Barbershop Talk: HIV Prevention for African American Heterosexual Men

理发店谈话：非裔美国异性恋男性的艾滋病毒预防

• 批准号: 8343593
• 负责人: Ruth C Browne
• 金额: $ 18.93万
• 依托单位: SUNY DOWNSTATE MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-06-14 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8343593
• 关键词: 21 year old; AIDS prevention; AIDS/HIV problem; Accounting; Address; Adult; African; African American; African Caribbean; Alcohol or Other Drugs use; Attention; Attitude; Behavior; Behavior Therapy; Centers for Disease Control and Prevention (U.S.); Clinical Trials Design; Communication; Communities; Computer Assisted; Couples; Data Collection; Diagnosis; Epidemic; Feedback; Gender Role; Geographic Locations; Goals; HIV; HIV Infections; HIV diagnosis; Health education; Heterosexuals; High Prevalence; Imprisonment; Individual; Institutes; Instruction; Intervention; Interviewer; Maintenance; Mediator of activation protein; Medical center; Methods; Outcome; Pharmaceutical Preparations; Population; Prevention approach; Prevention program; Public Health; Race; Recording of previous events; Recruitment Activity; Relative (related person); Research; Research Methodology; Research Personnel; Risk; Risk Factors; Risk Reduction; Self Efficacy; Stigmata; Structure; Target Populations; Testing; Time; Treatment Efficacy; United States; United States National Institutes of Health; Urban Health; Ursidae Family; Variant; Woman; Work; Youth; base; behavior change; design; disorder prevention; efficacy testing; empowerment; evidence base; experience; follow-up; health disparity; high risk; housing instability; improved; intervention effect; male; meetings; men; programs; psychologic; racial and ethnic; racism; randomized trial; sex; sex risk; skills; social; social stigma; therapy design; transmission process

The burden of HIV infection among men and women who identify as Black or African American in the U.S. is enormous, given that over half of all new HIV diagnoses occur in this group. Heterosexual contact accounts for much of this transmission, yet a large gap exists between the HIV prevention needs of adult heterosexual African American men and programs that have been demonstrated to meet these needs. Investigators at SUNY Downstate Medical Center and the Arthur Ashe Institute for Urban Health, Inc. in Brooklyn NY have over ten years experience working together on local community based health education initiatives, behavioral interventions, and action oriented projects. More recently, the investigative team involved in this partnership has utilized CBPR methods to develop an intervention that seeks to reduce sexual risk behavior among Black (including African, African American, and African Caribbean) heterosexual adult men who do not inject drugs. Our aims are to assess the impact of this linguistically and culturally tailored HIV prevenfion program on the sexual risk of heterosexual, African American men aged 21 and older, to assess the intervention's impact on the more proximal social and psychological variables that the program is designed to change, and to identify key contexual level factors that may Impact the intervention's impact across segments of this priority population. This intervention is consistent with the 2011 Trans-NIH Plan for HIVRelated Research, which has as a priority the reduction of HIV-related disparities in racial and ethnic populations, addresses the needs of a population who bear a disproportionate burden of HIV/AIDS and for whom there are few effective approaches available, and will contribute to the evidence-based surrounding the efficacy of sustainable, acceptable approaches to risk reduction among African American men.

在美国，自认为是黑人或非裔美国人的男性和女性感染艾滋病毒的负担是巨大的，因为超过一半的新艾滋病毒诊断发生在这一群体中。异性接触是这种传播的主要原因，但成年异性恋在预防艾滋病毒方面的需求之间存在很大差距。 已被证明满足这些需求的非裔美国人和项目。纽约州立大学下州医学中心和纽约布鲁克林的亚瑟·阿什城市健康研究所的研究人员在当地社区健康教育倡议方面有十多年的合作经验， 行为干预和以行动为导向的项目。最近，参与这一伙伴关系的调查小组利用CBPR方法开发了一种干预措施，旨在减少黑人(包括非洲人、非裔美国人和非洲加勒比人)异性恋成年男子的性危险行为 而不是注射毒品。我们的目标是评估这个从语言和文化上量身定做的艾滋病毒预防计划对21岁及以上的异性恋非裔美国人男性的性风险的影响，以评估干预对该计划设计的更接近的社会和心理变量的影响 并确定可能影响干预措施对这一重点人群的影响的关键背景水平因素。这一干预措施符合2011年艾滋病毒相关研究跨NIH计划，该计划将减少种族和族裔人口中与艾滋病毒有关的差异作为优先事项，解决了承受不成比例的艾滋病毒/艾滋病负担的人口的需求，并 他们几乎没有有效的方法可用，并将有助于围绕可持续、可接受的方法在非洲裔美国人男子中降低风险的有效性的循证研究。