Exploring Associations of Autonomy Supportive Sexual Health Communication, Needs Satisfaction, and Sexual Health Behaviors for Black MSM in the House Ball Community

摘要 与男性发生性关系的黑人和拉丁裔男性（MSM）在美国任何群体中感染艾滋病毒的风险最高， 总体患病率为21%至28%。这一比例在黑人和拉丁裔男男性接触者中甚至更高 属于众议院球社区（HBC），一个未充分研究的亚文化，主要由黑人和 拉丁裔性和性别少数群体（主要是男同性恋和双性恋男子），有记录的艾滋病毒流行率 从4%到38%不等，其中大多数（76%）仍未确诊。这些数据表明， 建立和扩大文化一致的干预手段，减少黑人的艾滋病毒风险， 拉丁裔男男性接触者，尤其是众议院舞会社区（HBC）的成员。 HBC-MSM经常向社会和/或性健康领域值得信赖和有影响力的成员寻求性健康建议。 网络成员和这样的建议与减少性风险行为有关，尽管证据是混合的。 基本心理需要理论是自我决定理论的一个子理论，将被用作一个 框架，以进一步了解性健康沟通如何影响HBC的性健康行为- 男男性接触者拟议的定量研究将通过描述性健康的特征来推进这一目标 沟通嵌入社会和性网络，并确定性健康的影响 在黑人和拉丁裔HBC-MSM样本中进行性健康行为交流。这种知识 有必要扩大对性健康传播如何影响性健康行为的理解。 这项研究为性健康偏好和动机提供了前所未有的视角， 参与者在HBC中进行社交和活动。所产生的关于自主支持对 性风险行为将有助于改善目前的艾滋病毒预防干预措施，并为发展提供信息。 未来的干预措施，量身定制的HBC-MSM。

Abstract Black and Latinx men who have sex with men (MSM) have the highest risk of HIV of any group in the U.S. with overall prevalence ranging from 21% to 28%. This ratio could be even higher among Black and Latinx MSM belonging to the House Ball Community (HBC), an understudied subculture comprised primarily of Black and Latinx sexual and gender minorities (primarily gay and bisexual men), with documented HIV prevalence ranging from 4% to 38%, the majority (76%) of which remain undiagnosed. These data mandate urgency to build upon and expand the repertoire of culturally-congruent interventions that reduce HIV risk for Black and Latinx MSM, especially among members of the House Ball Community (HBC). HBC-MSM often seek sexual health advice from trusted and influential members of social and/or sexual network members and such advice has been linked with less sexual risk behavior, although evidence is mixed. Basic Psychological Needs Theory, a sub-theory of Self-Determination Theory (SDT), will be utilized as a framework to further understand how sexual health communication influences sexual health behaviors of HBC- MSM. The proposed quantitative study will advance this goal by describing characteristics of sexual health communication embedded within social and sexual networks, and identifying the effects of sexual health communication on sexual health behaviors among a sample of Black and Latinx HBC-MSM. Such knowledge is necessary to expand understanding of how sexual health communication impacts sexual health behaviors. The study provides an unprecedented perspective on sexual health preferences and motivations as participants socialize and function in HBC. The information generated on the effects of autonomy support on sexual-risk behaviors will help improve current HIV prevention interventions, as well as inform the development of future interventions, tailored to HBC-MSM.