Understanding Female Partners of Bisexual Men: Implications for HIV/STD Risk

了解双性恋男性的女性伴侣：对艾滋病毒/性病风险的影响

• 批准号: 7933113
• 负责人: Nina Thawata Harawa
• 金额: $ 9.66万
• 依托单位: CHARLES R. DREW UNIVERSITY OF MED & SCI
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7933113
• 关键词: AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Affect; African American; Age; Anal Sex; Anus; Attitude; Awareness; Behavior; Behavioral; Belief; Bisexual; Case-Control Studies; Categories; Characteristics; Collaborations; Color; Conservatism; County; Data; Demographic Factors; Dependency; Development; Diagnosis; Drug usage; Effectiveness; Epidemic; Ethnic Origin; Female; Funding; Gays; Gender Role; Goals; HIV; HIV Infections; HIV antibody positive; HIV diagnosis; HIV/STD; Health Services Research; Heterosexuals; Hispanics; Human immunodeficiency virus test; Injection of therapeutic agent; Intervention Studies; Interview; Latina; Los Angeles; Oral Sex; Participant; Pattern; Pharmaceutical Preparations; Phase; Policies; Prevention; Prevention approach; Prevention strategy; Preventive Intervention; Psychosocial Factor; Psychosocial Influences; Public Health; Qualitative Research; Questionnaires; Race; Recruitment Activity; Reporting; Research; Resources; Risk; Sampling; Self Efficacy; Sex Behavior; Sexual Partners; Site; Social Desirability; Structure; Surveys; Testing; Time; Transcript; United States; Vagina; Woman; Women' s Group; Work; behavior test; case control; condoms; expectation; experience; high risk; improved; male; man; men; men who have sex with men; permissiveness; programs; psychosocial; racial and ethnic disparities; resource guides; risk perception; safer sex; self esteem; sex; sexual relationship; stem; trait; transmission process

DESCRIPTION (provided by applicant): In the United States, the reported rates of new HIV diagnoses among black and Hispanic women are, respectively, 20 and 5.4 times that of white women. A greater tendency toward bisexual behavior and non-gay identification among black and Hispanic men who have sex with men (MSM) than among white MSM is thought to contribute to the large racial/ethnic disparities in HIV/AIDS observed among women; however, nearly nothing is known about the female partners of behaviorally bisexual men. Furthermore, many HIV-infected women are considered "heterosexual unidentified risk" because they do not fit into an HIV transmission category other than sex with a male of unidentified risk. We propose a two-phase study to better understand HIV risk among women of color by identifying predictors of sex with bisexual and unidentified risk men and exploring psychosocial issues surrounding and correlates of these sexual partnerships. This research will be carried out among African-American and Latina females recently tested for HIV in publicly funded test sites in Los Angeles County. In Phase I, a matched case-control analysis will be carried out using secondary data to identify predictors of having had sex with a bisexual man or of being diagnosed HIV-antibody positive with unidentified heterosexual risk. In Phase II, recently tested women will be recruited and interviewed, including 30 who report bisexual male partners and 20 HIV-infected women with unidentified sexual risk. The in-depth semi-structured interview will examine psychosocial factors surrounding sexual relationships with men, including known bisexual, potentially bisexual, and presumed heterosexual men and explore (1) the range of relationship types characterizing women's relationships with these men; (2) attitudes regarding gender roles and desired partner traits; (3) how and when participants became aware of their partners' bisexual behavior and how this awareness influenced their HIV risk perception; (4) how HIV-antibody positive women with unidentified sexual risk perceive they and their partners were infected; and (5) participant's attitudes and behaviors regarding health-related research, health care, and STD/HIV prevention. Interview transcripts will be analyzed using a consensual qualitative research approach to identify major themes and generate hypotheses and survey items for a larger quantitative interview study comparing women reporting sex with a bisexual male to women who do not believe that they have had sex with a bisexual man. They will also help direct prevention resources and guide HIV prevention intervention approaches among women of color.

描述（由申请人提供）：在美国，黑人和西班牙裔妇女报告的新艾滋病诊断率分别是白人妇女的20倍和5.4倍。与白人男同性恋者相比，黑人和西班牙裔男同性恋者（MSM）更倾向于双性恋行为和非同性恋认同，这被认为是导致女性在艾滋病毒/艾滋病方面存在巨大种族/民族差异的原因；然而，人们对双性恋男性的女性伴侣几乎一无所知。此外，许多感染艾滋病毒的妇女被认为是“风险不明的异性恋”，因为她们不属于艾滋病毒传播类别，而不是与风险不明的男性发生性行为。我们提出了一项两阶段的研究，通过确定与双性恋和未知风险男性的性行为的预测因素，并探讨围绕这些性伙伴关系的社会心理问题及其相关性，来更好地了解有色人种女性的艾滋病毒风险。这项研究将在最近在洛杉矶县公共资助的测试点检测艾滋病毒的非洲裔和拉丁裔女性中进行。