评估面向服务少数族裔年轻男性专业人士的经改编的项目连接社区干预措施。
Evaluation of an Adapted Project Connect Community-based Intervention Among Professionals Serving Young Minority Men.
机构信息
From the Departments of International Health and.
Pediatrics and.
出版信息
Sex Transm Dis. 2019 Mar;46(3):165-171. doi: 10.1097/OLQ.0000000000000977.
BACKGROUND
To address sexual and reproductive health (SRH) needs of young minority urban males, we developed and evaluated Project Connect Baltimore (Connect), which was adapted from a program with demonstrated effectiveness among young females. The objectives were to determine (1) the feasibility of Connect as adapted for young minority men, (2) whether the program increased SRH knowledge and resource sharing of youth-serving professionals (YSPs) working with young men, and (3) whether the program improved awareness and use of resources for young minority men in Baltimore City, an urban environment with high rates of sexually transmitted diseases.
METHODS
Connect developed a clinic referral guide for male youth-friendly resources for SRH. The YSPs working with partners and organizations serving young minority men were trained to use Connect materials and pretraining, immediate, and 3-month posttraining surveys were conducted to evaluate program effects. A before-after evaluation study was conducted among young men attending five urban Connect clinics where sexually transmitted disease/human immunodeficiency virus rates are high, recruiting young men in repeated cross-sectional surveys from April 2014 to September 2017.
RESULTS
Two hundred thirty-five YSPs were trained to use Connect materials, including a website, an article-based pocket guide, and were given information regarding SRH for young men. These professionals demonstrated increased knowledge about SRH for young men at immediate posttest (60.6% to 86.7%, P < 0.05), and reported more sharing of websites for SRH (23% to 62%, P < 0.05) from pretraining to 3-month posttraining. 169 young minority men were surveyed and reported increased awareness of Connect over 3 and a half years (4% to 11%, P = 0.015), although few young men reported using the website to visit clinics.
CONCLUSIONS
Project Connect Baltimore increased knowledge of SRH needs among youth-serving professionals and sharing of SRH resources by these professionals with young men. This program also demonstrated increases in awareness of SRH resources among young minority urban men.
背景
为满足少数族裔城市青年男性的性与生殖健康（SRH）需求，我们开发并评估了“巴尔的摩连接项目”（Connect），该项目是在一项针对年轻女性的具有良好效果的项目基础上改编而来。其目标是确定（1）改编后的 Connect 对少数族裔青年男性的可行性，（2）该项目是否提高了为青年男性服务的青年服务专业人员（YSP）的 SRH 知识和资源共享，以及（3）该项目是否提高了巴尔的摩市少数族裔青年对资源的认识和使用，巴尔的摩是一个性传播疾病发病率较高的城市环境。
方法
Connect 为男性青年友好型 SRH 资源开发了一个诊所转介指南。与服务少数族裔青年的合作伙伴和组织合作的 YSP 接受了使用 Connect 材料的培训，并在培训前、即时和 3 个月后进行了调查，以评估项目效果。在五个城市 Connect 诊所中，对性传播疾病/人类免疫缺陷病毒（HIV）发病率较高的青年男性进行了一项前后评估研究，该研究于 2014 年 4 月至 2017 年 9 月间对青年男性进行了多次横断面调查。
结果
235 名 YSP 接受了使用 Connect 材料的培训，包括一个网站、一个基于文章的袖珍指南，并提供了有关青年男性 SRH 的信息。这些专业人员在即时后测中表现出对青年男性 SRH 知识的增加（60.6%至 86.7%，P<0.05），并且从培训前到 3 个月后测报告了更多的青年男性 SRH 网站共享（23%至 62%，P<0.05）。对 169 名少数族裔青年进行了调查，他们在 3 年半的时间里对 Connect 的认识有所提高（4%至 11%，P=0.015），尽管很少有青年男性报告使用该网站访问诊所。
结论
巴尔的摩连接项目增加了青年服务专业人员对青年男性 SRH 需求的认识，并增加了这些专业人员与青年男性共享 SRH 资源。该项目还表明，少数族裔城市青年对 SRH 资源的认识有所提高。
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