Pub Date : 2024-09-11DOI: 10.1097/jnc.0000000000000502
Mary C Figgatt,Jessica Jaiswal,John Bassler,Kelly Gagnon,Morgan Mulrain,Harriette Reed-Pickens,Ronan O'Beirne,Ellen F Eaton
Substance use stigma is a barrier to care among people with HIV (PWH), which is exacerbated in the Deep U.S. South. Nurses and nonclinical staff serve a central role in strengthening and expanding care coordination in clinics that serve PWH. We sought to implement and evaluate a pilot training intervention that aimed to reduce substance use stigma among clinical and nonclinical staff who provide care for PWH in the Deep South. In total, 32 clinical and nonclinical staff from five clinics participated in the training, of whom 22% were nurses and 38% were linkage coordinators. We evaluated the association between the intervention and stigma by asking respondents about their agreement with varying levels of stigmatized statements both before and after the training. Overall, we observed a slight reduction in stigma scores. This training has promise as one low-burden approach to substance use stigma reduction in HIV care settings.
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Pub Date : 2024-09-11DOI: 10.1097/jnc.0000000000000501
David R Garcia,Jason Fletcher,Lloyd Goldsamt,David L Bell,Yaguang Zheng,Ann-Margaret Dunn Navarra
This secondary analysis of the National Youth Risk Behavior Survey (years 2015-2019) examines associations between school-based protective factors (i.e., safe school environments and academic achievement) and HIV risk behaviors among sexually experienced adolescent gay and bisexual men (n = 644), a population with the highest prevalence of undiagnosed HIV infections. Demographics included Hispanics/Latinos (25%, n = 158), Other race/ethnicity (14%, n = 88), and non-Hispanic Blacks/African Americans (13%, n = 81). Adjusted models showed that protective factors reduced odds for early sexual debut, multiple sexual partners, sex under the influence of drugs/alcohol, and condomless sex, with an additive effect demonstrated when two protective factors were present. Hispanics/Latinos had greater odds of reporting multiple sexual partners and HIV testing, indicating opportunities for school-based HIV prevention and further research. Our findings provide support for school-based programs that aim to improve social and structural determinants of health and ultimately reduce adolescent HIV burdens.
本研究对 "全国青少年危险行为调查"（2015-2019 年）进行了二次分析，研究了基于学校的保护因素（即安全的学校环境和学业成绩）与有性经验的青少年男同性恋和双性恋男性（n = 644）的 HIV 危险行为之间的关联，该人群是未确诊 HIV 感染率最高的人群。人口统计学数据包括西班牙裔/拉丁裔（25%，n = 158）、其他种族/人种（14%，n = 88）和非西班牙裔黑人/非洲裔美国人（13%，n = 81）。调整后的模型显示，保护性因素降低了过早初次性行为、多个性伴侣、在毒品/酒精影响下发生性行为和无安全套性行为的几率，当存在两个保护性因素时，保护性因素会产生叠加效应。西班牙裔/拉美裔报告有多个性伴侣和进行 HIV 检测的几率更大，这为校本 HIV 预防和进一步研究提供了机会。我们的研究结果为旨在改善健康的社会和结构性决定因素并最终减轻青少年艾滋病负担的校本项目提供了支持。
{"title":"School-Based Protective Factors for HIV Prevention in the United States: Secondary Analysis of the Youth Risk Behavior Survey 2015-2019.","authors":"David R Garcia,Jason Fletcher,Lloyd Goldsamt,David L Bell,Yaguang Zheng,Ann-Margaret Dunn Navarra","doi":"10.1097/jnc.0000000000000501","DOIUrl":"https://doi.org/10.1097/jnc.0000000000000501","url":null,"abstract":"This secondary analysis of the National Youth Risk Behavior Survey (years 2015-2019) examines associations between school-based protective factors (i.e., safe school environments and academic achievement) and HIV risk behaviors among sexually experienced adolescent gay and bisexual men (n = 644), a population with the highest prevalence of undiagnosed HIV infections. Demographics included Hispanics/Latinos (25%, n = 158), Other race/ethnicity (14%, n = 88), and non-Hispanic Blacks/African Americans (13%, n = 81). Adjusted models showed that protective factors reduced odds for early sexual debut, multiple sexual partners, sex under the influence of drugs/alcohol, and condomless sex, with an additive effect demonstrated when two protective factors were present. Hispanics/Latinos had greater odds of reporting multiple sexual partners and HIV testing, indicating opportunities for school-based HIV prevention and further research. Our findings provide support for school-based programs that aim to improve social and structural determinants of health and ultimately reduce adolescent HIV burdens.","PeriodicalId":520111,"journal":{"name":"Journal of the Association of Nurses in AIDS Care","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142222927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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