Women's Global Health Imperative, RTI International, 2150 Shattuck Avenue, Berkeley, CA, USA.
University of North Carolina, Chapel Hill, NC, USA.
AIDS Behav. 2022 May;26(5):1672-1683. doi: 10.1007/s10461-021-03519-y. Epub 2021 Nov 1.
Adolescents and young adults (AYA; 13-24 years-old) comprise 22% of new HIV infections in the United States (US), most of whom live in the South. We used the situated-Information, Motivation, Behavioral skills (sIMB) model to identify priorities for intervention on multi-level factors that influence HIV preventive care among Black AYA in Durham, North Carolina. We conducted two participatory workshops (ages 13-17, N = 6; ages 18-24, N = 7) to engage youth about how to discuss HIV. We also assessed sIMB constructs from a separate quantitative sample of youth to contextualize the workshop findings (N = 80). HIV knowledge was low overall, but lower among younger Black AYA, suggesting a need for comprehensive sexual education. Trusted adults provided sexual health information, motivation for health maintenance, and behavioral skills support. HIV prevention interventions should provide comprehensive sexual health education to Black AYA, be age-specific, and include social supporters like parents, teachers, and community members.
青少年和年轻人（AYA；13-24 岁）占美国新感染艾滋病病毒人数的 22%，其中大多数人居住在美国南部。我们利用情境信息、动机、行为技能（sIMB）模型，确定了在多层面因素方面的干预重点，这些因素影响北卡罗来纳州达勒姆市的黑人 AYA 接受艾滋病预防护理的情况。我们举办了两次参与式研讨会（年龄 13-17 岁，N=6；年龄 18-24 岁，N=7），让年轻人参与讨论如何讨论艾滋病病毒。我们还评估了来自青年的单独定量样本中的 sIMB 结构，以了解研讨会的结果（N=80）。总体而言，艾滋病病毒知识水平较低，但年轻黑人 AYA 的知识水平较低，这表明需要进行全面的性教育。可信赖的成年人提供性健康信息、维护健康的动机和行为技能支持。艾滋病预防干预措施应向黑人 AYA 提供全面的性健康教育，要针对特定年龄，并包括像父母、教师和社区成员等社会支持者。
