Edwards Lorece V, Lindong Ian, Brown Lawrence, Hawkins Anita S, Dennis Sabriya, Fajobi Olaoluwa, Rowel Randolph, Braithwaite Ronald, Sydnor Kim D
J Health Care Poor Underserved. 2017;28(2S):48-68. doi: 10.1353/hpu.2017.0052.
The Human Immunodeficiency Virus (HIV) significantly affects minority emerging adults, among whom the rate of new diagnoses is high and health disparities are more pronounced. Importantly, emerging adults today have limited knowledge of the earlier toll of the virus when it was identified as a killer. Among this population, perceptions of risk for HIV are low and sexual risk taking behaviors are high. The Get SMART Project is a behavioral intervention aimed to provide re-purposed HIV, alcohol, and substance abuse prevention education and HIV testing to African American emerging adults ages 18-24. The project was guided by the Health Belief Model, Community Promise, and Training for Institutional Procedures. Findings revealed that HIV testing is low. Marijuana and alcohol are drugs of choice. Emerging adults do not see themselves at risk for HIV, although they engaged in high-risk behaviors. Additionally, survival expectations influence behavior risk.
人类免疫缺陷病毒（HIV）对少数族裔的新兴成年人有显著影响，在这些人群中，新诊断率很高，健康差距也更为明显。重要的是，如今的新兴成年人对该病毒在被认定为杀手时造成的早期损害了解有限。在这一人群中，对HIV风险的认知较低，而性行为冒险行为却很普遍。“变得明智”项目是一项行为干预措施，旨在为18至24岁的非裔美国新兴成年人提供重新调整用途的HIV、酒精和药物滥用预防教育以及HIV检测。该项目以健康信念模型、社区承诺和机构程序培训为指导。研究结果显示，HIV检测率较低。大麻和酒精是首选毒品。新兴成年人虽然从事高风险行为，但并不认为自己有感染HIV的风险。此外，生存预期会影响行为风险。
