African American Young Mens Study

非裔美国青年男性研究

• 批准号: 7794872
• 负责人: Michele D. Kipke
• 金额: $ 58.85万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7794872
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Affect; African American; American; Behavior; Centers for Disease Control and Prevention (U.S.); Child; Color; Communities; Country; Cultural Characteristics; Data Collection; Development; Discrimination; Drug usage; Epidemic; Ethnography; Event; Family; Fathers; Focus Groups; Friends; Gays; Goals; HIV; HIV Infections; HIV Seropositivity; Hispanics; House Call; Housing; Illicit Drugs; Individual; Infection; Intervention; Interview; Latino; Liquid substance; Los Angeles; Methods; Minority; Mothers; NIH Program Announcements; Nature; Participant; Perception; Phase; Play; Population; Prevention; Prevention Research; Preventive; Preventive Intervention; Procedures; Qualitative Research; Race; Reporting; Research; Research Design; Research Methodology; Risk; Risk Behaviors; Role; Social Network; Social support; Source; Subgroup; Surveys; Survival Rate; Time; United States National Institutes of Health; Woman; base; density; design; ethnic discrimination; experience; family structure; health disparity; high risk; meetings; member; men; men who have sex with men; peer; protective behavior; psychosocial; public health relevance; racial and ethnic; response; sex risk; social; success; surveillance study

DESCRIPTION (provided by applicant): This revised application is being resubmitted in response to the National Institutes of Health's Program Announcement entitled, "Health Disparities in HIV/AIDS: Focus on African Americans" (PA-06-069, reissued as PA-07-116), which recognizes that "African Americans [represent] a group that has experienced exceptionally high rates of new HIV infections and worse survival rates than other ethnic/racial groups in this country." To be sure, as we are now in the third decade of the HIV epidemic, African American men who have sex with men remain disproportionately affected by the HIV/AIDS epidemic in the US. Perhaps the most hidden segment of this population are African American young men who have sex with men (AAYMSM), who now represent the largest proportion of new infections among men who have sex with men (MSM). Though HIV prevention efforts using bar settings or community-based organizations targeting the gay community have been met with success, research indicates that many at-risk AAYMSM do not frequent these venues. Instead, large numbers of AAYMSM can be reached through the Ball and House communities. The Ball community revolves around collectives called "Houses," which are racial, ethnic, and sexual minority defined communities that are characterized by groups of young men who create a family structure with an appointed "mother," "father" and other members called "the children." The Houses offer members a network of friends and a place to turn to for support, positive affirming norms, collective identity, and connectedness among AAYMSM. Often young men join a House after having been rejected by their own family. The Balls, which are held several times a month, are lavish celebrations/competitions that serve as a social event for MSM of color, particularly AAYMSM. Our own research suggests that the Ball and House communities could be ideal settings in which to conduct HIV prevention research with AAYMSM. We are therefore proposing to conduct ethnographic and survey research to better understand and examine: 1) the structural, social, and cultural characteristics of the Ball and House communities; 2) Ball and House members' use of illicit drugs and involvement in HIV risk and protective behaviors, and their social and sexual networks; and 3) the role that rejection, discrimination, and internalized homophobia play with respect to encouraging drug use and HIV risk. PUBLIC HEALTH RELEVANCE: As we are now in the third decade of the HIV epidemic, African American men who have sex with men remain disproportionately affected by the HIV/AIDS epidemic in the US. Perhaps the most hidden segment of this population are African American young men who have sex with men (AAYMSM), who now represent the largest proportion of new infections among men who have sex with men. Our own research suggests that the Ball and House communities could be ideal settings in which to deliver HIV prevention interventions targeted to AAYMSM. We are therefore proposing to conduct ethnographic and survey research designed to characterize the risk behaviors of members of these communities, as well as identify opportunities for HIV prevention.

说明（由申请人提供）：此修订后的申请是为了响应美国国立卫生研究院题为“艾滋病毒/艾滋病的健康差异：关注非裔美国人”（PA-06-069，重新发布为 PA-07-116）的计划公告而重新提交的，该公告承认“非裔美国人[代表]一个新发艾滋病毒感染率极高且生存率比其他群体更差的群体” 这个国家的民族/种族群体。”可以肯定的是，现在正处于艾滋病毒流行的第三个十年，在美国，男男性行为的非洲裔美国男性仍然不成比例地受到艾滋病毒/艾滋病流行的影响。也许这一人群中最隐蔽的部分是非裔美国男男性行为者 (AAYMSM)，他们目前在男男性行为者 (MSM) 的新增感染者中所占比例最大。尽管利用酒吧场所或针对同性恋群体的社区组织开展的艾滋病毒预防工作已取得成功，但研究表明，许多高危 AAYMSM 并不经常光顾这些场所。相反，可以通过 Ball 和 House 社区接触到大量 AAYMSM。鲍尔社区以称为“房屋”的集体为中心，这些集体是由种族、民族和性别少数群体定义的社区，其特征是由一群年轻人组成的家庭结构，其中有指定的“母亲”、“父亲”和其他被称为“孩子”的成员。之家为会员提供了一个朋友网络和一个可以寻求支持、积极肯定规范、集体认同以及 AAYMSM 之间联系的地方。年轻人常常在被自己的家人拒绝后才加入家族。舞会每月举行数次，是一种奢华的庆祝活动/竞赛，是有色人种男男性接触者（尤其是 AAYMSM）的社交活动。我们自己的研究表明，鲍尔和豪斯社区可能是使用 AAYMSM 进行艾滋病毒预防研究的理想场所。因此，我们建议进行民族志和调查研究，以更好地理解和检查：1）鲍尔和豪斯社区的结构、社会和文化特征； 2) 舞会和众议院成员使用非法药物、参与艾滋病毒风险和保护行为，以及他们的社交和性网络； 3) 排斥、歧视和内在的同性恋恐惧症在鼓励吸毒和艾滋病毒风险方面发挥的作用。公共卫生相关性：目前正处于艾滋病毒流行的第三个十年，在美国，男男性行为的非洲裔美国男性仍然不成比例地受到艾滋病毒/艾滋病流行的影响。也许这一人群中最隐蔽的部分是非裔美国男男性行为者（AAYMSM），他们现在在男男性行为者中新感染者中所占比例最大。我们自己的研究表明，鲍尔和豪斯社区可能是针对 AAYMSM 提供艾滋病毒预防干预措施的理想环境。因此，我们建议开展人种学和调查研究，旨在描述这些社区成员的危险行为，并确定预防艾滋病毒的机会。

项目成果

High-risk sexual activity in the House and Ball community: influence of social networks.

House and Ball 社区中的高风险性活动：社交网络的影响。

• DOI: 10.2105/ajph.2013.301543
• 发表时间: 2014
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Schrager,ShereeM;Latkin,CarlA;Weiss,George;Kubicek,Katrina;Kipke,MicheleD
• 通讯作者: Kipke,MicheleD

Community-engaged research to identify house parent perspectives on support and risk within the House and Ball scene.

社区参与的研究，以确定寄宿家长对寄宿和舞会场景中的支持和风险的看法。

• DOI: 10.1080/00224499.2011.637248
• 发表时间: 2013
• 期刊: Journal of sex research
• 影响因子: 3.6
• 作者: Kubicek,Katrina;Beyer,WilliamH;McNeeley,Miles;Weiss,George;Omni,LegendaryFatherTazUltra;Kipke,MicheleD
• 通讯作者: Kipke,MicheleD

Minority stress experiences and psychological well-being: the impact of support from and connection to social networks within the Los Angeles House and Ball communities.

• DOI: 10.1007/s11121-012-0348-4
• 发表时间: 2014-02
• 期刊: PREVENTION SCIENCE
• 影响因子: 3.5
• 作者: Wong, Carolyn F.;Schrager, Sheree M.;Holloway, Ian W.;Meyer, Ilan H.;Kipke, Michele D.
• 通讯作者: Kipke, Michele D.