Intervention to Prevent At-Risk Sexual Behavior in African American Boys

预防非洲裔美国男孩危险性行为的干预措施

• 批准号: 9171579
• 负责人: Tanya M. Coakley
• 金额: $ 44.74万
• 依托单位: UNIVERSITY OF NORTH CAROLINA GREENSBORO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9171579
• 关键词: AIDS/HIV problem; Accounting; Address; Adolescence; Adolescent; Affect; African American; Age; Anal Sex; Attitude; Behavior; Behavioral; Belief; Bisexual; Centers for Disease Control and Prevention (U.S.); Child; Chlamydia; Coitus; Communicable Diseases; Communication; Communities; Data; Decision Making; Development; Educational process of instructing; Fathers; Focus Groups; Frequencies; Gays; Goals; Gonorrhea; Government; HIV; HIV Infections; Health; Health Communication; Housing; Infection; Intention; Intervention; Knowledge; Mediating; Methods; Modeling; Oral; Outcome; Parents; Perception; Policies; Pregnancy; Prevention; Process; Public Health; Race; Randomized; Research; Research Personnel; Risk; Role; Safe Sex; Self Efficacy; Sex Behavior; Sexual Abstinence; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Son; Syphilis; Teenagers; Time; Vagina; Waiting Lists; Work; Youth; base; birth control; boys; condoms; design; disorder prevention; effective intervention; efficacy testing; evidence base; high risk; improved; innovation; intervention effect; male; man; men; pleasure; post intervention; preadolescence; prevent; sex; sex risk; sexual debut; sexually active; social cognitive theory; theories; unintended pregnancy

PROJECT SUMMARY The U.S. Government and the Center for Disease Control and Prevention (CDC) have made it a priority, outlined in the White House National HIV/AIDS Strategy (NHAS) 2015 Policy, to prevent the spread of sexually transmitted infections (STIs) and teen parenthood in African-American male youth because of the high risk and burden for HIV for African Americans. African-American (AA) male youth are at high risk of engaging in at-risk sexual behaviors (ASB) (e.g., multiple sexual partners, sexual intercourse without a condom), which contribute to unintended pregnancy and sexually transmitted infections (STIs) such as HIV. Clear communication between parents and their preadolescents about sexual health is associated with higher rates of sexual abstinence, condom use, and intent to delay initiation of sexual intercourse, which can prevent STIs and unintended pregnancy among youth. However, research indicates that AA fathers talk less with their sons about sex than other fathers. There is a paucity of research addressing whether and how AA fathers overcome barriers such as lack of knowledge and negative attitudes toward talking with their sons about sex. Thus, there is a critical need to study processes specific to optimizing father-son sexual health communication. This study will be conducted in NC barbershops, using 150 AA fathers (including father figures) who will be randomized to the intervention or wait-list control condition. The intervention is designed to enhance father-son communication about sexual health and prevent sons' onset of sexual activity and/or engaging in at-risk sexual behaviors. Assessments will be administered at pre-intervention baseline, immediate post-intervention, and 3- month post-intervention. The sons (150), ages 10 – 15 years, will be assigned to conditions according their fathers and will participate in assessments at parallel times. Specific aims are to: Aim 1: Develop an innovative father intervention to prevent at-risk sexual behaviors among their sons. Preliminary data from our previous focus groups will inform the development of a culturally appropriate and theory-based intervention to enhance fathers' (a) STI knowledge, (b) efficacy to communicate with their sons about sexual health, and (c) frequency of father-son sexual health communication. Aim 2: Implement the innovative father intervention to improve father-son communication about sex. Aim 3: Test the efficacy of an innovative father intervention to improve father-son communication about sexual health over time. Working Hypothesis: Sons in the intervention condition will have more appropriate attitudes, intent and behavior regarding engaging in sexual activity than sons in the wait-list control over time. Aim 4: Examine mediating effects of the intervention for effective father- son sexual health communication on sons' sexual activity attitudes, intentions, and behaviors. Working Hypothesis: By enhancing the fathers' behavior, a father intervention will affect sons' attitudes, intention, and behavior regarding engaging in sexual activity.

项目摘要 美国政府和疾病控制和预防中心（CDC）已将其列为优先事项， 白宫国家艾滋病毒/艾滋病战略（NHAS）2015年政策中概述了预防性传播的措施， 传播感染（STI）和青少年父母在非洲裔美国男性青年，因为高风险和 艾滋病对非洲裔美国人的影响非洲裔美国人（AA）男性青年从事高危活动的风险很高， 性行为（ASB）（例如，多个性伴侣，不使用避孕套性交），这有助于 意外怀孕和性传播感染（STI），如艾滋病毒。清晰的沟通 父母和他们的青春期前的性健康之间的关系与更高的性行为发生率有关。 禁欲、使用避孕套和有意推迟开始性交，这可以预防性传播感染， 年轻人意外怀孕。然而，研究表明，AA制父亲与儿子交谈较少， 比其他父亲更了解性关于AA制父亲是否以及如何克服这些问题的研究很少。 缺乏知识和对与儿子谈论性的消极态度等障碍。因此 是一个迫切需要研究的过程，具体优化父子性健康沟通。本研究 将在NC理发店进行，使用150个AA父亲（包括父亲人物），他们将被随机分配到 干预或等待列表控制条件。干预措施旨在提高父子关系 宣传性健康，防止儿子开始性活动和/或从事危险性行为 行为。评估将在干预前基线、干预后即刻和3- 干预后一个月。这些10 - 15岁的儿子（150人）将根据他们的情况被分配到不同的地方。 父亲，并将在平行时间参加评估。具体目标是：目标1：制定一个创新的 父亲干预，以防止儿子发生危险性行为。我们之前的初步数据 焦点小组将为制定文化上适当的和基于理论的干预措施提供信息， 父亲的（a）STI知识，（B）与儿子沟通性健康的有效性，和（c）频率 父子性健康交流的方式目标2：实施创新的父亲干预，以改善 关于性的父子交流目的3：测试创新的父亲干预措施的有效性，以改善 随着时间的推移，父子之间关于性健康的交流。工作假设：干预中的儿子 条件将有更适当的态度，意图和行为，关于从事性活动比 等待名单中的儿子控制随着时间的推移。目的4：检查干预措施对有效父亲的中介作用。 儿子性健康沟通对儿子性行为态度、意图和行为的影响。工作 假设：通过加强父亲的行为，父亲的干预会影响儿子的态度，意图， 有关从事性活动的行为。