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少数族裔家庭参与家庭式艾滋病预防项目的动机与障碍

Motivators and Barriers to Participation of Ethnic Minority Families in a Family-Based HIV Prevention Program.

作者信息

Pinto Rogério M, McKay Mary M, Baptiste Donna, Bell Carl C, Madison-Boyd Sybil, Paikoff Roberta, Wilson Marla, Phillips Daisy

机构信息

HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute/Columbia University.

Mount Sinai School of Medicine.

出版信息

Soc Work Ment Health. 2007 May 1;5(1-2):187-201. doi: 10.1300/J200v05n01_09.

DOI:10.1300/J200v05n01_09
PMID:20686648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2913901/
Abstract

Involving low-income, ethnic minority families in lengthy HIV prevention programs can be challenging. Understanding the motivators and barriers to involvement may help researchers and practitioners design programs that can be used by populations most at risk for HIV exposure. The present study discusses motivators and barriers to involvement in the Collaborative HIV Prevention and Adolescent Mental Health Project (CHAMP), using data from a sample of 118 families that participated at varying levels in the twelve sessions of the program. Most participants chose motivators that reflect their perceptions of individual and/or family needs ("CHAMP might help me, mine, and other families"), and of characteristics of the program, such as CHAMP staff were friendly, CHAMP was fun. Among barriers to involvement, respondents expressed concerns about confidentiality, and about being judged by program staff. Respondents also reported experiencing many stressful events in their families (e.g., death and violence in the family) that may have been barriers to their involvement. Knowing these motivators and barriers, researchers and practitioners can enhance involvement in HIV prevention programs.

摘要

让低收入的少数族裔家庭参与长期的艾滋病毒预防项目可能具有挑战性。了解参与的动机和障碍可能有助于研究人员和从业者设计出可供艾滋病毒暴露风险最高人群使用的项目。本研究利用来自118个家庭样本的数据,讨论了参与“协作艾滋病毒预防与青少年心理健康项目”(CHAMP)的动机和障碍,这些家庭以不同程度参与了该项目的十二次课程。大多数参与者选择的动机反映了他们对个人和/或家庭需求的认知(“CHAMP可能会帮助我、我的家人以及其他家庭”),以及对项目特点的认知,比如CHAMP的工作人员很友好、CHAMP很有趣。在参与的障碍方面,受访者表达了对保密性以及被项目工作人员评判的担忧。受访者还报告称,他们的家庭经历了许多压力事件(如家庭中的死亡和暴力),这些可能是他们参与项目的障碍。了解这些动机和障碍后,研究人员和从业者可以提高人们对艾滋病毒预防项目的参与度。

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