Young Hispanic Men - Entre Culturas: Navigating Culture, Identity and HIV Risk

年轻的西班牙裔男性 - Entre Culturas：驾驭文化、身份和艾滋病毒风险

• 批准号: 7504014
• 负责人: MARIA ISABEL FERNANDEZ
• 金额: $ 36.32万
• 依托单位: NOVA SOUTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-29 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7504014
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adherence; Adult; Affect; Age; Alcohol or Other Drugs use; American; Anal Sex; Appendix; Area; Behavior; Behavior Therapy; Behavioral; Centers for Disease Control and Prevention (U.S.); Characteristics; Cognitive; Cognitive Therapy; Communication; Communities; Computers; Condition; Coupled; Data; Dependence; Development; Disclosure; Discrimination; Drug abuse; Drug usage; Educational Curriculum; Effectiveness; Emotions; Environment; Event; Experimental Designs; Familiarity; Family; Feeling; Focus Groups; Friends; Fright; Future; Gays; Guidelines; HIV; Health education; Hispanics; Homosexuals; Individual; Internet; Intervention; Intervention Studies; Interview; Latin America; Latino; Lead; Life; Life Style; Literature; Loneliness; Mainstreaming; Mediating; Medical Surveillance; Modality; Modeling; Multiple Partners; Numbers; Outcome; Participant; Personal Satisfaction; Pharmaceutical Preparations; Pilot Projects; Positioning Attribute; Prevalence; Prevention; Principal Investigator; Privacy; Process; Randomized; Randomized Controlled Trials; Rate; Recruitment Activity; Relative (related person); Reliance; Reporting; Research; Research Personnel; Research Priority; Resources; Risk; Risk Behaviors; Risk Reduction; Sample Size; Sampling; Sex Orientation; Sexual Partners; Sexuality; Social isolation; Social support; Staging; Target Populations; Telephone; Terminology; Testing; Therapeutic Studies; Thinking; Time; Treatment Efficacy; Unsafe Sex; Upper arm; Visit; Work; Writing; Youth; base; behavioral/social science; binge drinking; cultural values; demographics; design; desire; efficacy trial; experience; follow-up; innovation; men; men who have sex with men; metropolitan; motivational enhancement therapy; motivational intervention; pilot trial; pressure; programs; psychological distress; racism; recreational drug use; research study; sex; size; social; theories; therapy development; virtual; young adult

DESCRIPTION (provided by applicant): The critical task of emerging adulthood, the life period when risk-behaviors peak, is the development of an integrated adult identity (professional, sexual and cultural). For young Hispanic men who are having sex with men (YHMSM) developing a gay identity in a culture whose traditional norms stigmatize and reject homosexual thoughts, feelings and behaviors and that expects strong adherence to cultural norms, this process can be particularly challenging and risky. Not only does it entail participating in behaviors that are not generally accepted by mainstream Hispanic culture, but they are doing so in Miami, a context where HIV prevalence among MSM is high. Urgently needed for YHMSM are tailored interventions that utilize effective, flexible approaches such as Motivational Enhancement Interventions (MEIs) that can be delivered through the Internet, a modality thoroughly embraced by young adults and one that offers much promise for intervention research. In this Stage 1a/b study, we will develop and pilot test a culturally and developmentally tailored MEI to reduce risky sex (unprotected anal sex and multiple partners) among YHMSM to be delivered face-to-face (FtF) and through the Internet using a real-time implementation approach. In Stage 1a, we will collect quantitative and qualitative data to identify the cultural, developmental, and personal factors associated with risky sex in YHMSM, develop a tailored MEI for two delivery modalities, and a health education control (HEALTH) comparable in time and number of sessions. We will recruit across-sectional sample of 100 YHMSM from community and Internet venues to complete an ACASI. We will supplement these data with 25 qualitative interviews, 10 key informant interviews and 6-8 focus groups to guide intervention development. In Stage 1b, we will test the newly developed MEI's acceptability and feasibility, obtain effect size estimates of the intervention's strength to reduce risky sex, and determine if it is ready to be moved to Stage 2 for efficacy testing. We will recruit a total of 90 YHMSM from community and Internet venues and randomly assign them to one of the 3 conditions (MEI-FtF; MEI-lnternet; HEALTH). Participants will complete assessments using ACASI at baseline, 3 and 6 month post intervention. After each session, they will complete acceptability and feasibility assessments. If the pilot trial shows promise, we will be well positioned to move the intervention to full-scale efficacy testing and advance prevention efforts for YHMSM.

描述（由申请人提供）：成年初显期的关键任务，即危险行为达到高峰的生命期，是一个综合的成人身份（专业，性和文化）的发展。对于年轻的西班牙裔男子谁是与男性发生性关系（YHMSM）发展同性恋身份的文化，其传统规范污名化和拒绝同性恋思想，感情和行为，并期望强烈遵守文化规范，这一过程可能是特别具有挑战性和风险。它不仅需要参与不被主流西班牙裔文化普遍接受的行为，而且他们在迈阿密这样做，一个男男性行为者艾滋病毒流行率很高的背景下。YHMSM迫切需要量身定制的干预措施，利用有效的，灵活的方法，如动机增强干预（MEIs），可以通过互联网提供，一种方式完全接受的年轻人和一个提供了很多承诺的干预研究。在第1a/B阶段研究中，我们将开发和试点测试一个适合文化和发展的MEI，以减少YHMSM中的风险性行为（无保护的肛交和多伴侣），并通过面对面（FtF）和互联网使用实时实施方法进行。在第1a阶段，我们将收集定量和定性数据，以确定与YHMSM中的危险性行为相关的文化，发展和个人因素，为两种分娩方式制定量身定制的MEI，以及在时间和会话数量方面具有可比性的健康教育控制（HEALTH）。我们将从社区和互联网场所招募100名YHMSM的横断面样本，以完成ACASI。我们将通过25次定性访谈、10次关键知情人访谈和6-8个焦点小组来补充这些数据，以指导干预措施的制定。在第1b阶段，我们将测试新开发的MEI的可接受性和可行性，获得干预措施减少危险性行为的强度的效应量估计，并确定是否准备好进入第2阶段进行功效测试。我们将从社区和互联网场所招募总共90名YHMSM，并将他们随机分配到3个条件之一（MEI-FtF; MEI-Internet; HEALTH）。参与者将在基线、干预后3个月和6个月使用ACASI完成评估。每次会议结束后，他们将完成可接受性和可行性评估。如果试点试验显示出希望，我们将能够很好地将干预措施转移到全面的疗效测试和推进YHMSM的预防工作。