The Influence of Developmental Assets on Intersectional Stigma and HIV Prevention Behaviors in Black MSM

发展资产对黑人男男性接触者交叉耻辱和艾滋病毒预防行为的影响

• 批准号: 10619940
• 负责人: Donte Boyd
• 金额: $ 45.01万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10619940
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Adolescent Development; Adverse event; Affect; Age; Area; Attention; Awareness; Behavior; Behavioral; Black race; Buffers; Cities; Communities; Decision Making; Development; Discrimination; Disparity; Environment; Etiology; Factor Analysis; Family; Family member; Future; Gays; Goals; HIV; HIV Infections; HIV Seronegativity; HIV Seropositivity; HIV diagnosis; Health Promotion; Health behavior; Heterosexuals; Homophobia; Human immunodeficiency virus test; Incidence; Individual; Inequity; Internet; Intervention; Interview; Knowledge; Learning; Lesbian Gay Bisexual Transgender; Measurement; Methods; Midwestern United States; Modeling; Morality; Outcome; Pattern; Perception; Personal Satisfaction; Phase; Population; Prevalence; Prevention program; Religion; Research; Research Personnel; Risk; Risk Factors; Risk Reduction; Sampling; Senior Scientist; Stereotyping; Structure; Surveys; Testing; United States; Work; Youth; age group; age stratification; aged; aspirate; black men; black men who have sex with men; condomless anal sex; condoms; coping; design; empowerment; evidence base; expectation; experience; health care service; maltreatment; men who have sex with men; mortality; peer; pre-exposure prophylaxis; prevent; prevention service; racial diversity; racism; recruit; resilience; self esteem; sexual debut; sexual risk behavior; social; social skills; social stigma; substance misuse; therapy development; time use; transmission process; uptake; young adult

ABSTRACT Young Black men who have sex with men (YBMSM) are disproportionately affected by HIV in the United States, yet research has focused only on identifying and reducing HIV-associated risk factors and has not extended to simultaneously ascertain and increase beneficial assets present in their lives. This study will investigate how strength-based approaches can optimize HIV outcomes and promote the health and well-being of YBMSM. The developmental assets framework focuses on identifying external assets in four domains (i.e., support, empowerment, boundaries/expectations, and constructive use of time) and internal assets in four domains (i.e., positive identity, positive values, social competencies, and commitment to learning). The model includes a total of 40 assets within these domains and posits that an increase in the number of assets is associated with an increase in the likelihood of an individual to show positive outcomes despite encountering adverse events. The goal of the asset-building framework is to identify as many assets as possible. The currently available evidence indicates that LGBT youth have fewer assets than non-LGBT youth; however, the prevalence of these assets specifically among YBMSM has not yet been established. Gaps in the scientific knowledge pertaining to the influence of external and internal assets on HIV prevention outcomes among YBMSM must be filled so that proper intervention strategies can be developed to reduce the disproportionate HIV incidence. In Aim 1, we will identify developmental assets and their associations with HIV prevention behaviors (HIV Testing and PrEP Use). In Phase 1, we will conduct a cross-sectional internet-based survey with a non-probability sample of HIV- negative YBMSM (N=500), ages 14–25 years old from two Midwestern US cities. We will use a latent profile analysis (LPA) to identify patterns of internal and external assets YBMSM may have and explore how these patterns of assets are associated with PrEP use and recent HIV testing. In AIM 1a we will examine whether intersectional stigma moderates the effects of associations between the internal and external assets and HIV prevention behaviors. In Aim 2, we will examine perceptions of how developmental assets influence HIV prevention behaviors (HIV Testing and PrEP Use) using content analysis. We will conduct in-depth semi- structured interviews with a purposive sub-sample (n=40) stratified by age groups and the number of developmental assets—high (n=10) versus low (n=10)—for YBMSM ages 14–17 and young adults ages 18–25 on HIV prevention behaviors (n=20). Youth will be queried about their knowledge on intersectional stigma and how it contributes to their engagement in HIV prevention behaviors.

摘要 在美国，与男性发生性关系的年轻黑人男性（YBMSM）受到艾滋病毒的影响尤为严重， 然而，研究只集中在确定和减少艾滋病毒相关的风险因素，并没有扩展到 同时确定和增加他们生活中的有益资产。本研究将探讨如何 基于力量的方法可以优化艾滋病毒的结果，促进YBMSM的健康和福祉。的 发展资产框架侧重于确定四个领域的外部资产（即，支持， 授权、界限/期望和建设性地利用时间）和四个领域的内部资产 (i.e.,积极的身份，积极的价值观，社会能力和对学习的承诺）。该模型包括 这些域中共有40个资产，并假设资产数量的增加与 尽管遇到不良事件，但个体显示积极结果的可能性增加。的 资产建设框架的目标是确定尽可能多的资产。当前可用证据 表明LGBT青年的资产比非LGBT青年少;然而，这些资产的普遍性 特别是在YBMSM之间尚未建立。与环境有关的科学知识方面的空白 必须填补外部和内部资产对YBMSM艾滋病预防结果的影响， 可以制定适当的干预战略，以降低不成比例的艾滋病毒发病率。目标1： 将确定发展资产及其与艾滋病毒预防行为（艾滋病毒检测和PrEP）的关联 使用）。在第一阶段，我们将进行一项基于互联网的横断面调查，样本为艾滋病毒的非概率样本， 阴性YBMSM（N=500），年龄14-25岁，来自美国中西部两个城市。我们会用一个潜在的侧写 分析（LPA），以确定YBMSM可能拥有的内部和外部资产的模式，并探讨这些模式如何 资产模式与PrEP使用和最近的艾滋病毒检测有关。在AIM 1a中，我们将检查是否 交叉污名调节了内部和外部资产与艾滋病毒之间的关联效应 预防行为。在目标2中，我们将研究发展资产如何影响艾滋病毒的看法 预防行为（艾滋病毒检测和PrEP使用）使用内容分析。我们将进行深入的半- 结构化访谈与一个有目的的子样本（n=40）分层的年龄组和数量的 发展资产-高（n=10）与低（n=10）-对于14-17岁的YBMSM和18-25岁的年轻人， HIV预防行为（n=20）。将询问青年对交叉污名的了解， 它如何有助于他们参与艾滋病毒预防行为。