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南佛罗里达州一个拉丁裔季节性农业工人社区的 HIV 预防意识的定性社区卫生评估。

A qualitative community health assessment of HIV prevention awareness in a semi-rural Latinx seasonal farm working community in South Florida.

机构信息

Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA), Robert Stempel College of Public Health and Social Work, Department of Health Promotion & Disease Prevention, FL International University, Miami, FL, USA.

Department of Social Anthropology, Basic Psychology and Public Health, Universidad Pablo de Olavide, Seville, Spain.

出版信息

Cult Health Sex. 2024 Aug;26(8):1072-1087. doi: 10.1080/13691058.2023.2296483. Epub 2023 Dec 29.

Abstract

This article explores HIV awareness and prevention in a Latinx seasonal farmworker community of south Miami-Dade County in the USA. The study took place as part of a larger community assessment that aimed to determine community needs and resources related to substance abuse, violence and HIV in the Latinx seasonal farmworker communities of south Miami-Dade County, with a particular focus on fathers' and their male sons' relationships. The study collected data on HIV knowledge and prevention, healthcare-seeking behaviours, cultural norms, and communication barriers about HIV prevention between fathers and sons. Data were collected through in-depth interviews with community leaders, two focus groups with social and health services providers, and four focus groups involving fathers and their adolescent sons. A deductive approach to data analysis was undertaken. Five major themes were identified: (1) HIVrelated knowledge and perception; (2) HIV prevention strategies; (3) barriers and needs for tailored preventive health and care services in the community; (4) stress over sex-related communication; and (5) the dominance of traditional masculine gender norms in the household and the community.

摘要

本文探讨了美国迈阿密戴德县南部拉丁裔季节性农业工人社区的 HIV 意识和预防问题。该研究是更大规模社区评估的一部分,旨在确定与迈阿密戴德县南部拉丁裔季节性农业工人社区有关的药物滥用、暴力和 HIV 的社区需求和资源,重点关注父亲及其男性儿子之间的关系。该研究收集了有关 HIV 知识和预防、寻求医疗保健行为、文化规范以及父亲与儿子之间 HIV 预防沟通障碍的数据。数据是通过对社区领导、社会和卫生服务提供者的两个焦点小组以及涉及父亲及其青少年儿子的四个焦点小组的深入访谈收集的。采用演绎法进行数据分析。确定了五个主要主题:(1)与 HIV 相关的知识和看法;(2)HIV 预防策略;(3)社区中针对特定预防保健服务的障碍和需求;(4)与性相关的沟通带来的压力;(5)传统男性性别规范在家庭和社区中的主导地位。

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