Sexual Health Among Bisexual Men

描述（由申请人提供）：以往艾滋病研究的一个重大缺陷是，它将“异性恋”传播和“同性恋”传播两极化，而没有调查通过“双性恋”行为的个体在这些途径之间潜在的实质性重叠。直接关注双性恋男性的有限研究强调了独特的艾滋病毒风险因素和预防需求。然而，关于与双性恋男性危险行为相关的因素如何通过干预来改变的信息很少。本开发研究采用多种方法，旨在：识别个人和社会文化的决定因素与性行为增加艾滋病毒感染的风险在美国中西部服务不足地区的双性恋男性的不同样本；2. 在招募和参与方面，评估让不同样本的双性恋男子参与一项多方法研究的可行性，该研究旨在了解性健康风险的程度，以便为随后的性健康干预提供信息；和3。获取有用的信息，以便设计相关的、可获得的和文化上适当的艾滋病毒/性传播感染预防信息，用于旨在促进双性恋男子性健康的后续干预。本研究采用社区知情的研究方法、深度访谈和来自75名双性恋男性的不同样本的性传播感染诊断，将为个人和社会文化因素以及性和风险相关的决策过程提供丰富的见解，这可能是未来性健康促进工作的潜在点。

DESCRIPTION (provided by applicant): A significant shortcoming of previous HIV research is that it has polarized "heterosexual" transmission and "homosexual" without investigating the potentially substantial overlap between these routes through individuals who engage in "bisexual" behaviors. Limited research focusing directly on bisexual men has highlighted unique HIV risk factors and prevention needs. However, little information is available on how factors associated with bisexual men's risk behavior may be amenable to change through intervention. Using multiple methods, this development research study aims to: 1. identify the individual and socio- cultural determinants related to the sexual interactions that increase risk of HIV acquisition in a diverse sample of bisexual men in an underserved area of the Midwestern United States; 2. evaluate the feasibility of engaging a diverse sample of bisexual men, in terms of recruitment and participation, in a multi-method study aimed at understanding the levels of risk to sexual health in order to inform a subsequent sexual health intervention; and 3. acquire information useful for designing relevant, accessible, and culturally-appropriate HIV/STI prevention information to be used in a subsequent intervention aimed at promoting sexual health among bisexual men. Using a community-informed research approach, in-depth interviews, and STI diagnostics from a diverse sample of 75 bisexual men, this study will provide rich insights into the individual and social-cultural factors, as well as the sexual and risk-related decision-making processes, that may be potential points of future sexual health promotion efforts. PUBLIC HEALTH RELEVANCE: This study will provide current data designed to develop and test a targeted sexual health intervention among bisexual men, a high risk population for HIV infection and transmission. Scientific outcomes will add to the knowledge base that is lacking evidenced-based information on the social, sexual, and risk behaviors of diverse groups of bisexual men. By improving our understanding of this previously understudied population, results will not only inform future research and intervention efforts but also be of benefit to bisexual men and their communities.