HIV/STIs risk behaviors among Chinese, Korean, and Vietnamese women

描述（由申请人提供）：该K 01奖的总体目标是使候选人具备创建独立研究计划所需的高级技能，以帮助开发与文化相关的艾滋病毒/性传播感染预防方法和亚太岛民（API）妇女的干预战略。 该奖项将允许候选人从现有的国家大规模数据集的二级分析熟练过渡到初级数据收集和定性研究的熟练程度。 拟议的研究，“API妇女的性健康倡议项目”（AWSHIP）探讨了抑郁症，文化适应，家庭凝聚力和艾滋病毒/性传播疾病的风险行为之间的关系，其中600名年轻成年妇女（中国，韩国和越南）谁是移民的子女。 它还将探讨这些API妇女如何描述参与艾滋病毒/性传播感染的风险行为，在性别角色和关系权力的差异的背景下。 方法采用横断面调查和质性研究相结合的方法，对48名被调查者进行深度访谈。 为了在API社区成功进行流行病学HIV/STI研究，候选人必须认真完成综合课程，并接受五个领域高级研究人员的指导：（1）社会流行病学（Steffanie Strathdee）;（2）对API社区的调查研究（Lena Lundgren，Frank Wong）;（3）高级定量分析（Timothy海伦）;（4）定性方法（Lee Strunin）;（5）API妇女干预发展（玛丽麦凯，斯坦利苏）。 根据候选人的培训目标，AWSHIP有四个具体目标：（1）描述API年轻女性中HIV/STIs危险行为的流行病学特征;（2）了解API年轻女性中抑郁、文化适应和HIV/STIs危险行为之间的关系;（3）确定与HIV/STIs危险行为相关的中介因素;（4）探讨API妇女在性别角色和关系权力差异背景下对HIV/STI危险行为的易感性。 从这项研究中获得的专门知识将转化为旨在减少API妇女中艾滋病毒/性传播感染风险行为的干预措施，这将最终减少艾滋病毒/性传播感染的传播和API社区的性健康差距。 公共卫生相关性：本研究将提供中国、韩国和越南年轻女性中与HIV/STIs危险行为相关的分类流行病学数据，并阐明性别和关系权力对HIV/STIs危险行为的影响。 这些调查结果将有助于为API年轻妇女制定有效的、文化上胜任的艾滋病毒/性传播感染干预服务。

DESCRIPTION (provided by applicant): The overall goal of this K01 Award is to equip the candidate with the advanced skills needed to create an independent program of research in order to aid the development of culturally relevant HIV/STIs prevention methods and intervention strategies for Asian Pacific Islander (API) women. This award will allow the candidate to transition from proficiency in secondary analyses of existing, national, large-scale data sets to proficiency in primary data collection and qualitative research with hard-to-reach APIs. The proposed research, "API Women's Sexual Health Initiative Project" (AWSHIP) explores the relationships between depression, acculturation, family cohesion, and HIV/STIs risk behaviors among 600 young adult women (Chinese, Korean, and Vietnamese) who are children of immigrants. It will also explore how these API women describe engagement in HIV/STIs risk behaviors, within the context of gender roles and disparities in relationship power. Methods include conducting a cross-sectional survey and a qualitative study, using in-depth interviews of subsample of survey participants (n=48). To conduct successful epidemiological HIV/STIs research in API communities, the candidate must undertake carefully integrated coursework and receive mentoring from senior researchers in five areas: (1) social epidemiology (Steffanie Strathdee); (2) survey research in API communities (Lena Lundgren, Frank Wong); (3) advanced quantitative analyses (Timothy Heeren); (4) qualitative methods (Lee Strunin); and (5) intervention development for API women (Mary McKay, Stanley Sue). In direct accordance with the training goals of the candidate, AWSHIP has four specific aims: (1) to characterize the epidemiology of HIV/STIs risk behaviors among API young women; (2) to understand the association between depression, acculturation, and HIV/STIs risk behaviors among API young women; (3) to determine the mediating fact ors associated with HIV/STIs risk behaviors; and (4) to explore API women's vulnerability for HIV/STIs risk behaviors in the context of gender roles and disparities in relationship power. Expertise acquired from this research will be translated into an intervention designed to decrease HIV/STIs risk behaviors among API women, which should ultimately reduce both the transmission of HIV/STIs and sexual health disparities in API communities. PUBLIC HEALTH RELEVANCE: This study will provide disaggregated epidemiological data factors associated with HIV/STIs risk behaviors among Chinese, Korean, and Vietnamese young women, as well as shed light on the impact of gender and relationship power on HIV/STIs risk behaviors. These findings will serve to inform the development of effective, culturally competent HIV/STIs intervention services for young API women.