Longitudinal Pathways to HIV-Risk Behaviors Among African American & Latina Women

描述（由申请人提供）：这项针对城市黑人和拉丁裔妇女的拟议研究有两个主要目标。第一个是检查艾滋病毒风险行为的纵向途径（无保护性交，多/同时性伴侣，有一个高风险伴侣），重点是将结构/背景与人际和个人风险因素相结合 作为预测者。吸毒将作为一种行为风险因素进行审查，介导结构性风险和艾滋病毒风险行为之间的关系。该提案以家庭干预理论和性别与权力理论为基础，适用于有色人种妇女的艾滋病毒风险行为。拟议的研究使用生命过程的角度来研究这一关键问题，重点是在30多岁的非洲裔美国人和波多黎各妇女参与艾滋病毒风险行为的前因和并发预测。其次，研究将考察资源因素的能力（即，种族自豪感，以问题为中心的应对，社会支持），以减轻结构性风险因素（例如，邻里劣势）的艾滋病毒风险行为。这项赠款提案将利用在20年的时间内在关键发展阶段收集的大量数据，作为哈莱姆纵向发展研究（HLDS）的一部分。确定艾滋病毒风险行为的风险因素及其运作途径将对公共卫生产生重要影响。这项研究的结果可以纳入预防和干预计划，旨在减少艾滋病毒和其他性传播感染在风险不成比例的妇女中的传播。这项研究的样本将包括450名女性，她们以前曾在青春期（T1，T2），成年初显期（T3）和青年期（T4）出现过。在T5，将与参与者进行面对面的访谈。将根据调查结果制定心理测量学上的健全标准。

DESCRIPTION (provided by applicant): This proposed study of urban Black and Latina women has two major aims. The first is to examine the longitudinal pathways to HIV risk behaviors (unprotected intercourse, multiple/concurrent partners, having a high-risk partner) focusing on the integration of structural/contextual with interpersonal and individual risk factors as predictors. Drug use will be examined as a behavioral risk factor mediating the relationship between structural risks and HIV-risk behaviors. The proposal is informed by Family Interactional Theory and the Theory of Gender and Power, as it applies to HIV-risk behaviors among women of color. The proposed research uses a life-course perspective to examine this critical issue by focusing on both antecedent and concurrent predictors of engagement in HIV-risk behaviors among African American and Puerto Rican women in their thirties. Second, the research will examine the ability of resource factors (i.e., ethnic pride, problem-focused coping, social support) to mitigate structural risk factors (e.g., neighborhood disadvantage) for HIV-risk behaviors. This grant proposal will capitalize on a wealth of data collected at key developmental stages over a period of 20 years as part of the Harlem Longitudinal Development Study (HLDS). Identification of the risk factors for HIV-risk behaviors and the pathways through which they operate will have important implications for public health. Findings from this research can be integrated into prevention and intervention programs aimed at reducing the transmission of HIV and other STIs among women disproportionately at risk. The sample for this study will consist of 450 women who were previously seen in adolescence (T1, T2), emerging adulthood (T3), and young adulthood (T4). At T5, face-to-face interviews will be conducted with the participants. Psychometrically sound scales will be developed from the surveys.