REDUCING HIV RISK BEHAVIORS & PSYCHOSOCIAL STRESSORS AMONG BISEXUAL AFR/AMER MEN

减少艾滋病毒风险行为

• 批准号: 7649504
• 负责人: Nina Thawata Harawa
• 金额: $ 44.96万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7649504
• 关键词: AIDS/HIV problem; Accounting; Acquired Immunodeficiency Syndrome; Address; African American; Alcohol consumption; Alcohols; Anus; Anxiety; Asians; Behavior; Bisexual; California; Case Study; Centers for Disease Control and Prevention (U.S.); Coitus; Communities; Condition; Conflict (Psychology); Data; Diagnosis; Effectiveness of Interventions; Epidemic; Female; Funding; Gays; Gender; Gender Role; HIV; HIV Infections; Heterosexuals; Hispanics; Hour; Human immunodeficiency virus test; Infection; Intervention; Latino; Lead; Literature; Los Angeles; Measures; Mediating; Mediator of activation protein; Mental Depression; Meta-Analysis; Modeling; Modification; Numbers; Outcome; Pacific Island Americans; Participant; Pharmaceutical Preparations; Phase; Prevalence; Process; Psychosocial Assessment and Care; Publishing; Randomized; Randomized Controlled Trials; Regression Analysis; Research; Risk; Risk Behaviors; Risk Reduction; Secrecy; Sex Behavior; Sexual Partners; Standards of Weights and Measures; Stigmata; Surveys; Testing; Thinking; United States National Institutes of Health; Universities; Vagina; Week; Woman; base; design; ethnic minority population; high risk sexual behavior; improved; male; man; men; men who have sex with men; novel; programs; prospective; psychological distress; psychosocial; racial and ethnic disparities; sex; social stigma; stressor; theories; therapy design

HIV directly or indirectly related to men who have sex with men (MSM) is the single largest contributor to HIV/AIDS cases among Blacks. It accounts for nearly half of all cases among Black men and a substantial but unknown number of cases among Black women (CDC 2005). Despite large racial/ethnic disparities in HIV prevalence and risk, just one tested intervention specifically for African American MSM has been published. Because of their lack of identification with gay communities, strong identification with ethnic communities, sexual relationships with both genders, and frequent secrecy issues regarding same-sex behavior, African American men who have sex with both men and women (MSMW) may not respond to interventions targeting gay men. In order to address these racial/ethnic disparities and an important gap in the intervention literature, we propose to test the efficacy of the Men of African American Legacy Empowering Self(MAALES) Project-a newly developed, novel, and culturally congruent intervention designed to reduce sexual risk behaviors and improve psychosocial outcomes in African American MSMW. The MAALES intervention - guided by the Theory of Reasoned Action and Planned Behavior (TRA/TPB), the Critical Thinking and Cultural Affirmation (CTCA) Model, and the Empowerment Theory- was developed through an extensive, formative research process. The small group intervention involves six two-hour sessions lead by ethnically matched facilitators and held over three weeks with booster sessions at 1.5 and 4.5 months post. In our proposed study, a Phase 2a randomized controlled trial, we will test the MAALES intervention with 300 MSMW evenly randomized to intervention and waitlisted (standard treatment) control conditions. Three- and six-month assessments will be conducted after completion of the intervention for all measures with an additional immediate post-assessment for psychosocial measures. The Specific Aims are to: reduce (1a) HIV-related sexual risk behaviors (i.e., episodes of unprotected intercourse and number of partners) and (1b) sex under the influence of drugs or alcohol; and (2) to improve psychosocial outcomes (i.e., reduce HIV stigma and increase racial and cultural pride) among African American MSMW. Exploratory aims examine the influences of theoretical mediators (i.e., reductions in internalized homophobia and gender role conflicts) on the intervention effect and potential moderation by psychological distress. Bivariate and multiple regression analyses will be used to compare outcomes between the two intervention conditions and to examine mediating effects and effect modification. Study findings will be used to develop a NIH R01 application for a larger (Phase 2b) trial, to tailor intervention approaches for African American men who have sex with both male and female partners, and to guide adaptation for use with other ethnic minority MSMW.

与与男性发生性关系的男性（MSM）直接或间接相关的艾滋病毒是最大的贡献者 黑人中的艾滋病毒/艾滋病案件。它占黑人中所有情况的几乎一半，大量 但是黑人妇女的病例数量未知（CDC 2005）。尽管种族/种族差异很大 HIV患病率和风险，仅针对非裔美国人MSM进行了一项测试的干预措施 出版。由于他们缺乏对同性恋社区的认同，因此对种族有强烈的认同 社区，与性别的性关系以及有关同性的经常保密问题 行为，与男人和女人发生性关系的非裔美国人（MSMW）可能无法回应 针对同性恋者的干预措施。为了解决这些种族/族裔差异和重要的差距 干预文献，我们建议测试非裔美国人遗产的效力 增强自我（Maales）项目 - 新开发，新颖和文化的一致干预措施 旨在减少性风险行为并改善非裔美国人MSMW的社会心理结局。 MAALES干预 - 以合理行动和计划行为理论为指导（TRA/TPB）， 批判性思维和文化肯定（CTCA）模型以及授权理论是开发的 通过广泛的形成性研究过程。小组干预涉及六个小时 由种族匹配的促进者领导的会议，并在三个星期内以1.5的助推器会议举行 4.5个月后。在我们提出的研究（2A期随机对照试验）中，我们将测试MAALES 干预300 MSMW均匀随机进行干预和候补（标准治疗）控制 状况。所有人完成干预后，将进行三个月和六个月的评估 对社会心理措施进行额外的立即评估进行措施。 具体目的是：减少（1A）与HIV相关的性风险行为（即，无保护的情节 伴侣的性交和数量）和（1B）在毒品或酒精的影响下性行为； （2）改进 非洲人之间的社会心理结局（即减少艾滋病毒污名并增加种族和文化自豪感） 美国MSMW。探索目的检查理论调解者的影响（即减少 内部恐同症和性别角色冲突）在干预效果和潜在节制的情况下。 心理困扰。双变量和多元回归分析将用于比较结果 在两种干预条件和检查中介作用和效果修饰之间。学习 调查结果将用于开发NIH R01申请，以进行较大的（2B期）试验，以量身定制干预 与男性和女性伴侣发生性关系的非裔美国人的方法，并指导 适用于其他少数民族MSMW。