Community-Based Research Institute, Florida International University, Miami, FL, USA.
Research Center in a Minority Institution, Florida International University, Miami, FL, USA.
J Prim Prev. 2021 Aug;42(4):331-341. doi: 10.1007/s10935-020-00610-3. Epub 2020 Oct 9.
Hispanic/Latinx youth in the U.S. are disproportionately affected by HIV, and are in need of culturally, linguistically, and developmentally tailored HIV prevention programs focused on expanding routine screening and environmental prevention efforts. With SAMHSA support, we implemented an HIV prevention campaign targeting 18- to 24-year-old Hispanic/Latinx college students. Based on formative feedback, both traditional communication and social media channels were employed to motivate students to seek free-of-charge on-campus HIV testing. Participants' attitudes regarding the benefits of and confidence in condom use were also examined. From 2015 to 2018, 1406 Hispanic 18-24 year olds received an on-campus HIV test; for nearly half, this was their first HIV test ever. Among first time testers, the reasons for not getting tested sooner included that over 70% thought they were unlikely to have an HIV infection, over 20% said they did not know where to get tested, and 10% reported being afraid to find out their status. Moreover, participants reported a variety of cues to seeking testing: just under half reported printed flyers, on-campus lawn signs, and word-of-mouth, and almost 15% reported social media. Repeat testers (n = 717) were significantly more likely than first time testers to report hearing about HIV testing through social media. There were significant gains from baseline to the 1-month follow-up in both perceived advantages of condom use and confidence in condom use. Our study showed that messages conveyed through traditional communication channels remain important and serve as cues to seek HIV testing for Hispanic/Latinx college students, especially those who have never before been tested.
美国的西班牙裔/拉丁裔青年受到艾滋病毒的不成比例影响，他们需要文化、语言和发展方面量身定制的艾滋病毒预防方案，重点是扩大常规筛查和环境预防工作。在美国卫生与公众服务部的支持下，我们针对 18 至 24 岁的西班牙裔/拉丁裔大学生实施了一项艾滋病毒预防运动。根据形成性反馈，我们同时使用传统的沟通渠道和社交媒体渠道来激励学生寻求免费的校内艾滋病毒检测。还检查了参与者对使用避孕套的好处和信心的态度。从 2015 年到 2018 年，有 1406 名 18 至 24 岁的西班牙裔人接受了校内艾滋病毒检测；将近一半的人这是他们第一次进行艾滋病毒检测。在首次检测者中，未及早进行检测的原因包括超过 70%的人认为他们不太可能感染艾滋病毒，超过 20%的人表示不知道在哪里可以进行检测，10%的人表示害怕了解自己的状况。此外，参与者报告了寻求检测的各种线索：近一半的人报告了印刷传单、校园草坪标志和口口相传，近 15%的人报告了社交媒体。重复测试者（n=717）比首次测试者更有可能通过社交媒体听说过艾滋病毒检测。从基线到 1 个月的随访，对使用避孕套的好处的感知和对使用避孕套的信心都有显著提高。我们的研究表明，通过传统沟通渠道传达的信息仍然很重要，并且是为西班牙裔/拉丁裔大学生寻求艾滋病毒检测的线索，尤其是那些以前从未接受过检测的大学生。
