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MSMW: Pathways, Motives and Behaviors

MSMW：途径、动机和行为

基本信息

批准号：
7576769
负责人：
KAROLYNN SIEGEL
金额：
$ 66.5万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-03-08 至 2011-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7576769
关键词：
AIDS education/prevention AIDS prevention Acquired Immunodeficiency Syndrome Address Adopted Advertisements African American Alaska Native American Indians Anal Sex Anus Asians Attention Attitude Behavior Bisexual Bisexuality Centers for Disease Control and Prevention (U.S.)Cognitive Communities Complex Data Development Disease Education Ethnic group Female Future Gays HIV HIV Infections HIV Seropositivity Health education Heterosexuals Hispanics Human immunodeficiency virus test Infection Internet Investigation Latino Learning Life Mass Media Minority Modeling Not Hispanic or Latino Oral Sex Pacific Island Americans Paper Pathway interactions Play Population Positioning Attribute Prevention program Preventive Intervention Printing Race Recording of previous events Recruitment Activity Reporting Research Research Personnel Review Literature Risk Risk Reduction Role Safety Sampling Sex Behavior Sexual Partners Sexually Transmitted Diseases Social Identification Stigmata Testing Unsafe Sex Vagina Wife Woman base cost design ethnic difference high risk impression interest male man men men who have sex with men neglect novel prevent programs psychologic racial and ethnic sex sex risk sexually active social social stigma theories transmission process vector

项目摘要

DESCRIPTION (provided by applicant): Recently, interest has grown in the possible role that men who have sex with men and women (MSMW) may play as a "bridge", spreading infection acquired through their same sex contacts to their female partners. The subpopulation of MSMW who may be most likely to place their female partners at risk are ones who hide their same sex behavior from these women, are not gay identified, and are sexually active with both men and women. These men have not been the focus of previous research. Consequently, we know very little about: the sexual behaviors these men engage with male and female partners, including to what extent they place themselves at risk of infection; whether they adopt risk-reduction strategies to avoid acquiring or transmitting infection; their reasons and strategies for concealing their same sex; if they feel vulnerable to acquiring HIV infection; and whether they perceive a need for HIV testing, education or prevention interventions. To address these gaps and examine race/ethnic differences in sexual behavior, we propose an investigation of 200 MSMW - 60 African Americans, 60 Latinos, 60 non-Hispanic Whites. Within each of these racial/ethnic groups, 20 cases will have previously tested HIV-positive. We will also include 20 MSMW who are Asian, Pacific Islanders, American Indians, or Alaskan Natives. Eligible men must be non gay- identified and in the past year: had anal or oral sex with a man; had vaginal, anal or oral sex with a woman to whom they had been in a relationship for at least 3 months; and concealed their same sex behavior from all their female partners. The study's specific aims are: 1. To identify what psychological, social, and sexual needs fulfilled by MSMW's relationships with men and with women; 2. To investigate MSMW's reasons and motives for concealing their same sex behavior from their female partners, and the social and psychological costs associated with this concealment; 3. To identify the various impression management strategies, both active and passive, that MSMW use to maintain their desired social identity (e.g., as a heterosexual man) with their male and female partners; 4. To investigate the potential differences in the sexual behaviors and risk reduction strategies MSMW engage in with their male and female partners; 5. To examine how MSMW's understandings of their sexual behavior with men and women in different venues and, how these contexts and activities that take place within them facilitate cognitive escape. The study's finding will offer novel and important information about a high risk subpopulation of MSMW, and will yield important information that can guide the development of preventive interventions.

描述（由申请人提供）：最近，人们越来越关注男女发生性行为（MSMW）可能扮演的“桥梁”角色，将通过同性接触获得的感染传播给女性伴侣。 MSMW 中最有可能将其女性伴侣置于危险之中的人群是那些向这些女性隐瞒自己的同性行为、不被认定为同性恋、并且与男性和女性发生性行为的人。这些人并不是以前研究的重点。因此，我们知之甚少：这些男性与男性和女性伴侣的性行为，包括他们将自己置于感染风险的程度；他们是否采取降低风险的策略来避免感染或传播感染；他们隐瞒同性的原因和策略；他们是否感觉容易感染艾滋病毒；以及他们是否认为需要进行艾滋病毒检测、教育或预防干预。为了解决这些差距并检查性行为中的种族/民族差异，我们建议对 200 名 MSMW 进行调查，其中包括 60 名非裔美国人、60 名拉丁裔、60 名非西班牙裔白人。在每个种族/族裔群体中，都有 20 个病例之前检测出 HIV 呈阳性。我们还将纳入 20 名亚洲、太平洋岛民、美洲印第安人或阿拉斯加原住民的 MSMW。符合资格的男性必须是非同性恋者，并且在过去一年中：与男性发生过肛交或口交；与已经有至少 3 个月恋爱关系的女性发生过阴道性交、肛交或口交；并向所有女性伴侣隐瞒自己的同性行为。该研究的具体目标是： 1. 确定 MSMW 与男性和女性的关系满足了哪些心理、社会和性需求； 2. 调查MSMW向女性伴侣隐瞒同性行为的原因和动机，以及与这种隐瞒相关的社会和心理成本； 3. 确定 MSMW 用来维持其与男性和女性伴侣所需的社会身份（例如，作为异性恋男性）的各种印象管理策略（主动和被动）； 4. 调查MSMW与其男性和女性伴侣的性行为和风险降低策略的潜在差异； 5. 研究MSMW如何理解他们在不同场所与男性和女性发生的性行为，以及他们内部发生的这些环境和活动如何促进认知逃避。该研究的发现将提供有关 MSMW 高风险亚群的新颖且重要的信息，并将产生可指导预防干预措施发展的重要信息。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Conceptions of privacy and the non-disclosure of same-sex behaviour by behaviourally-bisexual men in heterosexual relationships.

在异性恋关系中，行为异性恋男人对隐私的概念和同性行为的不公开概念。

DOI：
10.1080/13691058.2014.887779
发表时间：
2014
期刊：
Culture, health & sexuality
影响因子：
0
作者：
Schrimshaw EW;Downing MJ Jr;Cohn DJ;Siegel K
通讯作者：
Siegel K

Traditional Sex and Gender Stereotypes in the Relationships of Non-Disclosing Behaviorally Bisexual Men.

DOI：
10.1007/s10508-018-1226-3
发表时间：
2019-01
期刊：
Archives of sexual behavior
影响因子：
3.8
作者：
Siegel K;Meunier É
通讯作者：
Meunier É

Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men.

DOI：
10.1037/a0031272
发表时间：
2013-02
期刊：
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
影响因子：
5.9
作者：
Schrimshaw, Eric W.;Siegel, Karolynn;Downing, Martin J., Jr.;Parsons, Jeffrey T.
通讯作者：
Parsons, Jeffrey T.

Negative Attitudes Toward Same-Sex Behavior Inventory: An Internalized Homonegativity Measure for Research with Bisexual, Gay, and other Non-Gay Identified Men who have Sex with Men.