J Assoc Nurses AIDS Care. 2020 Jul-Aug;31(4):417-427. doi: 10.1097/JNC.0000000000000159.
This study investigated the knowledge and beliefs of a nationally representative sample of youth and young adults about HIV based on the microsystems and mesosystems of the ecodevelopmental theory. We used a stratified sample (n = 538) of Black and Latinx adolescents and young adults in the United States, 15-24 years of age, at risk of becoming infected with HIV to assess the source of their HIV knowledge and its association with HIV testing to identify modifiable factors that can support the development of interventions addressing HIV-related risks. Using a logistic regression analysis, findings suggest that identifying protective health behaviors, such as providing adolescents and young adults with sexual health information that is accurate, trustworthy, and safe, could be one way to reduce their risk of HIV infection. Expanding knowledge about the important role and influence of sources of HIV-related knowledge on testing behaviors can inform HIV prevention and intervention programs specific to this population.
本研究基于生态发展理论的微观系统和中观系统,调查了全国代表性的青年和年轻成年人对 HIV 的知识和信念。我们使用分层抽样(n=538)的方法,在美国选取了 15-24 岁的有感染 HIV 风险的黑人和拉丁裔青少年和年轻成年人作为样本,以评估他们 HIV 知识的来源及其与 HIV 检测的关联,从而确定可以支持制定干预措施的可改变因素,以解决与 HIV 相关的风险。通过逻辑回归分析,研究结果表明,识别保护性行为,例如为青少年和年轻成年人提供准确、可信和安全的性健康信息,可能是降低他们感染 HIV 风险的一种方式。扩大对与 HIV 相关知识来源对检测行为的重要作用和影响的认识,可以为针对这一人群的 HIV 预防和干预计划提供信息。