Intervention to Prevent At-Risk Sexual Behavior in African American Boys

项目总结 美国政府和疾病控制与预防中心(CDC)已将其列为优先事项， 在白宫2015年国家艾滋病毒/艾滋病战略(NHAS)中概述了防止性传播的政策 非裔美国男性青年的传播感染(STI)和青少年父母身份，因为高风险和 非裔美国人的艾滋病毒负担。非裔美国人(AA)男性青年从事高危活动的风险很高 性行为(ASB)(例如，多个性伴侣，不戴避孕套的性交)，这对 意外怀孕和艾滋病毒等性传播感染(STI)。清晰的沟通 父母和他们的青春期前儿童对性健康的看法与较高的性行为比率有关 节欲、使用避孕套和打算推迟性行为，这可以防止性传播感染和 年轻人中的意外怀孕。然而，研究表明，再生障碍性贫血的父亲更少与儿子交谈 比其他父亲更关于性。关于再生障碍性贫血的父亲是否以及如何克服 障碍，如缺乏知识和消极的态度，与他们的儿子谈论性。因此，在那里 迫切需要研究特定于优化父子性健康沟通的过程。本研究 将在NC理发店进行，使用150名AA父亲(包括父亲人物)，他们将被随机分配到 干预或等待名单控制条件。这一干预旨在加强父子关系。 传播有关性健康的信息，防止儿子发生性行为和/或从事高危性行为 行为。评估将在干预前基线、干预后立即和3- 干预后一个月。这些儿子(150人)，年龄在10-15岁之间，将根据他们的情况进行分配 他说，他是一名父亲，并将同时参加评估。具体目标是：目标1：发展创新 父亲干预，以防止他们的儿子之间的高危性行为。来自我们之前的初步数据 焦点小组将为制定适合文化和基于理论的干预措施提供信息，以加强 父亲(A)性传播感染知识，(B)与儿子就性健康问题进行交流的有效性，以及(C)频率 父子之间的性健康交流。目标二：实施创新型父亲干预改进 关于性爱的父子交流。目标3：测试创新父亲干预的有效性，以提高 随着时间的推移，父子之间关于性健康的交流。工作假说：干预中的儿子 对性行为的态度、意图和行为会比 等待名单上的儿子随着时间的推移而控制着。目的4：检验有效父亲干预的中介效应。 男子性健康沟通对男子性行为态度、意向、行为的影响。劳作 假设：通过加强父亲的行为，父亲的干预会影响儿子的态度、意图和 与性行为有关的行为。

PROJECT SUMMARY The U.S. Government and the Center for Disease Control and Prevention (CDC) have made it a priority, outlined in the White House National HIV/AIDS Strategy (NHAS) 2015 Policy, to prevent the spread of sexually transmitted infections (STIs) and teen parenthood in African-American male youth because of the high risk and burden for HIV for African Americans. African-American (AA) male youth are at high risk of engaging in at-risk sexual behaviors (ASB) (e.g., multiple sexual partners, sexual intercourse without a condom), which contribute to unintended pregnancy and sexually transmitted infections (STIs) such as HIV. Clear communication between parents and their preadolescents about sexual health is associated with higher rates of sexual abstinence, condom use, and intent to delay initiation of sexual intercourse, which can prevent STIs and unintended pregnancy among youth. However, research indicates that AA fathers talk less with their sons about sex than other fathers. There is a paucity of research addressing whether and how AA fathers overcome barriers such as lack of knowledge and negative attitudes toward talking with their sons about sex. Thus, there is a critical need to study processes specific to optimizing father-son sexual health communication. This study will be conducted in NC barbershops, using 150 AA fathers (including father figures) who will be randomized to the intervention or wait-list control condition. The intervention is designed to enhance father-son communication about sexual health and prevent sons' onset of sexual activity and/or engaging in at-risk sexual behaviors. Assessments will be administered at pre-intervention baseline, immediate post-intervention, and 3- month post-intervention. The sons (150), ages 10 – 15 years, will be assigned to conditions according their fathers and will participate in assessments at parallel times. Specific aims are to: Aim 1: Develop an innovative father intervention to prevent at-risk sexual behaviors among their sons. Preliminary data from our previous focus groups will inform the development of a culturally appropriate and theory-based intervention to enhance fathers' (a) STI knowledge, (b) efficacy to communicate with their sons about sexual health, and (c) frequency of father-son sexual health communication. Aim 2: Implement the innovative father intervention to improve father-son communication about sex. Aim 3: Test the efficacy of an innovative father intervention to improve father-son communication about sexual health over time. Working Hypothesis: Sons in the intervention condition will have more appropriate attitudes, intent and behavior regarding engaging in sexual activity than sons in the wait-list control over time. Aim 4: Examine mediating effects of the intervention for effective father- son sexual health communication on sons' sexual activity attitudes, intentions, and behaviors. Working Hypothesis: By enhancing the fathers' behavior, a father intervention will affect sons' attitudes, intention, and behavior regarding engaging in sexual activity.