Sexual Partnerships Among African American Women

非裔美国女性的性伙伴关系

• 批准号: 8071879
• 负责人: Teaniese Latham Davis
• 金额: $ 2.94万
• 依托单位: UNIVERSITY OF GEORGIA
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-01-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8071879
• 关键词: Acquired Immunodeficiency Syndrome; Address; African American; Age; Agreement; Alcohol consumption; Attitude; Behavioral; Belief; Biological; Code; Computer software; Data; Expectancy; Gender; Goals; HIV; Heterosexuals; Incentives; Income; Interview; Literature; Measures; Methodology; Modeling; Outcome; Patient Self-Report; Pharmaceutical Preparations; Population; Prevalence; Recording of previous events; Recruitment Activity; Reporting; Research; Risk; Sampling; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Structure; Surveys; Transcript; Woman; aged; base; computerized; condoms; depression education; disease transmission; experience; men; public health relevance; sex; social cognitive theory; theories; young adult

DESCRIPTION (provided by applicant): Although young people ages 15 to 24 years represent only a quarter of the sexually experienced population, they represent nearly half of all new sexually transmitted diseases (STD). This group is at increased risk for HIV and STD acquisition due to biological, behavioral, and cultural factors. Literature indicates that women, compared to men, are significantly more likely to report a partner having concurrent sexual partnerships, 17% versus 8% respectively. With the alarmingly disproportionate prevalence of HIV and AIDS cases among African American women, recent research points towards the impact of concurrency to address this racial and gender disparity. Having concurrent sexual partnerships increases the likelihood of STD transmission among partners. Having sex within a network of partners with high STD and HIV rates further increases the risk of STD transmission. The goal of this research is to explore and understand the context of having multiple, or concurrent, sex partners among young African American women aged 18 to 25 in heterosexual partnerships. This study is grounded in the theory of gender and power and outcome expectancies, or incentives, as described in the social cognitive theory. The Specific Aims are to 1) understand the reasons young adults engage in concurrent sexual partnerships, 2) identify and understand condom use in the context of concurrent sexual partnerships, and 3) propose a framework for understanding the context of and factors related to concurrency among African American young women. Women will be selected from an ongoing study and invited to participate in the present study. The study will recruit African American young women (n=40) aged 18 to 25 years to participate in semi-structured interviews lasting 45 to 60 minutes. Interview transcripts will be coded using Nvivo 8.0 software, calculating inter-rater agreement and using thematic coding for themes that emerge. Quantitative data will be collected after completing the semi- structured interviews and will recruit a new sample (n=250) of African American women. The computerized survey includes measures of self-reported STD history, sexual history, self-reported sexual behaviors, as well as beliefs and attitudes related to sexual partnerships, concurrency, partner variables, drug and alcohol use, depression, education, and income. The study will propose a path model based on factors significantly predictive of concurrency. This study will contribute to the literature by examining additional factors based on the theory of gender and power and social cognitive theory. Survey data will be analyzed using SPSS 17.0 and path models will be analyzed using LISREL 8.0. PUBLIC HEALTH RELEVANCE: Concurrent sexual partnerships have been identified as a mode of increased HIV and STD transmission. This study proposes to conduct a mixed methodology examination of the context of concurrency among African American young women, using semi- structured interviews (n=40) and computerized surveys (n=250).

描述（由申请人提供）：虽然15至24岁的年轻人只占有性经验人口的四分之一，但他们占所有新的性传播疾病（STD）的近一半。由于生物、行为和文化因素，这一群体感染艾滋病毒和性病的风险增加。文献表明，与男性相比，女性更有可能报告伴侣同时存在性伴侣关系，分别为17%和8%。随着非洲裔美国妇女中艾滋病毒和艾滋病病例的惊人不成比例的流行，最近的研究指出了并发症的影响，以解决这种种族和性别差异。同时拥有性伴侣会增加性传播疾病在伴侣之间传播的可能性。在性病和艾滋病毒感染率高的伴侣网络中发生性行为会进一步增加性病传播的风险。本研究的目的是探索和了解有多个，或并发的背景下，年轻的非洲裔美国女性18至25岁的异性伴侣关系中的性伴侣。本研究以社会认知理论中的性别、权力和结果预期或激励理论为基础。具体目标是：1）了解年轻人参与并发性伙伴关系的原因，2）确定和了解并发性伙伴关系背景下的安全套使用情况，3）提出一个框架，以了解非洲裔美国年轻女性并发性行为的背景和相关因素。将从一项正在进行的研究中挑选妇女，并邀请她们参加本研究。该研究将招募年龄在18至25岁之间的非裔美国年轻女性（n=40）参加持续45至60分钟的半结构化访谈。访谈记录将使用Nvivo 8.0软件进行编码，计算评分者之间的一致性，并对出现的主题使用主题编码。定量数据将在完成半结构化访谈后收集，并将招募一个新的非裔美国妇女样本（n=250）。计算机化的调查包括自我报告的性病史，性史，自我报告的性行为，以及与性伙伴关系，并发，合作伙伴变量，药物和酒精使用，抑郁症，教育和收入有关的信念和态度的措施。这项研究将提出一个路径模型的基础上的因素显着预测并发。本研究将通过基于性别和权力理论以及社会认知理论的其他因素来研究，从而为文献做出贡献。将使用SPSS 17.0分析调查数据，并使用LISREL 8.0分析路径模型。 公共卫生相关性：并发性伴侣关系已被确定为增加艾滋病毒和性病传播的一种模式。本研究提出了一个混合的方法检查的背景下，并发非洲裔美国年轻女性，使用半结构化访谈（n=40）和计算机化的调查（n=250）。