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

摘要 黑人和拉丁裔男男性行为者(MSM)感染艾滋病毒的风险是美国所有患有艾滋病的人群中最高的 总患病率从21%到28%不等。在黑人和Latinx MSM中，这一比例可能更高 属于House Ball社区(HBC)，这是一种未被研究的亚文化，主要由黑人和 拉丁裔少数性和性别少数群体(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，其中大部分(76%)仍未确诊。这些数据要求我们迫切地 建立和扩大文化契合的干预措施，降低黑人和 拉丁裔MSM，特别是在House Ball社区(HBC)的成员中。 HBC-MSM经常向值得信赖和有影响力的社会和/或性工作者寻求性健康建议 网络成员和这样的建议被认为与较少的性风险行为有关，尽管证据喜忧参半。 基本心理需要理论是自我决定理论(SDT)的一个子理论，将被用作 框架，以进一步了解性健康交流如何影响HBC的性健康行为- MSM。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 嵌入社会和性网络中的交流，并确认性健康的影响 黑人和拉丁裔HBC-MSM样本中性健康行为的沟通这样的知识 有必要扩大对性健康交流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，如 参与者在HBC中进行社交和发挥作用。关于自主性支持对以下方面影响的信息 性危险行为将有助于改进目前的艾滋病毒预防干预措施，并为发展提供信息 针对HBC-MSM量身定制的未来干预措施。

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.