Department of Community Health and Preventive Medicine, Prevention Research Center, Morehouse School of Medicine, Atlanta, GA 30310, USA.
Office of Strategic Research Communications, University of Houston Division of Research, Houston, TX 77004, USA.
Int J Environ Res Public Health. 2024 Oct 23;21(11):1395. doi: 10.3390/ijerph21111395.
Black Americans and the Southern United States are disproportionately represented in the HIV epidemic. Historically Black Colleges and Universities (HBCUs) and Predominantly Black Institutions (PBIs), often located in communities that have been historically underserved, are uniquely positioned to implement HIV prevention interventions focused on Black young adults. The purpose of the current study was to conduct a qualitative study, using the Consolidated Framework for Implementation Research (CFIR) model as a guide, to identify the barriers and facilitators to implementing an HIV intervention pre- and post-implementation. Pre-implementation key informant interviews with administrators, faculty, and staff, alongside focus groups with students, highlighted several themes as potential influencers on intervention rollout. These included perceived need, campus health resources, cost, personnel availability, student priorities, HIV-related stigma, and institutional culture. Post-implementation interviews with campus liaisons further revealed themes including institutional culture, external partnerships, internal communication, student health resource accessibility, and peer educator recruitment and retention. These findings underscore the complexities of implementing public health interventions in academic settings and may guide future efforts at HBCUs and PBIs to effectively address HIV prevention.
美国黑人以及美国南部地区在艾滋病病毒流行中所占比例不成比例。历史上的黑人学院和大学（HBCUs）以及以黑人为主的机构（PBIs），通常位于历史上服务不足的社区，因此非常适合实施针对黑人青年的艾滋病预防干预措施。本研究的目的是使用整合实施研究框架（CFIR）模型进行定性研究，以确定在实施前和实施后实施艾滋病干预措施的障碍和促进因素。在实施前，对管理人员、教师和工作人员进行了关键知情人访谈，并对学生进行了焦点小组讨论，这些讨论突出了几个可能影响干预措施推广的主题。这些主题包括感知需求、校园健康资源、成本、人员可用性、学生的优先事项、与艾滋病相关的耻辱感和机构文化。在实施后，与校园联络人进行的访谈进一步揭示了一些主题，包括机构文化、外部伙伴关系、内部沟通、学生健康资源的可及性以及同伴教育者的招募和保留。这些发现强调了在学术环境中实施公共卫生干预措施的复杂性，并可能为 HBCUs 和 PBIs 提供指导，以有效地解决艾滋病预防问题。
