HIV Education for African American Men

针对非裔美国男性的艾滋病毒教育

基本信息

批准号：
8992947
负责人：
Samantha L. Leaf
金额：
$ 17.44万
依托单位：
ISA ASSOCIATES, INC.
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8992947
关键词：
AIDS prevention AIDS/HIV problem Abstinence Address African American Area Attention Attitude Barrier Contraception Behavior Behavior Therapy Belief Centers for Disease Control and Prevention (U.S.)Client Clinic Computers Decision Making Development Diagnosis Education Educational process of instructing Esthesia FDA approved Failure Feedback Female Female Condoms Focus Groups Future Gender Gender Role Goals HIV HIV Infections HIV risk HIV/STD Health Heterosexuality Heterosexuals Hour Incidence Individual Inequality Interruption Intervention Knowledge Learning Lubricants Male Condoms Masculine Mediation Methods Modeling Motivation Phase Positioning Attribute Pregnancy Prevention Prevention program Preventive Intervention Provider Reporting Research Research Personnel Risk Risk Behaviors Risk Reduction Behavior Safe Sex Services Sexual Partners Sexual Transmission Testing Training Training Programs Training and Education Translating United States Unsafe Sex Woman Work base combat condoms high risk male meetings men peer pleasure prevent programs prototype public health relevance research study sex sex risk sexual relationship skills transmission process usability web-enabled

项目摘要

DESCRIPTION (provided by applicant): One in 16 Black men will be diagnosed with HIV in his lifetime as compared to 1 in 102 White men. Approximately 20% of all new HIV cases among African American men are due to heterosexual transmission. Despite this, Black men who have sex with women (MSW) have received very little empirical attention. Traditional gender roles and power inequalities tend to give men greater control over sexual decision-making in African American relationships. However, Black men do not routinely use condoms, one of the most effective HIV prevention methods beyond abstinence, during sex with women. These findings suggest that the failure to target heterosexually active African American men in HIV prevention efforts is a missed opportunity. A key barrier to male condom use is reduced sexual pleasure. The female condom (FC) is an alternative HIV protection method that may overcome this barrier. Research shows that Black women respond well to FC education, but gender norms may impede their efforts to introduce FCs to male partners. One way to overcome this roadblock is to provide FC training directly to men. Indeed, studies have shown that men can learn FC skills, will help female partners use FC, and report fewer unprotected sex partners after receiving FC and male condom training. In addition, men endorse several benefits to FC use, including STI protection and natural feel. Importantly, some men prefer FCs because they provide greater sexual sensation than male condoms. To harness the potential of FC training for Black MSW, we intend to develop e-focus, a computer-based HIV behavioral intervention for heterosexually active African American men that includes training in both male and female condom use. e-focus will web-enable the core components of Focus on the Future (FOF), the only best-evidence HIV behavioral intervention for high-risk Black MSW. FOF is a one-hour intervention that addresses the correct and consistent use of male condoms and lubricant, condom negotiation, and the importance of men protecting their future. The main message of FOF is that there are many types of condoms and lubricants and men should experiment to find the choice that make sex feel best. By providing FC as an additional, and sometimes preferred, choice, e-focus aims to lessen the influence of decreased sexual pleasure and other condom barriers on HIV prevention. Another obstacle to Black MSW's HIV risk reduction behavior is belief in a traditional masculine ideology, which emphasizes male sexual prowess, female subordination, and heterosexuality. Black men who espouse these beliefs are more likely to engage in sexual risk behavior. To combat this, e-focus will include a discussion of masculine identity and will provide methods to reframe potentially dangerous masculine beliefs into healthier sexual and relationship behaviors. Phase I prototype development will be informed by formative research with target end-users and African American women, as well as input from our expert consultants. The completed prototype will undergo usability testing and a prototype review with African American MSW seeking services at an HIV/STI service provider.

描述（由适用提供）：16名黑人男性一生将被诊断出患有艾滋病毒，而102名白人中有1人。非裔美国人男性的所有新艾滋病毒病例中约有20％是由于异性传播所致。尽管如此，与女性发生性关系的黑人（MSW）几乎没有得到经验的关注。传统的性别角色和权力不平等往往会使男人对非裔美国人关系中的性决策更加控制。但是，黑人并不常规使用避孕套，这是与女性发生性关系期间最有效的预防艾滋病毒预防方法之一。这些发现表明，未能针对异性活跃的非洲裔美国男性在艾滋病毒预防工作中是一个错过的机会。男性避孕套使用的关键障碍是减少性愉悦感。女性避孕套（FC）是另一种艾滋病毒保护方法研究表明，黑人妇女对FC教育的反应很好，但性别规范可能会阻碍他们向男性伴侣介绍FC的努力。克服这一障碍的一种方法是直接向男性提供FC培训。确实，研究表明，男性可以学习FC技能，将帮助女性伴侣使用FC，并在接受FC和男性避孕套培训后报告更少的无保护性伴侣。此外，男性赞同FC使用的几个好处，包括STI保护和自然感觉。重要的是，有些男人更喜欢FC，因为他们提供的性感觉比男性避孕套更大。为了利用Black MSW培训的潜力，我们打算开发电子焦点，这是一种基于计算机的HIV行为干预，用于异性恋的非洲裔美国男性，其中包括男性和女性避孕套的培训。 E-Cocus将启用关注未来（FOF）的核心组成部分，这是高风险黑色MSW的唯一最佳证据艾滋病毒行为干预措施。 FOF是一小时的干预措施，可解决男性避孕套和润滑剂，避孕套谈判以及保护自己未来的重要性的正确使用。 FOF的主要信息是，有多种类型的避孕套和润滑剂，男人应该试验以找到使性最好的选择。通过将FC作为额外的选择，有时是优先选择的选择，旨在减轻性愉悦减少和其他避孕套障碍对HIV预防的影响。传统的男性意念可以强调男性性能，女性服从和异性恋的传统观念，这是Black MSW降低HIV风险行为的另一个障碍。拥护这些信念的黑人更有可能从事性风险行为。为了解决这个问题，电子聚焦将包括对男性身份的讨论，并将提供反映潜在危险的男性对健康和关系行为的方法。第一阶段的原型开发将由目标最终用户和非裔美国人妇女以及我们的专家顾问的意见来告知。完整的原型将在HIV/STI服务提供商中与非裔美国人寻求服务进行可用性测试和原型评论。