HIV/AIDS Prevention with African American heterosexual men attending college: A

上大学的非裔美国异性恋男性的艾滋病毒/艾滋病预防：A

• 批准号: 7491089
• 负责人: ROBERT E ARONSON
• 金额: $ 28.97万
• 依托单位: UNIVERSITY OF NORTH CAROLINA GREENSBORO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7491089
• 关键词: HIV; AIDS; Prevention; African; American

DESCRIPTION (provided by applicant): Currently, few HIV prevention interventions with evidence of efficacy are tailored to African-American college-aged men. This study will develop and test the efficacy of a culturally relevant intervention designed to reduce risk of HIV infection among African-American heterosexual men with no current drug use. A community-based participatory research (CBPR) approach will be used to conduct formative research, develop the intervention, and evaluate its efficacy. African American men have the highest rates for HIV infection among any race and gender group in the US. Furthermore, a startling increase in rates among African American men attending college in North Carolina and elsewhere has focused attention on this priority population. We propose a 3-year study to develop and test the efficacy of a culturally relevant intervention designed to reduce risk of HIV infection among African American college men. The intervention will be developed based on formative research with the population and building on social cognitive theory and the Big Man Little Man Complex, a conceptual framework of African American masculinity developed by Tony L. Whitehead. This study will continue use a community-based participatory research (CBPR) approach throughout all phases of the research process. A randomized controlled design is proposed to test the efficacy of the interventions. A total of 200 African American men (age 18-24) will be recruited in Greensboro, NC and informed consent obtained. All eligible and willing men will complete an initial baseline assessment designed to measure current sexual behavior, and cultural, social, and psychological influences on sexual behavior and healthcare utilization. Participants will then be randomized to an HIV prevention intervention or a stress management/time managment/study skills comparison intervention. All participants will complete identical assessments at immediate post intervention and 3-month follow-up. Participants in the HIV prevention interventions, relative to their peers in the comparison group, are anticipated to demonstrate (a) greater self-reported abstinence, (b) greater self-reported use of condoms during sexual intercourse; (c) fewer self-reports of multiple sexual partners; (d) greater self-reported utilization of HIV and sexually transmitted disease (STD) counseling, testing, and treatment services; (e) greater knowledge of HIV risk behaviors and prevention strategies; (f) higher norm perception scores supporting risk-reduction strategies; (g) more positive attitudes toward condom use; (h) greater self-efficacy to use and assert the use of condoms; (i) higher sense of mastery scores; and (j) greater communication and sexual negotiation skills. This study will advance the field of HIV prevention research through the development of 3 important and much needed "products" that will fill existing gaps: (a) a culturally relevant Spanish-language intervention designed to reduce HIV/AIDS risk among recently arrived, less-acculturated Latino men that will be ready for further implementation and larger scale testing; (b) a deeper understanding of HIV risk among Latino men; and (c) insight into a research partnership process that includes lay community members, AIDS service organizations (ASOs), community-based organizations (CBOs), 3 universities, and a broad spectrum of other partners. This study will advance the field of HIV prevention research through the development of 3 important and much needed "products" that will fill existing gaps: (a) a culturally relevant Spanish-language intervention designed to reduce HIV/AIDS risk among recently arrived, less-acculturated Latino men that will be ready for further implementation and larger scale testing; (b) a deeper understanding of HIV risk among Latino men; and (c) insight into a research partnership process that includes lay community members, AIDS service organizations (ASOs), community-based organizations (CBOs), 3 universities, and a broad spectrum of other partners.

描述（由申请人提供）：目前，很少有针对非裔美国大学男性的有效证据的艾滋病毒预防干预措施。这项研究将开发并测试文化相关干预措施的有效性，该干预措施旨在降低目前未吸毒的非裔美国异性恋男性感染艾滋病毒的风险。将采用基于社区的参与性研究（CBPR）方法来进行形成性研究、制定干预措施并评估其功效。在美国所有种族和性别群体中，非洲裔美国男性的艾滋病毒感染率最高。此外，北卡罗来纳州和其他地方的非裔美国男性上大学的比例惊人增加，这引起了人们对这一优先人群的关注。我们提议进行一项为期三年的研究，以开发和测试文化相关干预措施的有效性，该干预措施旨在降低非裔美国男大学生感染艾滋病毒的风险。该干预措施将基于对人群的形成性研究，并以社会认知理论和大男人小男人情结为基础，大男人小男人情结是托尼·L·怀特海德 (Tony L. Whitehead) 提出的非裔美国人男子气概的概念框架。本研究将在研究过程的所有阶段继续使用基于社区的参与性研究（CBPR）方法。提出了随机对照设计来测试干预措施的有效性。总共 200 名非裔美国男性（18-24 岁）将在北卡罗来纳州格林斯博罗招募并获得知情同意。所有符合条件且愿意的男性都将完成初步基线评估，旨在衡量当前的性行为以及文化、社会和心理对性行为和医疗保健利用的影响。然后，参与者将被随机分配接受艾滋病毒预防干预或压力管理/时间管理/学习技能比较干预。所有参与者将在干预后立即和 3 个月的随访中完成相同的评估。相对于对照组的同龄人，艾滋病毒预防干预措施的参与者预计将表现出 (a) 自我报告的节欲程度更高，(b) 自我报告在性交过程中更多地使用安全套； (c) 多性伴侣的自我报告减少； (d) 更多地利用自我报告的艾滋病毒和性传播疾病咨询、检测和治疗服务； (e) 更多地了解艾滋病毒危险行为和预防策略； (f) 更高的常态认知分数支持降低风险战略； (g) 对使用安全套持更积极的态度； (h) 提高使用和主张使用安全套的自我效能； (i) 掌握感得分较高； (j) 更强的沟通和性谈判技巧。这项研究将通过开发 3 种重要且急需的“产品”来填补现有空白，从而推进艾滋病毒预防研究领域：(a) 文化相关的西班牙语干预措施，旨在降低新近抵达、文化程度较低的拉丁裔男性的艾滋病毒/艾滋病风险，为进一步实施和更大规模的检测做好准备； (b) 对拉丁裔男性的艾滋病毒风险有更深入的了解； (c) 深入了解研究伙伴关系流程，其中包括非专业社区成员、艾滋病服务组织 (ASO)、社区组织 (CBO)、3 所大学和广泛的其他合作伙伴。这项研究将通过开发 3 种重要且急需的“产品”来填补现有空白，从而推进艾滋病毒预防研究领域：(a) 文化相关的西班牙语干预措施，旨在降低新近抵达、文化程度较低的拉丁裔男性的艾滋病毒/艾滋病风险，为进一步实施和更大规模的检测做好准备； (b) 对拉丁裔男性的艾滋病毒风险有更深入的了解； (c) 深入了解研究伙伴关系流程，其中包括非专业社区成员、艾滋病服务组织 (ASO)、社区组织 (CBO)、3 所大学和广泛的其他合作伙伴。