HIV Education for African American Men

针对非裔美国男性的艾滋病毒教育

基本信息

批准号：
9360556
负责人：
Samantha L. Leaf
金额：
$ 56.22万
依托单位：
ISA ASSOCIATES, INC.
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-01 至 2018-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9360556
关键词：
AIDS prevention Address African American Attention Attitude Behavior Behavior Therapy Behavioral Belief Benchmarking Centers for Disease Control and Prevention (U.S.)Client Clinic Computers Consultations Dangerousness Decision Making Development Diagnosis Education Effectiveness Esthesia FDA approved Failure Female Female Condoms Future Gender Gender Role Goals HIV HIV Infections HIV risk Health Heterosexuality Heterosexuals Hour Incidence Individual Inequality Interruption Intervention Knowledge Learning Life Lubricants Male Condoms Manufacturer Name Marketing Masculine Mediation Methods Modeling Motivation Nature Participant Phase Positioning Attribute Pregnancy Prevention program Preventive Preventive Intervention Program Effectiveness Public Health Randomized Randomized Controlled Trials Reporting Research Risk Reduction Behavior Sexual Partners Surveys Test Result Testing Time Training Training and Education Translating United States National Institutes of Health Unsafe Sex Woman Women&apos s Health attentional control base condoms experimental study field study health disparity male men peer pleasure prevent programs prototype response sex sex risk sexual HIV transmission sexual relationship skills therapy design transmission process uptake

项目摘要

PROJECT SUMMARY/ABSTRACT One in 16 Black men will be diagnosed with HIV in his lifetime as compared to 1 in 102 White men. Nearly 15% of these new HIV cases among African American men are due to heterosexual transmission. Despite this, Black men who have sex with women (MSW) have received very little empirical attention. This is a missed public health opportunity. First, Black men do not routinely use condoms, one of the most effective ways to prevent the sexual transmission of HIV, indicating the potential for substantial behavioral impact. And second, 80% of new HIV infections in African American women are due to sex with men. The intra-racial nature of sexual networks suggests most of these women are infected by Black men. Thus, reducing HIV incidence among Black men should concomitantly reduce HIV disparities among African American women. The female condom (FC) is an alternative HIV protection method that may overcome a key barrier to male condom use: reduced sexual pleasure. Research shows that Black women respond well to FC education, but gender norms may impede their efforts to introduce FCs to male partners. One way to overcome this is to provide FC training directly to men. Indeed, preliminary research has shown that men report fewer unprotected sex partners after receiving both female and male condom training. In addition, men endorse several benefits to FC use, including that they provide greater sexual sensation than male condoms. To harness the potential of FCs for Black MSW, we intend to develop Focus, a computer-based HIV behavioral intervention for heterosexually active African American men that provides training in male and female condom use. Focus will computer-enable the core components of Focus on the Future (FOF), the only best-evidence HIV behavioral intervention for Black MSW. The one-hour FOF session addresses the correct and consistent use of male condoms and lubricants, condom negotiation, and the importance of protecting one's future. FOF's main message is that there are many types of condoms and lubricants and men should experiment to find the ones that make sex feel best. By providing FCs as an additional option, Focus aims to lessen the impact of a major barrier to condom uptake: reduced sexual pleasure. Another barrier to Black MSW's HIV risk reduction behavior is belief in a traditional masculine ideology. Black men who espouse these views are more likely to engage in sexual risk behavior. To counteract this, Focus will provide methods to reframe potentially dangerous masculine beliefs into healthier sexual and relationship behaviors. The results of Phase I strongly support the feasibility and potential effectiveness of Focus, far exceeding the established benchmarks. In Phase II, we will complete development of Focus and test its effectiveness in a randomized controlled trial with 120 African American MSW. Participants will be randomly assigned to either receive the Focus program or the attention control materials. Before, and at two points after random assignment, condom use behaviors as well as condom skills, attitudes, and partner negotiation will be assessed.

项目摘要/摘要 16个黑人中有1人将在他的一生中被诊断出患有艾滋病毒，而102名白人中有1人。几乎在非裔美国人中，这些新的艾滋病毒病例中有15％是由于异性传播所致。尽管如此，与女性发生性关系的黑人（MSW）几乎没有得到经验的关注。这是错过的公共健康机会。首先，黑人不常规使用避孕套，这是最有效的方法之一防止艾滋病毒的性传播，表明可能产生重大行为影响。第二， 80％的非裔美国人妇女新艾滋病毒感染是由于与男性发生性行为。种族内性质性网络表明，这些妇女中的大多数都被黑人感染。因此，降低艾滋病毒的发生率在黑人中，应同时减少非裔美国妇女的艾滋病毒差异。女性避孕套（FC）是一种替代性HIV保护方法，可以克服男性的关键障碍避孕套使用：减少性愉悦。研究表明，黑人妇女对足球教育的反应很好，但是性别规范可能会阻碍他们向男性伴侣介绍FC的努力。克服这一点的一种方法是直接向男性提供足球俱乐部培训。确实，初步研究表明，男人报告的报告较少接受男性和男性避孕套培训后，无保护的性伴侣。另外，男人支持 FC使用的几个好处，包括它们比男性避孕套提供了更大的性感觉。为了利用FCS对Black MSW的潜力，我们打算开发Focus，这是一种基于计算机的艾滋病毒非洲活跃的非洲裔美国男性的行为干预，为男性提供培训女性避孕套的使用。焦点将计算计算机启用对未来（FOF）的核心组成部分，唯一黑色MSW的最佳证据艾滋病毒行为干预。一个小时的FOF会话解决了正确的以及持续使用男性避孕套和润滑剂，避孕套谈判以及保护的重要性一个人的未来。 FOF的主要信息是，避孕套和润滑剂有多种类型，男人应该实验以找到使性最好的人。通过提供FC作为附加选择，重点旨在减少避孕套吸收的主要障碍的影响：减少性愉悦感。黑色的另一个障碍 MSW的HIV风险降低行为是对传统男性意识形态的信念。拥护这些的黑人观点更有可能从事性风险行为。为了抵消这一点，重点将为将潜在危险的男性信念重新构想为更健康的性和关系行为。第一阶段的结果强烈支持重点的可行性和潜在有效性，远远超出了既定的基准。在第二阶段，我们将完成重点的发展并测试其在 120名非裔美国人MSW的随机对照试验。参与者将被随机分配给任何一个接收重点程序或注意力控制材料。以前，在随机之后的两个点处将评估任务，避孕套的使用行为以及避孕套技能，态度和合作伙伴谈判。