Department of Social and Behavioral Sciences, School of Public Health, Yale University, New Haven, CT, USA.
Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT, USA.
J Racial Ethn Health Disparities. 2022 Aug;9(4):1298-1307. doi: 10.1007/s40615-021-01069-6. Epub 2021 May 26.
Racial-ethnic minority youth between the ages of 13 and 24 in the USA are disproportionately impacted by HIV. Low HIV knowledge and psychological antecedents such as low perception of risk and low sexual negotiation skills have all been associated with HIV risk behaviors; however, the role of ethnic identity on these factors is unclear in the literature. Ethnic identity, which is a critical part of identity development among racial-ethnic minority youth, has been found to be a protective factor in risk-taking behaviors. However, limited research is available on the role of ethnic identity in HIV prevention research among youth. For this study, data were collected as part of a larger HIV prevention education program using a sample of 564 students of color (Mean = 16.30, standard deviation [SD] = 1.26; 67.4% Hispanic, 29.5% Black) from an underserved northeastern US urban community. We examined whether ethnic identity moderated the relationship between psychological antecedents (e.g., perception of risk and sexual negotiation skills), gender, and viral hepatitis knowledge on HIV knowledge. Findings revealed that ethnic identity significantly moderated the relationship between psychological antecedent variables and HIV knowledge by strengthening these associations as ethnic identity increased. Female adolescents were also more likely to have higher levels of HIV knowledge than males. Findings provide support for cultural and gender-specific prevention programs for racial-ethnic minority youth that seek to reduce HIV risk behaviors by increasing ethnic identity, particularly in under-resourced communities.
美国年龄在 13 至 24 岁之间的少数族裔青年 disproportionately 受到 HIV 的影响。HIV 知识水平低以及风险感知低和性谈判技能低等心理前因与 HIV 风险行为有关；但是，种族认同在这些因素中的作用在文献中尚不清楚。种族认同是少数族裔青年身份发展的重要组成部分，已被发现是冒险行为的保护因素。但是，关于种族认同在青年 HIV 预防研究中的作用的研究有限。在这项研究中，数据是作为一项更大的 HIV 预防教育计划的一部分收集的，该计划的样本包括来自美国东北部一个服务不足的城市社区的 564 名有色人种学生（Mean = 16.30，标准差 [SD] = 1.26；67.4％为西班牙裔，29.5％为黑人）。我们研究了种族认同是否调节了心理前因（例如，风险感知和性谈判技能）、性别和病毒性肝炎知识与 HIV 知识之间的关系。研究结果表明，种族认同通过随着种族认同的提高而加强这些关联，显著调节了心理前因变量与 HIV 知识之间的关系。与男性相比，青春期少女也更有可能具有更高水平的 HIV 知识。研究结果为针对少数族裔青年的文化和性别特定预防计划提供了支持，这些计划旨在通过增强种族认同来减少 HIV 风险行为，特别是在资源匮乏的社区中。
