Gender, Power and Latino Mens HIV Risk

性别、权力和拉丁裔男性艾滋病毒风险

• 批准号: 7893642
• 负责人: MIGUEL A MUNOZ-LABOY
• 金额: $ 56.84万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7893642
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Age-Years; Area; Asians; Behavior; Bisexual; Bisexuality; Cause of Death; Cessation of life; Color; Communities; Cultural Backgrounds; Data Analyses; Data Collection; Ecology; Employment; Epidemic; Epidemiology; Ethnography; Evidence based intervention; Family; Gender; Goals; Group Interviews; HIV; HIV/STD; Health; Heterosexuals; Injecting drug user; Intervention; Interview; Latino; Life; Maps; Marketing; New York; New York City; Occupations; Pacific Island Americans; Perception; Persons; Play; Population; Prevention Research; Prevention strategy; Public Health; Religion and Spirituality; Research; Research Design; Research Project Grants; Risk; Risk Behaviors; Risk-Taking; Role; Services; Shapes; Site; United States; Woman; Workplace; contextual factors; coping; design; evidence base; informant; innovation; male; member; men; men who have sex with men; men' s group; metropolitan; neglect; prevent; prevention service; programs; public health priorities; public health relevance; racial and ethnic; research and development; social inequality; theories; transmission process

DESCRIPTION (provided by applicant): AIDS has been a leading cause of death among Latino women and men 25 to 44 years of age for more than a decade. The few HIV prevention and treatment interventions developed specifically for Latino men have focused on injecting drug users (IDU) or men who have sex with men (MSM), but have neglected a critical epidemiological group, men who have sex with men and with women (MSMW). This group is particularly relevant in understanding the spread of HIV given the role they play in sexual network connections between the homosexually active male population and heterosexual population. The proposed study will develop an innovative pilot intervention for behaviorally bisexual Latino men. We propose the following specific aims: 1) To describe the mechanisms by which contextual factors of labor and cultural backgrounds (such as access to employment, ethnic-racial tensions, coping with job-related situations, heterosexism and gender norms in the workplace) influence bisexual men's likelihood of engaging in risky sexual practices; 2)To explore how men's notions of power are shaped by the centrality of family and religious background, and how these factors in turn, facilitate or prevent sexual risk taking among bisexual Latino men; 3) To describe bisexual Latino men's ideologies of HIV risk, the geographical context of HIV risk, and how bisexual risk behavior, and how they are related or not to gender and power dynamics in the men's lives; and, 4) To examine how the perceptions of members of AIDS Service Delivery Organizations (ASDOs) of societal notions of Latino masculinity and bisexuality create or limit access to HIV prevention services for bisexual Latino men in the New York Metropolitan Area. To accomplish these aims, we propose a 4-year ethnographic study design with two components of data collection. The first component will consists of in-depth interviews with behaviorally bisexual Latino men (n=160) from five research sites in the New York City metropolitan area. The first two years of the study will be dedicated to the in-depth interviews component. The second data collection component of the study will be an ethnography. This component will last 3 years, beginning in years 1 and 2 with key informant interviews (n=25) and continuing in year 3 with ethnographic mapping and 25 group interviews with AIDS Service Delivery Organizations across the 5 research sites. The last year of the project will focus on using Intervention Mapping (IM) to analyze the data collected and design the pilot intervention to reduce HIV risk among bisexual Latino men. The proposed study will be one of the first large-scale research projects to focus on issues of bisexuality and HIV risk among Latinos in the United States. PUBLIC HEALTH RELEVANCE: 1. Given the raise in HIV cases in the United States, particularly among homosexually and bisexually active men of color, this study takes an innovative approach to the examination of HIV risk among by exploring how broad forms of social inequality and the sexual ecology of bisexual behavior among Latino men constrain the options for a relatively less powerful group of men, and how ideologies of masculinity intersect with structural social inequalities to create HIV risks for bisexual Latino men. 2. This will be one of the first large-scale research projects to focus on issues of bisexuality and HIV risk among Latinos and the first one to examine how the context of labor and sexual markets shape the sexual lives and health risks of bisexual men of color. 3. The proposed study will be one of the few research projects that utilize HIV prevention research to design a multilevel, theory and evidence-based intervention to reduce HIV/STI risk for bisexual Latino men, a consistently overlooked population in public health.

描述（由申请人提供）：艾滋病一直是25至44岁的拉丁美洲妇女和男子死亡的主要原因超过十年。专门为拉丁美洲男子制定的少数艾滋病毒预防和治疗干预措施侧重于注射毒品使用者或男男性行为者，但忽视了一个关键的流行病学群体，即男男性行为者和女男性行为者。这一群体在了解艾滋病毒的传播方面特别相关，因为他们在同性恋活跃的男性人口和异性恋人口之间的性网络联系中发挥作用。这项拟议的研究将为行为双性恋的拉丁裔男子开发一种创新的试点干预措施。我们提出了以下具体目标：1）描述劳动和文化背景的语境因素的机制（例如就业机会、民族-种族紧张局势、应对与工作相关的情况、异性恋和工作场所的性别规范）影响双性恋男性从事危险性行为的可能性; 2）探讨男性的权力观念如何由家庭和宗教背景的中心地位塑造，以及这些因素如何反过来促进或防止双性恋拉丁裔男性的性风险; 3）描述双性恋拉丁裔男性的艾滋病毒风险意识形态，艾滋病毒风险的地理背景，以及双性恋风险行为如何，以及它们如何与男性生活中的性别和权力动态相关或无关;并且，在本发明中，4）研究艾滋病服务提供组织（ASDO）成员的看法拉丁美洲男子气概和双性恋的社会观念创造或限制了纽约大都会地区双性恋拉丁美洲男子获得艾滋病毒预防服务的机会。为了实现这些目标，我们提出了一个为期4年的民族志研究设计与两个组成部分的数据收集。第一部分将包括对来自纽约市大都市区五个研究地点的行为双性恋拉丁裔男性（n=160）进行深入采访。研究的头两年将专门用于深入访谈部分。研究的第二个数据收集部分将是人种志。这一部分将持续3年，从第1年和第2年开始，进行关键知情人访谈（n=25），并在第3年继续进行人种学绘图和5个研究地点的艾滋病服务提供组织的25次小组访谈。该项目的最后一年将侧重于使用干预映射（IM）来分析收集的数据，并设计试点干预措施，以降低双性恋拉丁美洲男性的艾滋病毒风险。这项拟议的研究将是首批关注美国拉丁裔双性恋和艾滋病毒风险问题的大型研究项目之一。 公共卫生相关性：1.鉴于美国艾滋病病例的增加，特别是在同性恋和双性恋活跃的有色人种男性中，这项研究采取了一种创新的方法来研究艾滋病风险，通过探索社会不平等的广泛形式和双性恋行为的性生态如何拉丁裔男性限制了相对较弱的男性群体的选择，以及男性意识形态如何与结构性社会不平等交织在一起，为双性恋拉丁裔男子创造艾滋病毒风险。2.这将是第一个大型研究项目之一，重点关注拉丁美洲人的双性恋和艾滋病毒风险问题，也是第一个研究劳动力和性市场如何塑造有色人种双性恋男性的性生活和健康风险的项目。3.这项拟议的研究将是为数不多的利用艾滋病毒预防研究设计多层次、理论和循证干预措施的研究项目之一，以减少双性恋拉丁裔男性的艾滋病毒/性传播感染风险，这是一个在公共卫生领域一直被忽视的人群。