A daily diary study examining prospective associations between minutes of daily dating app use, affect, and HIV risk among young sexual minority men

一项每日日记研究，探讨年轻性少数男性每日使用约会应用程序的时间、影响和艾滋病毒风险之间的前瞻性关联

• 批准号: 10762708
• 负责人: Kyle Jozsa
• 金额: $ 4.42万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10762708
• 关键词: AIDS prevention; Accounting; Affect; Affective; Age; Anecdotes; Anxiety; Area; Arousal; Behavioral; Cognition; Complement; Data; Data Analyses; Depressed mood; Development; Emotional; Emotions; Environmental Impact; Esthesia; Event; HIV; HIV Infections; HIV Seropositivity; HIV disparities; HIV risk; HIV/STD; Health Personnel; Health Professional; Health behavior; Infrastructure; International; Intervention; Link; Literature; Measurement; Mediating; Mediation; Mental Health; Methods; Modeling; Pathway interactions; Personal Satisfaction; Persons; Pharmaceutical Preparations; Population; Prevention Research; Race; Research; Research Personnel; Resources; Risk; Risk Assessment; Risk Behaviors; Risk Taking; Sampling; Sex Behavior; Sexual Dysfunction; Sexual Health; Sexual Partners; Sexual and Gender Minorities; Statistical Methods; Testing; Time; Training; Translational Research; Universities; Update; Vulnerable Populations; Well in self; Work; behavioral health; career; clinical care; condomless anal sex; design; diaries; disparity reduction; ethnic identity; experience; gender minority health; interest; longitudinal analysis; men who have sex with men; multilevel analysis; negative affect; novel; pre-exposure prophylaxis; prevent; prospective; psychosocial; recruit; rural setting; self esteem; sex; sexual minority men; skills; social cognitive theory; stem; theories; translational scientist; young adult; young men who have sex with men

Project Summary Young men who have sex with men (YMSM) between the ages of 18-29 are disproportionately affected by HIV, STIs, and poor mental health. The use of dating apps to find sexual or romantic partners among YMSM is nearly ubiquitous and has been associated with HIV and STI risk behaviors (e.g., condomless anal sex; CAS), though research on this association has been mixed. Recently, cross-sectional research and anecdotes from mental health providers have suggested that dating app use may be associated with poorer mental health and self-esteem among YMSM. Poorer mental health, in turn, has been linked to CAS and other HIV risk behaviors in this population. A small number of daily diary studies have linked nonclinical affective states (e.g., anxiety, negative arousal) with engagement in CAS. Results of these studies are mixed, though all suggest some prospective association between affect and HIV risk. However, none of these daily diary studies examined HIV risk in the context of dating app use because they collected data before dating apps became widespread. Thus, it may be that affective consequences of dating app use constitute an understudied mechanistic link between dating app use and engagement in HIV risk behavior. Given that no research to date has examined associations between dating app use and affect among YMSM longitudinally, the proposed daily diary study’s first aim is to examine prospective associations between daily dating app use and affective states among YMSM. Its second aim is to test the mediating effect of negative affect on the association between dating app use and CAS. Additionally, none of the aforementioned daily diary studies examined the effect of pre-exposure prophylaxis (PrEP; a medication that is nearly perfect at preventing HIV seroconversion when taken as directed) use on the link between affect and CAS because data were collected prior to the advent of PrEP. This constitutes a major gap in our understanding of HIV risk among YMSM because PrEP has been shown to affect their sexual risk appraisal and emotional associations with sexual partnering. Thus, to complement the Specific Aims described above, I will conduct exploratory analyses (e.g., sensitivity and moderation analyses) to better understand the impact of PrEP use on dating app use, negative affect, and sexual behavior among YMSM. The proposed study will allow me to build upon my training in qualitative and basic statistical methods by providing training in intensive longitudinal data analysis (i.e., multilevel modeling, mediation analyses, and moderation analyses). It will also afford me the opportunity to build upon my skills in recruitment, retention, and related longitudinal methods. Specifically, I will use resources and infrastructure available to me at Northwestern University and the Institute for Sexual and Gender Minority Health and Wellbeing to recruit a nationwide sample of YMSM that is diverse in terms of urban/rural locality and racial/ethnic identity. Such training will be crucial to the launch of my career as a successful independent researcher. Findings from the proposed research will inform research and intervention against HIV inequity among vulnerable YMSM.

项目概要 18-29 岁之间的男男性行为者 (YMSM) 受到的影响尤为严重 艾滋病毒、性传播感染和心理健康状况不佳。 YMSM 中使用约会应用程序寻找性伴侣或浪漫伴侣的情况是 几乎无处不在，并且与 HIV 和 STI 危险行为有关（例如无套肛交；CAS）， 尽管对这一关联的研究褒贬不一。最近，横断面研究和轶事 心理健康提供者表示，约会应用程序的使用可能与心理健康状况不佳有关，并且 YMSM 中的自尊。反过来，较差的心理健康状况也与 CAS 和其他艾滋病毒危险行为有关 在这个人群中。少数日常日记研究已将非临床情感状态（例如焦虑、 负面唤醒）与 CAS 的参与。这些研究的结果好坏参半，尽管所有研究都表明了一些 情感与艾滋病毒风险之间的前瞻性关联。然而，这些每日日记研究都没有检查艾滋病毒 约会应用程序使用方面的风险，因为他们在约会应用程序普及之前收集了数据。 因此，约会应用程序使用的情感后果可能构成了一个未经充分研究的机制联系 约会应用程序的使用与艾滋病毒危险行为的参与之间的关系。鉴于迄今为止还没有研究检验过 约会应用程序的使用与 YMSM 纵向影响之间的关联，拟议的每日日记研究 第一个目标是研究日常约会应用程序的使用与情感状态之间的潜在关联 YMSM。其第二个目的是测试负面影响对约会应用程序之间关联的中介作用 使用和 CAS。此外，上述每日日记研究均未检验预暴露的效果 预防（PrEP；一种在预防 HIV 血清转化方面几乎完美的药物） 直接）使用影响和 CAS 之间的联系，因为数据是在 PrEP 出现之前收集的。 这构成了我们对 YMSM 中 HIV 风险的理解的一个重大差距，因为 PrEP 已被证明可以 影响他们的性风险评估以及与性伴侣的情感联系。因此，为了补充 针对上述具体目标，我将进行探索性分析（例如敏感性和适度分析） 更好地了解 PrEP 使用对约会应用程序使用、负面影响和性行为的影响 YMSM。拟议的研究将使我能够在定性和基本统计​​方法方面的培训基础上继续发展 通过提供强化纵向数据分析培训（即多层次建模、中介分析和 适度分析）。它还将为我提供机会，增强我在招聘、保留和保留方面的技能。 相关的纵向方法。具体来说，我将使用我可用的资源和基础设施 西北大学和性与性别少数健康与福祉研究所招募 YMSM 的全国样本在城市/农村地区和种族/民族身份方面具有多样性。这样的 培训对于我作为一名成功的独立研究员的职业生涯至关重要。调查结果来自 拟议的研究将为针对弱势 YMSM 中艾滋病毒不平等问题的研究和干预提供信息。