations among the constructs, extending the utility of a theory that has been used extensively to guide the design of HIV prevention interventions.

描述（由申请人提供）：拟议的研究重点是非裔美国女性青少年和年轻人，这一人群在美国的性传播疾病（包括艾滋病毒）发病率过高。要理解为什么非裔美国女性青少年和年轻女性容易感染艾滋病毒/性传播疾病，必须考虑环境因素。性别与权力社会学理论的公共卫生适应性提供了一个社会结构结构框架，可用于模拟艾滋病毒/性病预防行为的背景决定因素，如一致使用避孕套，它是指导设计三种针对年轻妇女的循证干预措施的主要基本理论框架之一。TGP描述了三个结构：性别分工、情感依恋和社会规范结构和性别权力分工。这些被假设为产生获得性风险和疾病的个体风险因素。本研究旨在检验和验证基于TGP的结构方程模型，即获得性社会和关系风险以及个体风险因素对非裔美国女性青少年和年轻女性一致使用安全套的直接和间接影响。这些发现将解决NIMH艾滋病、健康和行为研究部门的艾滋病毒预防研究目标，该研究旨在更好地理解影响艾滋病毒风险的二元、社会和结构因素的多个层面。本研究是对AFIYA期间收集的数据的二次分析，AFIYA是一项针对年轻非洲裔美国妇女的艾滋病毒预防维持干预的随机对照试验，目前由NIMH资助。部分来自TGP的行为数据是从800名15-20岁的非裔美国年轻女性中收集的。所选理论结构之间的多重关联将使用结构方程模型与基线数据进行测试。样本将被随机分成两个数据集；一个数据集将用于开发模型，另一个数据集将用于验证模型。