Gender Role Norms, Sexual Scrips and Black Men's Heterosexual Risk Behaviors

描述（由申请人提供）：艾滋病毒/艾滋病流行病继续在黑人社区产生严重和不成比例的影响，与女性发生性关系的黑人男子（MSW）在艾滋病毒的异性传播中发挥着重要作用。虽然性别角色规范和性脚本似乎与性风险行为有关，但对这些因素和黑人城市固体废物性风险的研究几乎不存在。此外，很少有人了解社会结构性因素，如贫困，种族歧视和监禁形状的性别角色规范和性脚本的非裔美国人MSW，反过来，异性恋的性风险。我们提出了一项为期3年的研究，在这项研究中，我们将使用横截面多站点基于场地的概率抽样招募非裔美国人MSW，包括那些谁也可能与男性发生性关系，年龄在18岁至44岁之间，在费城，PA。该研究分为两个阶段：测量开发（第一阶段）和模型测试（第二阶段）。在第一阶段，深入访谈和焦点小组将用于确定和描述非裔美国人MSW的性别角色规范和性脚本。基于这些研究结果，我们将开发定量的性别角色规范，性脚本和宗教信仰的措施，以研究这些概念是如何与性风险之间的非裔美国人MSW（具体目标1）。我们还将在第一阶段开发和预测试ACASI调查。这项研究的另一个目的是考虑如何社会文化因素，如种族歧视，贫困和监禁与非裔美国人MSW的性别角色规范和性脚本，进而性风险（具体目标2）。在第二阶段，将使用结构方程模型对基于研究概念模型的假设进行测试，样本为500名非裔美国人MSW（具体目标3）。该模型解决了性别和性规范，社会结构性风险因素，弹性因素，心理风险因素，认知安全套使用因素对非裔美国MSW的性风险行为的影响。这项研究将作出重要的理论和实证贡献，了解性别角色规范和性脚本如何影响异性恋风险行为的非裔美国人MSW。这些知识将为针对非裔美国人MSW的干预措施提供信息，以提高人们对性别角色规范和性脚本与艾滋病毒风险之间关系的认识，并促进将预防艾滋病毒风险的行为纳入非裔美国人MSW的性别角色规范和性脚本。

DESCRIPTION (provided by applicant): The HIV/AIDS-epidemic continues to have a severe and disproportionate impact in Black communities, with Black men who have sex with women (MSW) playing a major role in the heterosexual transmission of HIV. Although gender role norms and sexual scripts appear to be associated with sexual risk behaviors, research on these factors and sexual risk among Black MSW is virtually nonexistent. Moreover, little is understood about how social structural factors such as poverty, racial discrimination, and incarceration shape the gender role norms and sexual scripts of African American MSW and in turn, heterosexual sexual risk. We propose a 3-year study in which we will use cross-sectional multi-site venue-based probability sampling to recruit African American MSW, including those who may also have sex with men, between the ages of 18 and 44 in Philadelphia, PA. The study has two phases: measurement development (Phase I) and model testing (Phase II). in Phase I, in-depth interviews and focus groups will be used to identify and describe gender role norms and sexual scripts for African American MSW. Based on these findings, we will develop quantitivative gender role norms, sexual scripts, and religiosity measures to examine how these concepts are associated with sexual risk among African American MSW (Specific Aim 1). We will also develop and pretest an ACASI survey in Phase I. Another aim of the study is to consider how sociocultural factors such as racial discrimination, poverty, and incarceration are linked to African American MSW's gender role norms and sexual scripts, and in turn sexual risk (Specific Aim 2). In Phase II, hypotheses based on the study's conceptual model will be tested using structural equation model with a sample of 500 African American MSW (Specific Aim 3). The model addresses the effects of gender and sexual norms, social structural risk factors, resiliency factors, psychological risk factors, and cognitive condom use factors on African American MSW's sexual risk behaviors. The research will make important theoretical and empirical contributions to understanding how gender role norms and sexual scripts influence heterosexual risk behaviors for African American MSW. This knowledge will inform interventions targeted to African American MSW to promote awareness about how gender role norms and sexual scripts relate to HIV risk, and facilitate the integration of behaviors that protect against HIV risk into African American MSW's gender role norms and sexual scripts.