Culture and HIV risk in a diverse population

不同人群中的文化和艾滋病毒风险

• 批准号: 8993497
• 负责人: Ellen Benoit
• 金额: $ 62.18万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-25 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8993497
• 关键词: 21 year old; AIDS prevention; Acquired Immunodeficiency Syndrome; Age; Alcohol or Other Drugs use; Anal Sex; Attention; Attitude; Characteristics; Chlamydia; Church; Communities; Development; Diagnosis; Education; Ethnic group; Exposure to; Frequencies; Gays; Gonorrhea; HIV; HIV Infections; HIV risk; HIV/STD; Image; Individual; Infection; Intervention; Interview; Knowledge; Latino; Methods; New York City; Parents; Participant; Pattern; Population; Population Heterogeneity; Pornography; Prevention education; Prevention program; Preventive Intervention; Process; Relative (related person); Research; Resources; Risk; Role; Sampling; Schools; Sex Behavior; Sex Orientation; Sexual Health; Sexual Partners; Sexuality; Socialization; Sorting - Cell Movement; Source; Syphilis; Time; Trust; Work; age group; cohort; effective intervention; improved; meetings; men; men who have sex with men; peer; prevent; public health relevance; racial and ethnic; sex; sex risk; theories; therapy design; web site; young man; young men who have sex with men

 DESCRIPTION (provided by applicant): Despite considerable attention to the sexual health of young men who have sex with men (YMSM), new HIV and STD infections are rapidly increasing among this population. A critical aspect of sexual behavior among YMSM is the process of sexual socialization - the process by which individuals gain knowledge, attitudes, and norms about sexuality, sexual behavior, and sexual risk. Sexual scripts theory provides a framework to understand the sexual socialization process, specifically how individuals receive cultural scenarios from external sources (cultural scripts), interpret them (intrapsychic scripts), and enact them with sexual partners (interpersonal scripts). To understand this phenomenon and inform the development of, and improve existing, interventions for YMSM, the proposed study will conduct mixed-methods interviews with an ethnically diverse sample of 160 urban YMSM (33% Black, 33% Latino, 33% White; of whom 50% within each racial/ethnic group will be ages 16-20 and 50% will be ages 21-25). Aim 1. Examine the content of cultural scenarios that YMSM are exposed to, from different sources, about when/what age they should have sex, who are acceptable partners, the frequency and types of sexual (risk) behaviors that are appropriate, and the role of substance use in sexual interactions. Aim 2. Examine the processes by which YMSM interpret, resolve discrepancies between, and enact these cultural scenarios into sexual behaviors, including the process by which scripts are reappraised and enacted differently over time (e.g., due to maturation, new relationship contexts, exposure to new cultural scenarios). Aim 3. Examine how the content and sources of cultural scenarios to which YMSM are exposed and their interpretation, enactment, and reappraisal of these scripts over time, differ by selected participant characteristics; and how these differences in scripts serve to explain differences in sexual risk behaviors. Aim 4: Investigate the views of YMSM regarding the need for, desired content of, and method of delivery for sexual education and HIV prevention interventions for YMSM.

 描述(由申请人提供)：尽管青年男男性行为者(YMSM)的性健康受到相当大的关注，但这一人群中新的艾滋病毒和性传播疾病感染正在迅速增加。基督教青年会的性行为的一个关键方面是性社会化的过程--通过这个过程，个人获得关于性、性行为和性风险的知识、态度和规范。性剧本理论提供了一个框架来理解性社会化过程，特别是个体如何接受来自外部来源的文化场景(文化剧本)，解释它们(心理剧本)，并将它们与性伴侣(人际剧本)进行演绎。为了了解这一现象，并为制定和改进现有的干预措施提供信息，拟议的研究将对160名不同种族的城市基督教男同性恋者(33%是黑人，33%是拉丁裔，33%是白人，其中50%的种族/民族将是16-20岁，50%将是21-25岁)进行混合方法的访谈。目的1.检查男男性接触者从不同来源接触到的文化情景的内容，关于他们应该在什么时候/什么年龄发生性行为，谁是可以接受的伴侣，适当的性行为(危险)行为的频率和类型，以及物质使用在性行为中的作用。目的2.研究基督教青年会解释、解决这些文化场景之间的差异并将其转化为性行为的过程，包括剧本随着时间的推移而被重新评估和实施的过程(例如，由于成熟、新的关系背景、接触新的文化场景)。目标3.检查基督教青年会接触到的文化情景的内容和来源，以及它们随着时间的推移对这些脚本的解释、执行和重新评估，根据选定的不同 参与者的特征；以及脚本中的这些差异如何用来解释性危险行为的差异。目的4：调查青年男性接触者对青年男性接触者性教育和HIV预防干预的必要性、期望的内容和提供的方法的看法。