Influence of Adult Latina Daughters on Older Latina Mothers HIV Risk and Protective Behaviors

 描述(由申请人提供)：背景：在美国，年长的拉美裔美国人的艾滋病毒感染率是非拉美裔白人的5倍。研究人员表明，由于参与艾滋病毒预防计划的人数较少，艾滋病毒知识较少，以及与初级保健医生讨论性行为和药物使用行为以及艾滋病毒保护的可能性降低等因素，拉丁裔老年妇女(50岁)感染艾滋病毒的风险特别高。此外，拉美裔女性报告的艾滋病毒危险行为--如在酒精影响下发生性行为--的比例高于非拉丁裔白人或黑人女性。最近的研究发现，成年的女儿可能处于一个独特的地位，可以影响她们母亲与健康相关的决定。具体地说，研究结果表明，母女依恋可能对拉丁裔成年人的药物滥用和艾滋病毒危险行为具有保护性影响。目的：本研究旨在研究(A)拉丁裔成年女儿及其年长拉丁裔母亲的HIV风险与保护性行为轨迹之间的关系，以及(B)母女依恋和饮酒对母女HIV风险与保护性行为轨迹之间关系的影响。这项拟议研究的中心假设是，母女依恋程度更高、饮酒较少的年长拉丁裔母亲将有艾滋病毒风险和保护性行为，这些与她们成年的拉丁裔女儿的风险和保护行为最密切相关。设计：拟议的纵向研究将使用一项为期7年的研究的次要数据进行，该研究调查了316名拉丁裔母亲和女儿的社区样本中物质使用和艾滋病毒危险行为轨迹的代际传播。意义：这项研究的结果可以扩大对与老年拉丁裔妇女相关的艾滋病毒风险和保护因素的科学理解。鉴于这一群体中艾滋病毒病例的数量预计将在未来几年上升，有必要更好地了解和解决使拉美裔老年妇女感染艾滋病毒风险增加的因素，这对公共卫生具有重大意义。这一知识可以让研究文献和临床医生了解在这一人群的艾滋病毒预防计划中应该针对的文化相关和特定年龄的因素。

 DESCRIPTION (provided by applicant): Background: HIV infection rates for older Latinos in the United States are 5 times higher than those of their non-Latino White counterparts. Researchers have shown that older Latina women (ages 50+) are at particularly increased risk of acquiring HIV infection due to factors such as sparse participation in HIV prevention programs, less HIV knowledge, and a decreased likelihood of discussing sexual and substance use behaviors and HIV protection with their primary care physicians. Additionally, Latina women report higher rates of HIV risk behaviors-such as having sex under the influence of alcohol-than non-Latina White or Black women. Recent studies have found that adult daughters may be in a unique position to influence their mothers' health-related decisions. Specifically, study findings suggest mother-daughter attachment may have a protective influence on substance abuse and HIV risk behaviors of adult Latinas. Objective: This study proposes to examine (a) associations between the HIV risk and protective behavior trajectories (over time) of adult Latina daughters and those of their older Latina mothers and (b) the influence of mother-daughter attachment and alcohol use on associations between mother-daughter HIV risk and protective behavior trajectories. The central hypothesis of the proposed study is that older Latina mothers with greater mother/daughter attachment and less alcohol use will have HIV risk and protective behaviors that are most strongly associated with those of their adult Latina daughters. Design: The proposed longitudinal study will be conducted using secondary data from a 7-year study investigating the intergenerational transmission of substance use and HIV risk behavior trajectories in a community-based sample of 316 Latina mothers and daughters. Significance: Results of this study can expand scientific understanding of HIV risk and protective factors associated with older Latina women. With the number of HIV cases among this population expected to rise in the coming years, the need to better understand and address the factors that place older Latina women at increased risk for HIV is of great public health significance. This knowledge could inform research literature and clinicians about the culturally relevant and age-specific factors that should be targeted in HIV prevention programs with this population.