Identifying the Mental Health Strengths and Resiliencies of Black MSM in New York City who maintain HIV-seronegativity

确定纽约市维持 HIV 血清阴性的黑人 MSM 的心理健康优势和弹性

• 批准号: 8846889
• 负责人: Jagadisa-devasri Dacus
• 金额: $ 4.42万
• 依托单位: CUNY GRADUATE SCH AND UNIV CTR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-02-10 至 2016-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8846889
• 关键词: 21 year old; AIDS prevention; Accounting; Address; Affect; Age; Alcohol consumption; Anus; Area; Attention; Behavior; Behavioral; Categories; Centers for Disease Control and Prevention (U.S.); Data; Development; Drug Formulations; Drug usage; Epidemic; Feedback; Focus Groups; Funding; Future; Gays; Gender; Goals; HIV; HIV Infections; HIV Seronegativity; HIV Seroprevalence; HIV diagnosis; Harm Reduction; Human immunodeficiency virus test; Individual; Infection; Intervention Studies; Interview; Knowledge; Literature; Maintenance; Mental Health; Methodology; National Institute of Mental Health; New York City; Outcome; Pattern; Pilot Projects; Policies; Population; Positioning Attribute; Prevalence; Preventive Intervention; Qualitative Methods; Questionnaires; Race; Recording of previous events; Reporting; Research; Research Personnel; Risk; Risk Reduction; Safe Sex; Scientist; Seroprevalences; Sexual Partners; Sexually Transmitted Diseases; Subgroup; Surveys; Testing; Unsafe Sex; antiretroviral therapy; black men who have sex with men; condoms; disorder prevention; high risk behavior; innovation; men; men who have sex with men; pandemic disease; preference; public health relevance; resilience; sex; social; theories; therapy development; transmission process; uptake

DESCRIPTION (provided by applicant): In 2010, there was an estimated 10,600 new infections among Black men who have sex with men (MSM); and in 2011, Black MSM accounted for over 12,000 cases (39%) of all HIV diagnoses in all MSM, even though Blacks are only 12% of the general U.S. population. According to the CDC, seroprevalence data indicate that the Black MSM population is the most affected across all major demographic subgroups and categories of risk (gender, age, race, and behavior), even though they engage in less high-risk behaviors than other MSM. For example, they are more likely to use condoms and report less unprotected anal intercourse in mixed serostatus relationships. Although factors associated with higher rates of HIV infection in Black MSM have been identified (e.g., undiagnosed HIV infection and sexually transmitted infections), Black MSM who maintain seronegativity have not received much attention. HIV prevention aims to keep seronegatives negative, yet researchers have understudied the strategies, tactics, and mental health strengths and resilience of this group of Black MSM. Increasing our knowledge about their approach to remaining seronegative can augment the current HIV prevention portfolio. The scientific literature has not considered the mental health strengths and resilience of Black MSM in any depth. My study will address the critical need to fill the gap in the literature about behaviors, circumstances, or mental health-related strengths and resilience seronegative that Black MSM report enable them to remain seronegative. This study is intended to facilitate my long-term goal: To develop culturally congruent HIV prevention interventions constructed on the mental health-related strengths and resilience of Black MSM. The overall objective of this proposed study is to identify and understand the mental health-related strengths and resilience that contribute to sustained HIV-seronegativity in many Black MSM in New York City (NYC), a high HIV seroprevalence area. The rationale for the proposed study is that with the exception of my NIMH-funded pilot study that identified several protective factors Black MSM favored, such as alternatives to penetrative sex and managed alcohol and drug use and a recent study by Hussen and colleagues (2013), about Black MSM's HIV testing patterns, we know little about these men's approach to maintaining a seronegative status. I will accomplish this objective by pursuing the following two specific aims: 1) To identify and understand the mental health-related strengths and resilience that contribute to the maintenance of seronegativity in Black MSM and 2) To understand how and why Black MSM employed strategies and tactics found in the pilot as a means of maintaining their seronegative status.

描述（由申请人提供）：2010年，与男性发生性关系的黑人中估计有10,600种新感染（MSM）；在2011年，Black MSM占所有MSM中所有HIV诊断的12,000多例病例（39％），即使黑人仅占美国普通人群的12％。根据疾病预防控制中心的说法，血清阳性数据表明，即使比其他MSM比其他MSM少于高风险的行为，黑色MSM人口也是所有主要人口亚组和风险类别（性别，年龄，种族和行为）的影响最大的。例如，他们更有可能使用避孕套，并报告混合血清抑素关系中未受保护的肛门性交。尽管已经鉴定出与黑色MSM中较高的HIV感染率相关的因素（例如，未诊断的HIV感染和性传播感染），但保持血清调子性的黑色MSM并未受到太多关注。艾滋病毒预防旨在使血清染料保持阴性，但研究人员已经研究了这组黑色MSM的策略，策略和心理健康优势以及韧性。提高我们对其剩余血清神经方法的了解可以增加当前的HIV预防组合。科学文献尚未考虑到任何深度的黑人MSM的心理健康优势和韧性。我的研究将解决有关行为，环境或与心理健康有关的优势和弹性血清调查的文献中的差距的关键需求，即黑色MSM报告使它们能够保持血清质。这项研究旨在促进我的长期目标：开发基于黑人MSM的精神健康优势和弹性而建立的具有文化的HIV预防干预措施。这项拟议的研究的总体目的是识别和理解与心理健康相关的优势和韧性，这些优势和韧性有助于纽约市许多黑人MSM持续的HIV seronegativity（NYC），这是一个高HIV的血清阳性潜伏区。拟议的研究的基本原理是，除了我的NIMH资助的试点研究外，它确定了几种保护性的黑人MSM，例如，黑人的替代品和托管性饮酒和吸毒的替代方案以及Hussen and Caleagues（2013）的最新研究，有关Black MSM MSM的HIV测试模式，我们对这些男性的措施几乎不知道这些男性的措施维护serone serOne seronegative serone sealone seronegative serone sonOne anne inonegative seansone versOne。我将通过追求以下两个具体目的来实现这一目标：1）确定和理解与心理健康相关的优势和韧性，这有助于维持黑人MSM中的血清策略和2）2），以了解黑人MSM如何以及为什么在飞行员中发现的策略和策略是在飞行员中发现的，作为维持其血清效果的手段。