Identifying Predictors of Condom Use

项目摘要 黑人青少年不成比例地面临负面性健康结果的风险，如艾滋病毒和其他 性传播感染（STI），与同龄人相比。避孕药是一种有效的预防措施 这是一项针对青少年的措施，因为它们比其他形式的艾滋病毒预防更容易获得（例如，暴露前 预防），而且是唯一一种降低性传播感染和 意外怀孕然而，黑人青少年的避孕套使用率特别低， 最近一次性交时避孕套使用率低于白色和西班牙裔青少年。黑色 个体面临人际经验（例如，种族歧视）和结构性不平等（例如，医疗保健 和避孕套获取）对他们使用避孕套的决定有影响。青少年使用避孕套的决定也可能 在这一发展时期发生的快速生物变化和航行的影响， 第一次有了浪漫的性关系以前的文献大多集中在个人层面（即， 个体属性）预测避孕套使用，发现有些矛盾的结果，忽略了 结构、环境和背景预测因素对该年龄组的安全套使用有影响。因此 本研究的目的有两个：（1）采用荟萃分析方法，系统回顾和统计 综合有关黑人青少年安全套使用的个人水平预测因素的文献（目标1） 和（2）使用深入的个人访谈，以解决以前的文献中围绕的作用， 黑人青少年安全套使用的结构、背景和环境因素（目标2）。的 拟议的研究将利用安全套使用的多领域模型，该模型概述了认知和心理两个方面。 关于安全套使用的决策，以及社会结构、环境和背景因素 影响避孕套使用的因素，作为一个框架，以解决多层次的避孕套使用决定的预测因素， 这个人口。通过与拟议的培训活动协调开展这项F31研究， PI将满足以下培训目标：1）熟练掌握荟萃分析技术; 2）熟练掌握 质的研究方法; 3）获得理论和经验知识的健康差距的经验 4）发展青少年性健康和行为方面的专业知识; 5）建立出版物 通过专业发展培训，记录，演讲技巧和专业网络，所有这些都将 帮助他们成为一名独立研究人员的目标。

Project Summary Black adolescents are disproportionately at risk of negative sexual health outcomes, such as HIV and other sexually transmitted infections (STIs), compared to their peers. Condoms are an effective preventative measure for adolescents, as they are more accessible than other forms of HIV prevention (e.g., pre-exposure prophylaxis) in addition to being the only form of contraceptive that reduces the risk of both STIs and unintended pregnancy. However, condom use among Black adolescents is particularly low, with Black adolescents reporting lower condom use at last intercourse than White and Hispanic adolescents. Black individuals face interpersonal experiences (e.g., racial discrimination) and structural inequities (e.g., healthcare and condom access) influential to their condom use decisions. Adolescent condom use decisions may also be influenced by the rapid biological changes taking place during this developmental period and the navigation of romantic and sexual relationships for the first time. Prior literature has mostly focused on individual-level (i.e., individual attributes) predictors of condom use, finding somewhat conflicting results and neglecting the structural, environmental, and contextual predictors influential to condom use for this age group. Thus, the purpose of this study is two-fold: (1) to use meta-analytic methods to systematically review and statistically synthesize the literature surrounding individual-level predictors of condom use for Black adolescents (Aim 1) and (2) to use in-depth individual interviews to address the gaps in prior literature surrounding the role of structural, contextual, and environmental factors in condom use among Black adolescents (Aim 2). The proposed study will utilize the Multiple Domain Model of Condom Use, a model outlining both the cognitive decision-making around condom use, as well as the socio-structural, environmental, and contextual factors influential to condom use, as a framework to address multilevel predictors of condom use decisions amongst this population. Through conducting this F31 study in coordination with the proposed training activities, the F31 PI will meet the following training goals: 1) gain proficiency in meta-analytic techniques; 2) gain proficiency in qualitative research methods; 3) gain theoretical and empirical knowledge of the health disparities experiences by Black adolescents; 4) develop expertise in adolescent sexual health and behaviors; and 5) build publication record, presentation skills, and professional network through professional development training, all of which will aid in their goal of becoming an independent researcher.