Sun Christina J, Mann Lilli, Eng Eugenia, Downs Mario, Rhodes Scott D
Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina, and now with the School of Community Health, Portland State University, Portland, Oregon.
Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina.
AIDS Educ Prev. 2015 Oct;27(5):465-73. doi: 10.1521/aeap.2015.27.5.465.
Little is known about the sustainability of male- and men's health-focused lay health advisors. HoMBReS Por un Cambio was a community-level social network intervention designed to improve sexual health among Latino men who were members of soccer teams. During the year after the intervention implementation, lay health advisors (Navegantes) continued to promote sexual health; over 84% (16 of the 19) Navegantes conducted 9 of 10 primary health promotion activities. Describing where to get condoms was the activity that the most Navegantes reported having conducted. Navegantes had broad reach with their social networks, although the number of Navegantes that conducted each activity differed across the categories of social network members (soccer teammates, nonteammates, and women). Results suggest that HIV-related health disparities may be addressed through lay health advisor interventions because they are sustained after the intervention ends and reach large numbers of community members.
关于以男性和男性健康为重点的非专业健康顾问的可持续性,我们所知甚少。HoMBReS Por un Cambio是一项社区层面的社交网络干预措施,旨在改善足球队中拉丁裔男性的性健康。在干预措施实施后的一年里,非专业健康顾问(导航员)继续促进性健康;超过84%(19名中的16名)的导航员开展了10项主要健康促进活动中的9项。描述获取避孕套的地点是大多数导航员报告开展过的活动。导航员在其社交网络中具有广泛影响力,尽管开展每项活动的导航员数量在社交网络成员类别(足球队友、非队友和女性)之间有所不同。结果表明,与艾滋病毒相关的健康差距可能通过非专业健康顾问干预措施得到解决,因为这些措施在干预结束后仍能持续,并能覆盖大量社区成员。
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