Black Women's Perspectives about Sexually Transmitted Infection Risk: A Grounded Theory Study

黑人女性对性传播感染风险的看法：扎根理论研究

• 批准号: 9261236
• 负责人: Natasha Kaella Crooks
• 金额: $ 2.87万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-30 至 2017-08-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9261236
• 关键词: AIDS prevention; AIDS/HIV problem; Accounting; Address; Affect; American; Area; Behavior; Behavioral; Belief; Centers for Disease Control and Prevention (U.S.); Cessation of life; Chlamydia; Color; Communicable Diseases; Contracts; Data; Development; Diagnosis; Discipline of Nursing; Disease; Ectopic Pregnancy; Education; Emotions; Epidemiology; Evidence based intervention; Female; Foundations; Future; Goals; Gonorrhea; Grant; HIV; Health; Health Promotion; Healthcare Systems; Income; Individual; Individual Differences; Infection; Infection prevention; Infertility; Intervention; Intervention Studies; Interview; Knowledge; Lead; Life; Link; Mentorship; Minority; Minority Groups; Modeling; Morbidity - disease rate; Newborn Infant; Newly Diagnosed; Outcome; Pelvic Inflammatory Disease; Perception; Physical environment; Population; Prevention; Primary Prevention; Qualitative Methods; Race; Recording of previous events; Recurrence; Reproductive Health; Research; Research Personnel; Research Training; Resources; Risk; Science; Secondary to; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Shapes; Syphilis; Testing; Time; Training; Underserved Population; United States; Violence; Woman; abstracting; age group; aged; base; cost; design; disorder prevention; ethnic minority population; experience; genital herpes; health disparity; health equity; improved; insight; men; peer influence; prevent; preventive intervention; programs; racial and ethnic; racial minority; relationship abuse; sex risk; social; theories; therapy design; young woman

Abstract The purpose of this application is to provide the applicant training to become an independent investigator with a research program that investigates the sociocultural conditions contributing to sexually transmitted infection (STI) risk of young Black women. STIs are defined as preventable communicable diseases, such as chlamydia, gonorrhea, syphilis and genital herpes that can be acquired and transmitted through sexual contact. Annually more than 20 million Americans contract STIs and cost the health care system approximately $16 billion. Women are biologically more susceptible to STIs than men. Each year 1 in 4 women contracts an STI placing them at risk for pelvic inflammatory disease, infertility, HIV/AIDS, newborn morbidity, and death. Nearly half of newly diagnosed STIs occur in young people aged 15 to 24 years. More than 40% of infected young women have at least one subsequent STI within a year. Black females in this age group are disproportionately affected by STIs. Black women are twelve times more likely to contract gonorrhea and five times more likely to contact chlamydia than white women. Black women are nearly three times more likely to have a subsequent STI than women of other racial/ethnic backgrounds. The majority of STI research that includes Black women focuses on HIV/AIDS prevention and either excludes other STIs or considers them secondary to HIV. Most STI prevention studies focus on primary prevention of first infection, rather than recurrence among women previously diagnosed with STIs, who have a high likelihood of becoming re-infected. Limited research has been conducted on the prevention of recurring STIs. Gaining an understanding of the sociocultural conditions that influence sexual behavior is essential to inform interventions designed to reduce STI risk and recurrence. Thus, the purpose of the proposed grounded theory study is to develop a conceptual model from the perspectives of young Black women that explains the sociocultural conditions contributing to STI risk, specifically to the risk of recurrent infection. The proposed grounded theory study will facilitate development of a conceptual model, based on the interview data from 20 to 30 young Black women with a history of STIs, to explain the sociocultural conditions contributing to STI risk. The training grant will support coursework, directed study, mentorship, and resources to accomplish the short-term goal of building a foundation for a program of research focused on STI prevention in young Black women. The long-term goal is to develop evidence-based interventions to prevent STIs in women of color, including but not limited to Black women. The proposed study is well-aligned with the NINR priority of “Wellness: Promoting Health and Preventing Illness” by focusing on “nursing science that seeks to promote health and prevent illness….in minority and underserved populations.”

摘要 本申请的目的是为申请人提供培训，使其成为一名独立调查员， 一项调查导致性传播感染的社会文化条件的研究计划 (STI)年轻黑人女性的风险性传播感染被定义为可预防的传染病，如衣原体， 淋病、梅毒和生殖器疱疹，可通过性接触获得和传播。 每年有超过2000万美国人感染性传播感染，医疗保健系统的成本约为16美元 亿从生理上讲，妇女比男子更容易感染性传播感染。每年有四分之一的妇女感染性传播感染 使她们面临患盆腔炎、不孕症、艾滋病毒/艾滋病、新生儿发病和死亡的风险。近 新诊断的性传播感染有一半发生在15至24岁的年轻人中。超过40%的感染者 妇女在一年内至少有一次性传播感染。这个年龄段的黑人女性 受性传播感染。黑人女性感染淋病的可能性是男性的12倍， 比白色女性更容易接触衣原体。黑人女性有随后的三倍可能性 性传播感染比其他种族/民族背景的妇女。包括黑人妇女在内的大多数性传播感染研究 侧重于艾滋病毒/艾滋病的预防，或者排除其他性传播感染，或者将其视为仅次于艾滋病毒的感染。大多数STI 预防研究侧重于首次感染的初级预防，而不是妇女中的复发 之前被诊断出患有性传播感染，再次感染的可能性很大。有限的研究已经 预防性传播感染复发。了解社会文化条件， 影响性行为对于为减少性传播感染风险和复发而采取的干预措施至关重要。 因此，所提出的扎根理论研究的目的是从 年轻黑人妇女的观点，解释了造成性传播感染风险的社会文化条件， 特别是复发感染的风险。拟议的扎根理论研究将促进发展一个 概念模型，基于20至30名有性传播感染史的年轻黑人妇女的访谈数据， 解释造成性传播感染风险的社会文化条件。培训补助金将支持课程， 学习，指导和资源，以完成建立一个计划的基础，短期目标， 研究重点是年轻黑人妇女的性传播感染预防。长期目标是发展基于证据的 干预措施，以防止性传播疾病的妇女的颜色，包括但不限于黑人妇女。拟定研究 与NINR的优先事项“健康：促进健康和预防疾病”保持一致，重点是 “护理科学，旨在促进健康和预防疾病......在少数民族和服务不足的人群。