Multiple Sexual Partnering & HIV Risks among Low Income Heterosexual Black Men

多重性伴侣

• 批准号: 7685890
• 负责人: Eloise Emma Dunlap
• 金额: $ 46.42万
• 依托单位: NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-24 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7685890
• 关键词: AIDS/HIV problem; Address; Age; Alcohols; Anus; Baseline Surveys; Behavior; Budgets; Categories; Characteristics; Classification; Communities; Control Groups; Data; Data Collection; Data Set; Disclosure; Drug usage; Ethnography; Family; Focus Groups; Frequencies; HIV; HIV/STD; Health; Heterosexuals; Hour; Household; Human Resources; Human immunodeficiency virus test; Individual; Infection; Intervention; Interview; Laws; Lead; Learning; Life; Low income; Manuscripts; Measures; Methodology; Monitor; Multiple Partners; Oral; Participant; Partner in relationship; Pattern; Peer Review; Persons; Pharmaceutical Preparations; Population; Principal Investigator; Procedures; Protocols documentation; Publications; Publishing; Recruitment Activity; Reporting; Research; Research Personnel; Research Subjects; Risk; Role; Sales; Sample Size; Sampling; Schedule; Scientific Advances and Accomplishments; Sex Behavior; Sexual Partners; Socialization; Surveys; Target Populations; Technology; Test Result; Time; Training; Vagina; Woman; Workload; Writing; base; cohort; community setting; condoms; cost; experience; follow-up; high risk; inclusion criteria; inner city; male; meetings; men; peer; programs; public health relevance; safer sex; sex; skills; social; theories

The project seeks to understand the underlying dynamics and context of understudied and consequently frequently misunderstood social and cultural determinates of sexual behavior which commonly occurs among inner-city, low income heterosexual black males who have multiple sex partners (the target population). The focus of the project is upon the sexual behavior of heterosexual males who have multiple partners so that more feasible programs for HIV/AIDS intervention may be formulated. Heterosexual black men have among the highest rates of HIV; they are often the sexual partners of black women who acquire HIV. The project will employ the sexual scripts theory to develop a better scientific understanding of the subcultural patterns which promote multiple sexual partnering as related to HIV risk. The project has the following aims: A (Sexual Socialization): To analyze the sexual norms and scripts observed and learned in the family and from peers that may result in multiple sexual partners in adulthood among marginalized heterosexual black males. B (Sexual Scripts): To document the role of drug use/sales and various sexual scripts associated with multiple sexual partnering among black heterosexual males that contribute to HIV/AIDS risk. C (Practices for Safer Sex): To examine how marginalized heterosexual black males understand and selectively practice safer sex (condoms) with multiple and main sexual partners. The project will employ omnibus ethnographic methodology. This will involve conducting four focus groups during each of two years (N=96). Ethnographers will write field notes based on observations of subjects in households and community settings. Focal subjects (N=125) with multiple sex partners will be recruited and interviewed in depth, as well as re-interviewed. Extensive qualitative data will be obtained about many aspects of the men’s lives, with a focus on current mates, concurrent and sequential sex partners as well as the sexual scripts that rationalize their involvement with several sex partners. This will provide extensive information about how black men express concerns about HIV and STIs, and whether HIV test results influence their sexual practices and disclosures to their multiple sexual partners. The extensive qualitative data will employ advanced technologies to efficiently manage very large data sets in order to analyze and write several peer-review publications. This will lead to improvements in developing culturally sensitive messages for safer sex practices, by bringing about reductions in multiple partnering practices and HIV/STI infections among this high risk population.

该项目旨在了解未充分研究的潜在动态和背景， 经常被误解的性行为的社会和文化决定因素，通常发生在 市中心，低收入的异性恋黑人男性谁有多个性伴侣（目标人群）。的 该项目的重点是异性恋男性的性行为，他们有多个伴侣， 制定切实可行的艾滋病干预方案。异性恋黑人男性在 艾滋病毒感染率最高;她们往往是感染艾滋病毒的黑人妇女的性伴侣。该项目将 运用性脚本理论来更好地科学地理解亚文化模式， 促进与艾滋病毒风险有关的多重性伙伴关系。该项目的目标如下：A（性 社会化）：分析在家庭和同龄人中观察到的性规范和脚本， 可能导致边缘化的异性恋黑人男性成年后有多个性伴侣。B （性行为）：记录药物使用/销售的作用和与之相关的各种性脚本， 黑人异性恋男性中的多重性伴侣增加了艾滋病毒/艾滋病的风险。C （安全性行为的做法）：研究边缘化的异性恋黑人男性如何理解和 有选择地与多个性伴侣和主要性伴侣进行更安全的性行为（使用避孕套）。 该项目将采用综合民族志方法。这将涉及四个焦点小组 每两年（N=96）。人种学家将根据观察结果撰写实地记录 家庭和社区环境中的主题。有多个性伴侣的焦点受试者（N=125）将 招聘和深入面试，以及重新面试。将获得大量定性数据 关于男人生活的许多方面，重点是现在的伴侣，同时 和连续的性伴侣，以及合理化他们参与几个性脚本， 性伴侣这将提供有关黑人男性如何表达对艾滋病毒的关注的广泛信息 以及艾滋病毒检测结果是否会影响他们的性行为和对他们的多重性行为的披露。 性伴侣广泛的定性数据将采用先进的技术来有效地管理 非常大的数据集，以便分析和撰写几篇同行评审出版物。这将导致 在制定对文化敏感的安全性行为信息方面取得进展， 减少这种高危人群中的多重伙伴关系做法和艾滋病毒/性传播感染。