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抑郁症与艾滋病风险:通过教会让年长非裔美国女性参与艾滋病预防教育

Depression and HIV risks: Engaging older African American women in HIV prevention education through the church.

作者信息

Ebor Megan T, Jackson Aurora P

机构信息

San Diego State University, San Diego, CA, United States.

School of Social Work, College of Health and Human Services, San Diego State University, San Diego, CA, United States.

出版信息

Front Reprod Health. 2023 Feb 14;5:898032. doi: 10.3389/frph.2023.898032. eCollection 2023.

DOI:10.3389/frph.2023.898032
PMID:36864849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9971724/
Abstract

This report describes the recruitment of a sample of older African American women to test the effectiveness of an educational HIV prevention intervention that sought to reduce depressive symptoms and thereby HIV risks in this population. The outreach venue is the Black church. A framework for maximizing response is suggested. Of 62 women who participated in two arms of the intervention, 29 were assigned randomly to a four-session discussion group (experimental condition) and 33 were assigned to a one-session informational group (control condition) focused on HIV prevention education. Between-within subjects analyses of variance showed that participation in the study was associated with a significant improvement in the women's psychological status, i.e., decreased depressive symptoms. This change in depressive symptoms was due in part to the experimental condition assignment. Implications for future HIV prevention interventions, research, and methods used to maximize the probability of response among older African American women are discussed.

摘要

本报告描述了招募老年非裔美国女性样本以测试一项教育性艾滋病毒预防干预措施有效性的情况,该干预措施旨在减轻抑郁症状,从而降低该人群中的艾滋病毒感染风险。外展场所是黑人教堂。文中提出了一个使回应最大化的框架。在参与干预两个环节的62名女性中,29名被随机分配到一个为期四节的讨论组(实验条件组),33名被分配到一个为期一节的信息组(对照组),该组专注于艾滋病毒预防教育。组间及组内方差分析表明,参与研究与女性心理状态的显著改善相关,即抑郁症状减轻。抑郁症状的这种变化部分归因于实验条件分配。文中还讨论了对未来艾滋病毒预防干预措施、研究以及用于使老年非裔美国女性回应概率最大化的方法的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8b/9971724/cddd1121814c/frph-05-898032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8b/9971724/01c72d693726/frph-05-898032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8b/9971724/cddd1121814c/frph-05-898032-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8b/9971724/01c72d693726/frph-05-898032-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc8b/9971724/cddd1121814c/frph-05-898032-g002.jpg

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Ethn Dis. 2020 Apr 23;30(2):287-294. doi: 10.18865/ed.30.2.287. eCollection 2020 Spring.
2
Church support networks of African Americans: The impact of gender and religious involvement.非裔美国人的教会支持网络:性别和宗教参与的影响。
J Community Psychol. 2019 Jun;47(5):1043-1063. doi: 10.1002/jcop.22171. Epub 2019 Feb 27.
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Older African Americans and the HIV Care Continuum: A Systematic Review of the Literature, 2003-2018.
老年非裔美国人与 HIV 护理连续体:2003-2018 年文献的系统评价。
AIDS Behav. 2019 Apr;23(4):973-983. doi: 10.1007/s10461-018-2354-4.
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Perceptions and receptivity of non-spousal family support: A mixed methods study of psychological distress among older, church-going African American men.非配偶家庭支持的认知与接受度:一项关于常去教堂的老年非裔美国男性心理困扰的混合方法研究。
J Mix Methods Res. 2017 Oct 1;11(4):487-509. doi: 10.1177/1558689815622707. Epub 2015 Dec 30.
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Learning and Developing Individual Exercise Skills (L.A.D.I.E.S.) for a Better Life: A Church-Based Physical Activity Intervention - Baseline Participant Characteristics.学习和发展个人运动技能(L.A.D.I.E.S.)以改善生活:基于教会的身体活动干预 - 基线参与者特征。
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