HIV/STIs risk behaviors among Chinese, Korean, and Vietnamese women

描述(由申请者提供)：这个K01奖项的总体目标是让候选人具备创建独立研究计划所需的高级技能，以帮助亚太岛民(API)妇女制定与文化相关的艾滋病毒/性传播感染预防方法和干预策略。这一奖项将允许候选人从精通现有的、全国性的大规模数据集的二次分析过渡到精通使用难以触及的API的初级数据收集和定性研究。这项名为“API妇女性健康倡议项目”(AWSHIP)的研究探讨了600名年轻成年女性(中国、韩国和越南)移民子女的抑郁、文化适应、家庭凝聚力和艾滋病毒/性传播感染危险行为之间的关系。它还将探讨这些API妇女如何在性别角色和关系权力差异的背景下描述参与艾滋病毒/性传播疾病的危险行为。方法包括进行横断面调查和定性研究，采用对调查参与者(n=48)亚样本的深入访谈。为了在API社区进行成功的流行病学艾滋病毒/性传播感染研究，候选人必须在五个领域进行精心整合的课程工作并接受高级研究人员的指导：(1)社会流行病学(Steffanie Strathdee)；(2)API社区的调查研究(Lena Lundgren，Frank Wong)；(3)高级定量分析(Timothy Heeren)；(4)定性方法(Lee Strunin)；(5)针对API妇女的干预开发(Mary McKay，Stanley Sue)。根据候选人的培训目标，AWSHIP有四个具体目标：(1)描述API年轻女性中艾滋病毒/性传播疾病危险行为的流行病学特征；(2)了解抑郁、文化适应与API年轻女性艾滋病毒/性传播疾病危险行为之间的联系；(3)确定与艾滋病毒/性传播疾病危险行为相关的中介因素；以及(4)在性别角色和关系权力差异的背景下，探讨API妇女对艾滋病毒/性传播疾病危险行为的易感性。从这项研究中获得的专门知识将被转化为旨在减少API妇女中艾滋病毒/性传播感染危险行为的干预措施，这最终将减少艾滋病毒/性传播感染的传播和API社区中的性健康差距。 公共卫生相关性：这项研究将提供中国、韩国和越南年轻女性中与艾滋病毒/性传播感染危险行为相关的细分流行病学数据，并阐明性别和关系权力对艾滋病毒/性传播感染危险行为的影响。这些发现将有助于为年轻的API妇女发展有效的、具有文化能力的艾滋病毒/性传播感染干预服务。

DESCRIPTION (provided by applicant): The overall goal of this K01 Award is to equip the candidate with the advanced skills needed to create an independent program of research in order to aid the development of culturally relevant HIV/STIs prevention methods and intervention strategies for Asian Pacific Islander (API) women. This award will allow the candidate to transition from proficiency in secondary analyses of existing, national, large-scale data sets to proficiency in primary data collection and qualitative research with hard-to-reach APIs. The proposed research, "API Women's Sexual Health Initiative Project" (AWSHIP) explores the relationships between depression, acculturation, family cohesion, and HIV/STIs risk behaviors among 600 young adult women (Chinese, Korean, and Vietnamese) who are children of immigrants. It will also explore how these API women describe engagement in HIV/STIs risk behaviors, within the context of gender roles and disparities in relationship power. Methods include conducting a cross-sectional survey and a qualitative study, using in-depth interviews of subsample of survey participants (n=48). To conduct successful epidemiological HIV/STIs research in API communities, the candidate must undertake carefully integrated coursework and receive mentoring from senior researchers in five areas: (1) social epidemiology (Steffanie Strathdee); (2) survey research in API communities (Lena Lundgren, Frank Wong); (3) advanced quantitative analyses (Timothy Heeren); (4) qualitative methods (Lee Strunin); and (5) intervention development for API women (Mary McKay, Stanley Sue). In direct accordance with the training goals of the candidate, AWSHIP has four specific aims: (1) to characterize the epidemiology of HIV/STIs risk behaviors among API young women; (2) to understand the association between depression, acculturation, and HIV/STIs risk behaviors among API young women; (3) to determine the mediating fact ors associated with HIV/STIs risk behaviors; and (4) to explore API women's vulnerability for HIV/STIs risk behaviors in the context of gender roles and disparities in relationship power. Expertise acquired from this research will be translated into an intervention designed to decrease HIV/STIs risk behaviors among API women, which should ultimately reduce both the transmission of HIV/STIs and sexual health disparities in API communities. PUBLIC HEALTH RELEVANCE: This study will provide disaggregated epidemiological data factors associated with HIV/STIs risk behaviors among Chinese, Korean, and Vietnamese young women, as well as shed light on the impact of gender and relationship power on HIV/STIs risk behaviors. These findings will serve to inform the development of effective, culturally competent HIV/STIs intervention services for young API women.