Akers Aletha Y, Youmans Selena, Lloyd Stacy W, Smith Dionne M, Banks Bahby, Blumenthal Connie, Albritton Tashuna, Ellison Arlinda, Smith Giselle Corbie, Adimora Adaora A
Department of Obstetrics, Gynecology and Reproductive Science at Magee-Womens Hospital in Pittsburgh, USA.
J Health Care Poor Underserved. 2010 May;21(2 Suppl):1-12. doi: 10.1353/hpu.0.0280.
We explored rural African American youths' perceptions about the role of community social institutions in addressing HIV.
We conducted four focus groups with African Americans aged 16 to 24 years in two rural counties in North Carolina. Groups were stratified by gender and risk status. We used a grounded theory approach to content analysis.
Participants identified four social institutions as primary providers of HIV-related health promotion efforts: faith organizations, schools, politicians, and health agencies. They reported perceiving a lack of involvement in HIV prevention by faith-based organizations, constraints of abstinence-based sex education policies, politicians' lack of interest in addressing broader HIV determinants, and inadequacies in health agency services, and viewed all of these as being counter-productive to HIV prevention efforts.
Youth have important insights about local social institutions that should be considered when designing HIV prevention interventions that partner with local organizations.
我们探讨了美国农村非裔青年对社区社会机构在应对艾滋病病毒方面所起作用的看法。
我们在北卡罗来纳州的两个农村县对16至24岁的非裔美国人进行了四个焦点小组访谈。小组按性别和风险状况进行分层。我们采用扎根理论方法进行内容分析。
参与者将四个社会机构确定为艾滋病病毒相关健康促进工作的主要提供者：宗教组织、学校、政治人物和卫生机构。他们报告称，感觉到宗教组织对艾滋病病毒预防缺乏参与，禁欲式性教育政策存在限制，政治人物对解决更广泛的艾滋病病毒决定因素缺乏兴趣，以及卫生机构服务不足，并认为所有这些都不利于艾滋病病毒预防工作。
在设计与当地组织合作的艾滋病病毒预防干预措施时，应考虑青年对当地社会机构的重要见解。
