AIDS RISK REDUCTION FOR AFRICAN AMERICAN MALE YOUTH

随着艾滋病扩散到更广泛的人群中， 按性别、种族和文化适应程度， 在更同质的白色同性恋人群中， 男性社区必须重新审视，因为我们面临着真正的障碍， 多样性，这将需要专门的战略， 不同的文化群体。 尽管人们一直在强调 在对男同性恋青少年的研究中， 人们注意到，这些青少年“来 从根本上不同的文化起源。他们以安静开始 与性有关的不同知识， 但也有民族特色。 尽管有戏剧性的种族-民族 血清阳性率的差异，研究不足， 在男同性恋人群中， 青少年人口。 我们假设社会文化知识 （与社会行为相关的概念和策略， 社区）在产生意图方面起着重要作用， 促进或干扰健康相关行为。 在这两年里 研究中，我们建议使用理性行动理论来发展 显着的社会行为意图（SBI）的措施，在非洲 美国男同性恋青年社区。 然后我们将研究哪些SBI 与危险的性行为有关 这些措施将成为 预测变量用于定量研究， 在这一人群中，高风险性行为的前因， 这一转变将为干预措施的设计提供信息。 第一个具体目标 本研究的目的是对田野笔记进行扎根理论分析， 转录数据，产生了一套非洲人类学模型， 美国男同性恋青少年与性有关的社会文化知识。 该目标包括转录采访数据的子集， 分类系统的开发、数据编码和文本分析。 本研究的第二个具体目标是开发社会 行为意向（SBI）的非洲裔美国男同性恋青年， 评估SBI与危险性行为的关系。这一目标包括 为非裔美国人同性恋者制定最突出的SBI项目 男性青少年，这些SBI量表的建设，测试， 量表的信度，检验量表的效度 与其他与社会行为相关的量表进行对比， 来预测危险的性行为 这项研究将 完成准备性研究，这可能允许设计艾滋病风险 减少非裔美国男同性恋青少年的干预措施， 测试一种可以应用于其他人群的理论方法。

As AIDS has diffused into a broader range of populations which differ by gender, race-ethnicity, and level of acculturation, much of what has been learned about AIDS prevention in the more homogenous, white gay male community must be reexamined as we confront a barrier of true diversity which will require specialized strategies for reaching many distinct cultural groups. Although much emphasis has been placed on the coming out" process in research on gay male adolescents, far less attention has been directed to the fact that these adolescents "come out" from radically different cultures of origin. They start with quite different knowledge related to sex which is not only heterosexually oriented but also ethnic-specific. In spite of dramatic racial-ethnic differences in seroprevalence rates, insufficient research has been conducted looking at risk in racial-ethnic subsets of the gay male adolescent population. We hypothesize that sociocultural knowledge (concepts and strategies related to social behavior shared by a community) plays an important role in generating intentions which facilitate or interfere with health related behaviors. In this two year study, we propose to use the Theory of Reasoned Action to develop measures of salient social behavior intentions (SBI) in the African American gay male youth community. We will then examine which SBI are associated with risky sexual behaviors. Such measures will become predictor variables to use in quantitative research to investigate antecedents of high risk sexual practices in this population, which in turn will inform the design of interventions. The first specific aim of the study is to conduct grounded theory analysis of field note and transcript data, producing a set of anthropological models of African American gay male adolescent sociocultural knowledge related to sex. This aim includes transcription of a subset of interview data, development of a category system, coding of data, and text analysis. The second specific aim of the study is to develop scales of social behavior intentions (SBI) of African American gay male youth and to evaluate the relation of SBI to risky sexual behavior. This aim includes development of items for the most salient SBI for African American gay male adolescents, construction of scales of these SBI, testing the reliability of these scales, testing the validity of these scales against other scales related to social behavior, and testing the ability of these scales to predict risky sexual behavior. This study, will complete preparatory research which could allow design AIDS risk reduction interventions for gay male African American adolescents and test a theoretical approach which could be applied to other populations.