Understanding Female Partners of Bisexual Men: Implications for HIV/STD Risk

了解双性恋男性的女性伴侣：对艾滋病毒/性病风险的影响

• 批准号: 7430685
• 负责人: Nina Thawata Harawa
• 金额: $ 10.58万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7430685
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Anal Sex; Anus; Attitude; Awareness; Behavior; Behavioral; Belief; Bisexual; Case-Control Studies; Categories; Characteristics; Collaborations; Color; Conservatism; County; Data; Demographic Factors; Dependency; Depth; Development; Diagnosis; Drug usage; Effectiveness; Epidemic; Ethnic Origin; Female; Funding; Gays; Gender Role; Goals; HIV; HIV Infections; HIV antibody positive; HIV diagnosis; Health Services Research; Heterosexuals; Hispanics; Human immunodeficiency virus test; Injection of therapeutic agent; Intervention Studies; Interview; Latina; Los Angeles; Oral Sex; Participant; Pattern; Perception; Pharmaceutical Preparations; Phase; Policies; Prevention; Prevention approach; Prevention intervention; Prevention strategy; Psychosocial Factor; Public Health; Qualitative Research; Questionnaires; Race; Range; Rate; Recruitment Activity; Reporting; Research; Resources; Risk; Risk Factors; Sampling; Self Efficacy; Sex Behavior; Sexual Partners; Site; Social Aspects of Cancer; Social Desirability; Structure; Surveys; Testing; Thinking; Time; Transcript; United States; Vagina; Woman; Women' s Group; Work; behavior test; case control; condoms; desire; expectation; experience; improved; male; man; men; men who have sex with men; permissiveness; programs; psychosocial; racial and ethnic disparities; resource guides; safer sex; self esteem; sex; stem; trait; transmission process

DESCRIPTION (provided by applicant): In the United States, the reported rates of new HIV diagnoses among black and Hispanic women are, respectively, 20 and 5.4 times that of white women. A greater tendency toward bisexual behavior and non-gay identification among black and Hispanic men who have sex with men (MSM) than among white MSM is thought to contribute to the large racial/ethnic disparities in HIV/AIDS observed among women; however, nearly nothing is known about the female partners of behaviorally bisexual men. Furthermore, many HIV-infected women are considered "heterosexual unidentified risk" because they do not fit into an HIV transmission category other than sex with a male of unidentified risk. We propose a two-phase study to better understand HIV risk among women of color by identifying predictors of sex with bisexual and unidentified risk men and exploring psychosocial issues surrounding and correlates of these sexual partnerships. This research will be carried out among African-American and Latina females recently tested for HIV in publicly funded test sites in Los Angeles County. In Phase I, a matched case-control analysis will be carried out using secondary data to identify predictors of having had sex with a bisexual man or of being diagnosed HIV-antibody positive with unidentified heterosexual risk. In Phase II, recently tested women will be recruited and interviewed, including 30 who report bisexual male partners and 20 HIV-infected women with unidentified sexual risk. The in-depth semi-structured interview will examine psychosocial factors surrounding sexual relationships with men, including known bisexual, potentially bisexual, and presumed heterosexual men and explore (1) the range of relationship types characterizing women's relationships with these men; (2) attitudes regarding gender roles and desired partner traits; (3) how and when participants became aware of their partners' bisexual behavior and how this awareness influenced their HIV risk perception; (4) how HIV-antibody positive women with unidentified sexual risk perceive they and their partners were infected; and (5) participant's attitudes and behaviors regarding health-related research, health care, and STD/HIV prevention. Interview transcripts will be analyzed using a consensual qualitative research approach to identify major themes and generate hypotheses and survey items for a larger quantitative interview study comparing women reporting sex with a bisexual male to women who do not believe that they have had sex with a bisexual man. They will also help direct prevention resources and guide HIV prevention intervention approaches among women of color.

描述(申请人提供)：在美国，黑人和西班牙裔妇女报告的艾滋病毒新诊断率分别是白人妇女的20倍和5.4倍。与白人MSM相比，与白人MSM相比，黑人和西班牙裔男男性在双性恋行为和非同性恋认同方面的倾向更大，这被认为是导致在妇女中观察到艾滋病毒/艾滋病存在巨大种族/民族差异的原因；然而，对行为双性恋男子的女性伴侣几乎一无所知。此外，许多感染艾滋病毒的妇女被认为是“异性恋风险不明”，因为除了与风险不明的男性发生性关系外，她们不属于艾滋病毒传播类别。我们提出了一项分两个阶段的研究，通过确定与双性恋和不明风险男性发生性行为的预测因素，并探索围绕这些性关系的心理社会问题和这些性关系的相关性，更好地了解有色人种女性中的艾滋病毒风险。这项研究将在最近在洛杉矶县公共资助的试验场进行艾滋病毒检测的非裔美国人和拉美裔女性中进行。 在第一阶段，将使用二级数据进行配对病例对照分析，以确定与双性恋男子发生性关系或被诊断为艾滋病毒抗体阳性并具有不明异性风险的预测因素。在第二阶段，将招募和采访最近接受检测的妇女，其中包括30名报告双性恋男性伴侣的妇女和20名有不明性行为风险的艾滋病毒感染妇女。这项深入的半结构化访谈将调查与男性性关系有关的心理社会因素，包括已知的双性恋、潜在的双性恋和假定的异性恋男性，并探索(1)女性与这些男性的关系类型的范围；(2)对性别角色和期望的伴侣特征的态度；(3)参与者如何以及何时意识到他们的伴侣的双性恋行为，以及这种意识如何影响他们对艾滋病毒的风险认知；(4)艾滋病毒抗体阳性的女性如何感知自己和她们的伴侣被感染；(5)参与者对与健康相关的研究、保健和性病/艾滋病预防的态度和行为。采访记录将使用双方同意的定性研究方法进行分析，以确定主要主题，并为一项更大的量化采访研究生成假设和调查项目，该研究将报告与双性恋男性发生性关系的女性与不认为自己与双性恋男性发生过性关系的女性进行比较。它们还将帮助指导预防资源，并指导有色人种妇女的艾滋病毒预防干预方法。