Gender, Power and Latino Mens HIV Risk

项目总结 艾滋病一直是拉丁裔女性和年龄在25至44岁以上的男性的主要死亡原因 而不是十年。专为拉美裔男性开发的为数不多的艾滋病毒预防和治疗干预措施 关注注射吸毒者(IDU)或男男性行为者(MSM)，但忽视了 关键流行病学组，男男性行为者和女性性行为者(MSMW)。这群人是 考虑到艾滋病毒在性网络中所起的作用，在理解艾滋病毒传播方面尤其相关 同性恋活跃的男性人口和异性恋人口之间的联系。这个 拟议的研究将为行为上的双性恋拉丁裔男性开发一种创新的试点干预措施。我们 提出以下具体目标：1)描述上下文劳动要素 和文化背景(如就业机会、族裔-种族紧张关系、处理与工作有关的问题 情况、异性恋和工作场所的性别规范)影响双性恋男性 从事危险的性行为；2)探索男性的权力观念是如何由中心性塑造的 家庭和宗教背景，以及这些因素如何反过来促进或防止性风险 在双性恋拉丁裔男性中；3)为了描述双性恋拉丁裔男性对艾滋病毒风险的意识形态， 艾滋病毒风险的地理背景，以及双性恋风险行为的方式，以及它们与 男性生活中的性别和权力动态；以及，4)检查成员对 拉丁男子气概和双性恋社会观念的艾滋病服务提供组织(ASDO) 在纽约大都会创建或限制双性恋拉丁裔男性获得艾滋病毒预防服务的机会 区域。为了实现这些目标，我们提出了一项为期4年的人种学研究设计，包括两个组成部分 数据收集的重要性。第一部分包括对行为双性恋者的深入访谈。 来自纽约市大都会地区五个研究地点的拉美裔男性(n=160)。头两年 这项研究的部分将专门用于深入访谈部分。第二次数据收集 这项研究的组成部分将是民族志。这一组成部分将持续3年，从第1年开始 2人与关键线人面谈(n=25)，并在第三年继续进行人种学测绘，25人 对5个研究站点的艾滋病服务提供机构进行集体访谈。的最后一年 该项目将重点使用干预映射(IM)来分析收集的数据并设计 降低拉丁裔双性恋男性感染艾滋病毒风险的试点干预措施。拟议的研究将是 首个关注拉美裔双性恋和艾滋病毒风险问题的大型研究项目 美国。

PROJECT SUMMARY AIDS has been a leading cause of death among Latino women and men 25 to 44 years of age for more than a decade. The few HIV prevention and treatment interventions developed specifically for Latino men have focused on injecting drug users (IDU) or men who have sex with men (MSM), but have neglected a critical epidemiological group, men who have sex with men and with women (MSMW). This group is particularly relevant in understanding the spread of HIV given the role they play in sexual network connections between the homosexually active male population and heterosexual population. The proposed study will develop an innovative pilot intervention for behaviorally bisexual Latino men. We propose the following specific aims: 1) To describe the mechanisms by which contextual factors of labor and cultural backgrounds (such as access to employment, ethnic-racial tensions, coping with job-related situations, heterosexism and gender norms in the workplace) influence bisexual men's likelihood of engaging in risky sexual practices; 2)To explore how men's notions of power are shaped by the centrality of family and religious background, and how these factors in turn, facilitate or prevent sexual risk taking among bisexual Latino men; 3) To describe bisexual Latino men's ideologies of HIV risk, the geographical context of HIV risk, and how bisexual risk behavior, and how they are related or not to gender and power dynamics in the men's lives; and, 4) To examine how the perceptions of members of AIDS Service Delivery Organizations (ASDOs) of societal notions of Latino masculinity and bisexuality create or limit access to HIV prevention services for bisexual Latino men in the New York Metropolitan Area. To accomplish these aims, we propose a 4-year ethnographic study design with two components of data collection. The first component will consists of in-depth interviews with behaviorally bisexual Latino men (n=160) from five research sites in the New York City metropolitan area. The first two years of the study will be dedicated to the in-depth interviews component. The second data collection component of the study will be an ethnography. This component will last 3 years, beginning in years 1 and 2 with key informant interviews (n=25) and continuing in year 3 with ethnographic mapping and 25 group interviews with AIDS Service Delivery Organizations across the 5 research sites. The last year of the project will focus on using Intervention Mapping (IM) to analyze the data collected and design the pilot intervention to reduce HIV risk among bisexual Latino men. The proposed study will be one of the first large-scale research projects to focus on issues of bisexuality and HIV risk among Latinos in the United States.