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

描述(由申请者提供)：这项关于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危险行为的纵向途径(无保护的性行为、多个/同时的伴侣、有一个高危伙伴)，重点是结构性/背景与人际和个人风险因素的整合 作为预测者。药物使用将被作为一个行为风险因素进行审查，以调解结构性风险和艾滋病毒风险行为之间的关系。该建议受到家庭互动理论和性别与权力理论的启发，因为它适用于有色人种女性的艾滋病毒危险行为。这项拟议的研究使用生命历程的观点来研究这一关键问题，重点关注30多岁的非裔美国人和波多黎各妇女参与艾滋病毒危险行为的先期和同期预测因素。其次，研究将考察资源因素(即民族自豪感、以问题为中心的应对措施、社会支持)缓解艾滋病毒危险行为的结构性风险因素(例如，邻里劣势)的能力。这项赠款提案将利用20年来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的一部分。确定艾滋病毒危险行为的危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疾病在风险过高的妇女中的传播。这项研究的样本将包括450名女性，她们以前处于青春期(T1，T2)、成年初期(T3)和青壮年(T4)。在T5，将与参与者进行面对面的访谈。心理测量学方面的量表将从调查中开发出来。

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.