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与预防中心（CDC）已将其作为优先事项， 在白宫国家艾滋病毒/艾滋病战略（NHAS）2015年政策中概述了，以防止性传播 由于高风险和 伯恩为非洲裔美国人的艾滋病毒。非洲裔美国人（AA）男性青年有高风险的高风险 性行为（ASB）（例如，多个性伴侣，无避孕套的性交） 意外怀孕和性传播感染（STI），例如艾滋病毒。清晰的沟通 父母和他们关于性健康的前核心与性健康率更高有关 禁欲，使用避孕套以及延迟性交主动性的意图，这可以防止性传播感染和 年轻人意外怀孕。但是，研究表明，AA父亲与儿子的交谈较少 关于性的比其他父亲。研究是否很少解决AA父亲是否克服 诸如缺乏知识和负面参与者等与儿子谈论性有关性的障碍。那，那里 是研究特定于优化父子性健康交流的过程的迫切需要。这项研究 将使用150个AA父亲（包括父亲的人物）在NC理发店进行 干预或等待名单控制条件。干预旨在增强父子 关于性健康的沟通，并防止儿子的性活动发作和/或从事高风险性行为 行为。评估将在干预前基线，立即干预后和3-- 干预后月。儿子（150），年龄10 - 15岁，将根据他们的条件分配给条件 父亲将在并行时参加评估。具体目的是：目标1：开发创新 父亲干预以防止儿子之间的性行为。我们以前的初步数据 焦点小组将告知开发基于文化和理论的干预措施，以增强 父亲（a）STI知识，（b）与儿子有关性健康的有效性，以及（c）频率 父子性健康沟通。目标2：实施创新的父亲干预以改善 父子关于性的交流。目标3：测试创新的父亲干预以改善的效率 父子关于性健康的沟通会随着时间的流逝。工作假设：干预中的儿子 条件将对从事性活动的参与者，意图和行为更合适 随着时间的流逝，儿子在等待名单中控制。目标4：检查干预措施的中介作用有效父亲 儿子关于儿子性活动的性健康沟通的出现，意图和行为。在职的 假设：通过增强父亲的行为，父亲干预将影响儿子的出勤，意图和 有关从事性活动的行为。