NARRATIVES OF SEXUALITY AND SEXUAL SAFETY AMONG BLACK EMERGING ADULT WOMEN

描述(由申请人提供)：黑人成年女性(BEAW)中的性传播感染、意外怀孕和艾滋病毒/艾滋病正在以惊人的速度增长。性安全通常被狭隘地定义为避免危险行为，对女性如何在满足情感上的爱、信任、亲密和欲望的需求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对BEAW中性相关问题的单向度了解，这些框架往往使妇女维护其性安全的努力看不见。相比之下，这款应用程序的目的是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绪的含义，而健康和积极的情绪往往伴随着个体作为性存在。这项叙述性研究的目的是描述BEAW如何在健康的性行为框架内管理他们的性安全。申请者将探索BEAW如何认知性安全的含义，描述他们如何在最近和当前的性关系中管理(D)他们的性安全，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当前的性关系中如何管理(D)性安全的深入描述将提供关于在这一人群中如何管理性安全的复杂性的迫切需要的数据。护士科学家必须关注BEAW的性安全的认知、意义和管理，以便设计有效的基于科学的计划和干预措施。这项叙述性研究和培训计划旨在启动申请人的性科学研究方案，并在传统上被边缘化的人群中研究妇女的健康问题。它与国家护理研究所使命的研究优先事项高度相关，因为这项研究的目的是促进健康和预防疾病。 公共卫生相关性：申请者的提案在健康和幸福的范式中，固定了黑人年轻女性的性安全这一高度调查的主题。这种方法与其通常被狭隘地概念化为仅仅是避免危险行为形成了鲜明对比。发现黑人新兴成年女性从性体验中获得意义并随后管理性安全的方式与公共健康高度相关。这项提案试图理解这些现象，作为建立适当的以理论为基础的干预措施的第一步，旨在减轻有色人种社区中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.