NSAM: Wave 4: HIV/STD Risk Trajectories

描述(由申请人提供)：本申请的目的是提高对导致人类免疫缺陷病毒(HIV)和其他性传播疾病(STDS)传播的关系形成活动和危险行为的纵向变化的理解，重新提交的申请带有反映第二轮提交的审查者深思熟虑的意见的实质性变化。我们将检查在一个独特的纵向数据集的第四波建议中收集的数据，全国青少年男性调查(NSAM)。这项具有全国代表性的调查样本为1880名男性，他们在1988年15岁至19岁之间，已经三次就1988年、1990-91年和1995年的性行为和保护行为采访过男性。2006年，受访者的年龄约为32-37岁。 这项拟议的研究建立在我们之前和正在进行的关于美国年轻男性艾滋病毒/性传播疾病风险和保护行为的调查基础上，它将检查这些行为在他们一生中的变化。我们将确定个人和男性亚群从青春期到成年期的危险行为轨迹。纵向分析将提供一种新的方法来看待危险行为的各种转变，包括伙伴关系和保护行为的变化。特别令人感兴趣的是识别那些要么持续表现出高风险行为，要么表现出转向或远离高风险行为的男性群体。 本申请的具体目标是： 1.开展第四轮NSAM，以确定青年男子(32-37岁)感染艾滋病毒/性传播疾病风险行为的协变量和流行率。 2.描述随着男性从青春期进入成年期，危险行为在整个生命过程中的进程。 3.检查与转换为和退出高危行为相关的因素。 4.为第四轮数据准备一份记录在案的公共用途磁带，可与前一波数据相联系。

DESCRIPTION (provided by applicant): The purpose of this application, resubmitted with substantial changes reflecting the thoughtful reviewer comments from the second round of submission, is to improve understanding of longitudinal changes in relationship formation activity and risk behaviors that lead to the transmission of human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs). We will examine data collected in a proposed fourth wave of a unique longitudinal data set, the National Survey of Adolescent Males (NSAM). This survey, a nationally representative sample of 1,880 men who were 15 to 19 years old in 1988, has interviewed men three times already about their sexual and protective behaviors in 1988,1990-91, and 1995. In 2006 the respondents will be approximately 32-37. The proposed study builds on our prior and ongoing investigations concerning HIV/STD risk and protective behaviors of young American males, and it will examine shifts in these behaviors across their life courses. We will identify trajectories of risk behaviors among individuals and subgroups of men as they pass from adolescence into adulthood. Longitudinal analyses will provide a fresh way to look at a variety of transitions into and out of risk behaviors, including changes in partnering and protective behaviors. Of particular interest is the identification of groups of men who either persistently exhibit high-risk behavior or exhibit shifts into or away from high risk behavior. The specific aims of this application are to: 1. Conduct a fourth round of the NSAM to determine the covariates and prevalence of behaviors among young men (ages 32-37) that put them at risk of HIV/STD. 2. Describe the progression of risk behaviors across the life course as men move from adolescence into adulthood. 3. Examine factors associated with transitions into and out of high risk behaviors. 4. Prepare a documented public use tape for the fourth round of data which can be linked to the previous waves of data.