HIV/AIDS Prevention with African American heterosexual men attending college

上大学的非洲裔美国异性恋男性的艾滋病毒/艾滋病预防

• 批准号: 7393010
• 负责人: ROBERT E ARONSON
• 金额: $ 21.31万
• 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/7393010
• 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(申请人提供)：目前，很少有证据表明有效的艾滋病毒预防干预措施是为非裔美国大学年龄男性量身定制的。这项研究将开发和测试一种与文化相关的干预措施的有效性，旨在降低目前没有使用药物的非裔美国异性恋男性感染艾滋病毒的风险。将使用基于社区的参与性研究(CBPR)方法进行形成性研究，开发干预措施，并评估其效果。在美国所有种族和性别群体中，非裔美国人男性的艾滋病毒感染率最高。此外，在北卡罗来纳州和其他地方上大学的非裔美国人男性比例的惊人增长，使人们的注意力集中在这一优先群体上。我们建议进行一项为期3年的研究，以开发和测试一种与文化相关的干预措施的有效性，旨在降低非裔美国大学男生感染艾滋病毒的风险。干预措施将基于对人口的形成性研究，并建立在社会认知理论和大个子小人情结的基础上，大个子小人情结是托尼·L·怀特黑德开发的非裔美国人男性气概的概念框架。这项研究将在研究过程的所有阶段继续使用以社区为基础的参与性研究(CBPR)方法。建议采用随机对照设计来检验干预措施的有效性。北卡罗来纳州格林斯伯勒将招募200名非洲裔美国男子(年龄在18-24岁之间)，并获得知情同意。所有符合条件和愿意的男性都将完成一项初步的基线评估，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，参与者将被随机分为艾滋病毒预防干预或压力管理/时间管理/研究技能比较干预。所有参与者将在干预后立即完成相同的评估，并在3个月内进行随访。与对照组中的同龄人相比，艾滋病毒预防干预的参与者预计会表现出：(A)更多的自我报告的禁欲，(B)更多的自我报告在性行为中使用避孕套；(C)更少的自我报告的多性伴；(D)更多的自我报告使用艾滋病毒和性传播疾病(STD)咨询、检测和治疗服务；(E)更多关于艾滋病毒危险行为和预防策略的知识；(F)更高的常模认知分数，支持降低风险策略；(G)对使用安全套的更积极的态度；(H)在使用和坚持使用避孕套方面有更高的自我效能；(I)更高的掌控感得分；和(J)更强的沟通和性谈判技能。这项研究将通过开发3种重要的、亟需的“产品”来推动艾滋病毒预防研究领域，以填补现有的空白：(A)一种与文化相关的西班牙语干预措施，旨在减少新近抵达的、文化适应程度较低的拉美裔男子的艾滋病毒/艾滋病风险，并将准备进一步实施和进行更大规模的测试；(B)更深入地了解拉美裔男子的艾滋病毒风险；(C)深入了解包括非专业社区成员、艾滋病服务组织、社区组织、3所大学和广泛的其他合作伙伴在内的研究伙伴关系进程。这项研究将通过开发3种重要的、亟需的“产品”来推动艾滋病毒预防研究领域，以填补现有的空白：(A)一种与文化相关的西班牙语干预措施，旨在减少新近抵达的、文化适应程度较低的拉美裔男子的艾滋病毒/艾滋病风险，并将准备进一步实施和进行更大规模的测试；(B)更深入地了解拉美裔男子的艾滋病毒风险；(C)深入了解包括非专业社区成员、艾滋病服务组织、社区组织、3所大学和广泛的其他合作伙伴在内的研究伙伴关系进程。