NARRATIVES OF SEXUALITY AND SEXUAL SAFETY AMONG BLACK EMERGING ADULT WOMEN

描述（由申请人提供）：性传播感染，意外怀孕，和艾滋病毒/艾滋病之间的黑人新兴成年妇女（BEAW）正在以惊人的速度增加。性安全通常被狭义地定义为避免危险行为，人们对女性在满足情感上的爱、信任、亲密和欲望的同时管理性安全的各种方式知之甚少。不幸的是，基于风险的框架提供了一个一维的理解与性有关的问题之间的BEAW和这些框架往往使妇女的努力，以保持其性安全隐形。相比之下，本申请旨在使用健康的性行为框架来理解这种现象。健康性行为的概念关注的是健康和积极情感的含义，这些情感往往伴随着个体作为性存在。本研究的目的是描述BEAW如何在健康的性行为框架内管理他们的性安全。申请人将探讨BEAW如何感知性安全的含义，描述他们如何管理（d）他们在最近和当前的性关系中的性安全，并确定促进和阻碍他们管理性安全的因素。参与者对他们在最近和目前的性关系中如何管理（d）性安全的深入描述将提供急需的数据，说明如何在这一人群中管理性安全的复杂性。护理科学家必须参加BEAW的性安全的看法，意义和管理，以设计有效的科学为基础的方案和干预措施。这种叙事研究和培训计划有助于启动申请人在性科学和传统边缘化人群中的妇女健康研究计划。它与国家护理研究所使命的研究重点高度相关，因为该研究旨在促进健康和预防疾病。 公共卫生相关性：申请人的提案在健康和福祉的范式内，锚定了年轻黑人妇女性安全的高度调查主题。这种方法与其通常仅限于避免风险行为的狭隘概念形成鲜明对比。发现黑人新兴成年女性从性经历中获得意义并随后管理性安全的方式与公共卫生高度相关。该提案旨在将这些现象理解为建立适当的基于理论的干预措施的第一步，旨在减轻有色人种社区与性相关的疾病负担。

DESCRIPTION (provided by applicant): Sexually transmitted infections, unintended pregnancy, and HIV/AIDS among Black emerging adult women (BEAW) are increasing at alarming rates. Sexual safety is often narrowly conceptualized as the avoidance of risk behaviors and little is known about the varied ways in which women manage their sexual safety while meeting their needs for emotional love, trust, intimacy, and desire. Unfortunately, risk-based frameworks provide a one-dimensional understanding of sexually-related problems among BEAW and these frameworks often render women's efforts to maintain their sexual safety invisible. In contrast, this application aims to understand this phenomenon using a healthy sexuality framework. The concept of healthy sexuality attends to the meanings of health and positive emotion which often accompanies individuals as sexual beings. The purpose of this narrative study is to describe how BEAW manage their sexual safety within a healthy sexuality framework. The applicant will explore how BEAW perceive meanings of sexual safety, describe how they manage(d) their sexual safety in their recent and current sexual relationships, and identify factors that facilitate and hinder their efforts to manage their sexual safety. The participants' in-depth descriptions of how they manage(d) sexual safety in their recent and current sexual relationships will provide much needed data about the complexities of how sexual safety is managed in this population. Nurse scientists must attend to the perceptions, meanings, and management of BEAW's sexual safety in order to design effective science-based programs and interventions. This narrative study and training plan serves to launch the applicant's program of research in sexuality science and women's health among traditionally marginalized populations. It is highly relevant to the research priorities of the National Institute of Nursing Research mission because the study aims to promote health and prevent disease. PUBLIC HEALTH RELEVANCE: The applicant's proposal anchors the highly investigated topic of sexual safety among young Black women, within a paradigm of health and well-being. This approach stands in stark contrast to its often narrow conceptualization as the avoidance of risk behaviors only. Discovering ways in which Black emerging adult women make meanings from sexuality experiences and subsequently manage sexual safety is highly relevant to public health. This proposal seeks to understand these phenomena as the first step in establishing appropriate theory-based interventions designed to mitigate sexually-related disease burdens in communities of color.