Dunleavy Victoria Orrego, Phillips Jasmine R, Chudnovskaya Elena V
J Health Care Poor Underserved. 2019;30(3):1001-1023. doi: 10.1353/hpu.2019.0070.
Guatemala has an accelerating HIV rate, where prevalence is three times higher among indigenous than nonindigenous people. Vulnerability is exacerbated by high poverty, low literacy, and poor access to prevention messaging, testing, and treatment options. This study develops a community-engaged HIV prevention campaign plan for the underserved Mayan town Santiago Atitlán. Guided by the community-based participatory research approach and the Health Belief Model, we identify barriers to and facilitators of HIV testing and condom use.
Formative data were collected from 50 Mayan heterosexual adults (18-25 years old) and community informants using in-depth interviews and a focus group.
Data identified high susceptibility and severity, low rates of condom use, high rates of stigma and low testing rates.
This research informs the development of a theoretically driven and culturally specific intervention that prioritizes an indigenous population. We highlight how collaboration with community partners enhances positive health promotion.
危地马拉的艾滋病毒感染率正在加速上升，当地原住民的患病率是非原住民的三倍。高贫困率、低识字率以及难以获得预防信息、检测和治疗选择加剧了这种脆弱性。本研究为服务不足的玛雅城镇圣地亚哥·阿蒂特兰制定了一项社区参与式艾滋病毒预防运动计划。以社区参与式研究方法和健康信念模型为指导，我们确定了艾滋病毒检测和使用避孕套的障碍及促进因素。
通过深入访谈和焦点小组，从50名玛雅异性恋成年人（18 - 25岁）和社区信息提供者那里收集形成性数据。
数据显示易感性和严重性高、避孕套使用率低、耻辱感高以及检测率低。
本研究为制定一项理论驱动且针对特定文化的干预措施提供了依据，该措施优先考虑原住民群体。我们强调了与社区伙伴合作如何加强积极的健康促进。
