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Perceptions of Peer to Peer HIV/AIDS Education 对点对点艾滋病毒/艾滋病教育的看法
Pub Date : 2008-10-04 DOI: 10.1300/J499V07N02_08
Jay Sweifach Dsw, Heidi Heft Laporte Dsw
Abstract Although advances in HIV/AIDS treatment and prevention have led to improvements in health and well-being, HIV/AIDS continues to be a global health concern, especially for adolescents and young adults. The school system, with its access to vast numbers of youth, has and continues to be the most pivotal player in prevention. This article reports on an empirical study of school social workers which examined their views about the current state of HIV/AIDS education. A specific focus is placed on the use of peer education, under the guidance of school social workers, as a new strategy for increasing the potential of preventive education effectiveness.
尽管艾滋病毒/艾滋病治疗和预防方面的进展改善了人们的健康和福祉,但艾滋病毒/艾滋病仍然是一个全球性的健康问题,特别是对青少年和年轻人而言。能够接触到大量青年的学校系统一直并将继续在预防方面发挥最关键的作用。本文以学校社工为调查对象,调查了学校社工对艾滋病教育现状的看法。特别注重在学校社会工作者的指导下使用同伴教育,作为提高预防教育效力潜力的新战略。
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引用次数: 6
HIV/AIDS Prevention Education 艾滋病毒/艾滋病预防教育
Pub Date : 2008-09-25 DOI: 10.1300/J499V06N02_04
Thomas W. Sileo EdD, Myma A. Gooden Msw
Abstract American Indians/Alaska Natives represent slightly less than 0.9% of the total U.S. population, yet they account for one percent of the reported HIV and AIDS cases nationwide. Approximately 2537 cumulative AIDS cases have been identified in the American Indian/ Alaska Native community; AIDS related deaths account for about half of the cumulative cases among Native Peoples. The number of HIV/ AIDS cases is swelling as evidenced by the 122 new HIV infections and 190 new AIDS cases reported in 2001. Increases in HIV infection among American Indians/Alaska Natives result primarily from unprotected sexual activity and injection drug use. The information in this article considers cultural and family traits and values that should be addressed in HIV/AIDS prevention education and culturally competent instruction that complements these variables.
美国印第安人/阿拉斯加原住民占美国总人口的比例略低于0.9%,但他们占全国报告的艾滋病毒和艾滋病病例的1%。在美洲印第安人/阿拉斯加土著社区,已发现约2537例累计艾滋病病例;与艾滋病有关的死亡约占土著人民累计病例的一半。2001年报告的122例新的艾滋病毒感染和190例新的艾滋病病例证明,艾滋病毒/艾滋病病例的数量正在增加。美洲印第安人/阿拉斯加原住民中艾滋病毒感染的增加主要是由于无保护的性行为和注射吸毒。本文中的信息考虑了在艾滋病毒/艾滋病预防教育和补充这些变量的文化主管指导中应解决的文化和家庭特征和价值观。
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引用次数: 6
An Evaluation of a Peer-Based HIV/AIDS Education Program as Implemented in a Suburban High School Setting 对在郊区高中实施的基于同伴的艾滋病毒/艾滋病教育计划的评估
Pub Date : 2008-07-14 DOI: 10.1080/10698370802126485
Brian P. Cole, Timothy D. Nelson, R. Steele
ABSTRACT This study presents the results of an evaluation of a peer-based HIV/AIDS education program, the BASE program, as implemented in a suburban high school setting. The participants were 132 high school students who participated in an “AIDS Awareness Day” as a part of the BASE program in their high school. Each student completed preintervention and postintervention measures of HIV knowledge and attitudes toward HIV/AIDS. Results indicated that no significant change in knowledge was observed from preintervention to postintervention. A significant decrease in fear of becoming HIV infected was observed from preintervention to postintervention; however, other attitudes did not change over time. The results suggest limited effectiveness of the program as implemented in changing student knowledge of and attitudes toward HIV/AIDS. The role of fidelity to the original program is highlighted. This study provides relevant data for individuals and organizations who are responsible for selecting and implementing school-based HIV prevention programs, including health educators and health care providers, administrators, and policymakers.
本研究介绍了在郊区一所高中实施的基于同伴的艾滋病毒/艾滋病教育计划(BASE计划)的评估结果。参与者是132名高中生,他们参加了“艾滋病意识日”活动,这是他们高中BASE项目的一部分。每个学生都完成了干预前和干预后的艾滋病知识和对艾滋病的态度的测量。结果表明,从干预前到干预后,知识没有明显变化。从干预前到干预后,对感染艾滋病毒的恐惧显著减少;然而,其他态度并没有随着时间的推移而改变。结果表明,在改变学生对艾滋病毒/艾滋病的认识和态度方面,该计划的实施效果有限。忠实于原节目的作用是突出的。本研究为负责选择和实施以学校为基础的艾滋病预防项目的个人和组织提供了相关数据,包括卫生教育工作者和卫生保健提供者、管理人员和政策制定者。
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引用次数: 7
Little Needles, Big Haystack: Orphans of HIV/AIDS in the Deep South 小针,大草堆:美国南方腹地的艾滋病孤儿
Pub Date : 2008-07-14 DOI: 10.1080/10698370802126469
B. Lichtenstein
ABSTRACT Portrayals of children being affected by a parent's illness or death from HIV/AIDS typically involve survivors from high-prevalence countries in sub-Saharan Africa. Little is known about such children in the United States, even though HIV/AIDS is a significant cause of morbidity and mortality for adults of childbearing age. To address this issue, the present study investigated children who had been orphaned (or were at risk of being orphaned) in the American Deep South. The study also sought to describe the family contexts of at-risk children. Three research methods were used: a chart review of deceased and active adults at a public HIV clinic; an obituary review; and an examination of data from a statewide needs-assessment survey. The triangulated results indicated that at-risk children outnumbered orphans by 2 to 1. Most of these at-risk and orphaned children were African Americans living in abject poverty and facing an uncertain future. Privacy issues raised problems in identifying the children, and knowledge of their whereabouts was hampered by HIV-related stigma. Further research is needed to assess the needs of children for health policy purposes and to identify this group as a special population for intervention or referral to social services.
儿童受到父母因艾滋病患病或死亡的影响的描述通常涉及撒哈拉以南非洲高流行国家的幸存者。在美国,人们对这类儿童知之甚少,尽管艾滋病毒/艾滋病是育龄成人发病和死亡的一个重要原因。为了解决这个问题,本研究调查了美国南部腹地的孤儿(或有成为孤儿风险的儿童)。该研究还试图描述高危儿童的家庭背景。使用了三种研究方法:在公共艾滋病诊所对死亡和活跃的成年人进行图表回顾;讣告评论;以及对全州需求评估调查数据的检查。三角测量的结果表明,处于危险中的儿童的数量是孤儿的2倍。这些处于危险中的孤儿大多是生活在赤贫之中、前途未卜的非洲裔美国人。隐私问题引发了识别这些儿童的问题,而艾滋病毒相关的污名又阻碍了对他们下落的了解。需要进一步研究,以评估儿童的保健政策需要,并确定这一群体是需要干预或转介到社会服务机构的特殊人群。
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引用次数: 4
HIV/AIDS Researchers Interaction with Schoolteachers: A Key to Combat AIDS Among Brazilian Adolescents 艾滋病毒/艾滋病研究人员与学校教师的互动:在巴西青少年中防治艾滋病的关键
Pub Date : 2008-07-14 DOI: 10.1080/10698370802126501
S. Kashima, F. D. de Castro, Maria Fernanda de Castro Amarante, Grupo ProSeguir, M. R. Barbieri, D. Covas
ABSTRACT Considering the fact that information on HIV/AIDS is a strategy for disease control, this project was planned to provide comprehensive information about HIV infection and AIDS to schoolteachers and their students. Previous analysis of adolescent students' knowledge of HIV/AIDS showed that they still have doubts about transmission, diagnosis, and treatment. Thus we provided them with dynamic educational activities on the subject. Schoolteachers, students, and researchers worked together for 3 years developing HIV/AIDS educational material and activities such as theater plays, a first reader, games, and musical performances. The material produced by schoolteachers, students, and researchers in this multidisciplinary approach should be a way to promote prevention by fostering reflection and discussion regarding the disease process, HIV infection, and an understanding of the disease transmission. These creative, interactive activities may improve understanding on HIV/AIDS, and enhance school community assurance through the diffusion of information on HIV/AIDS to Brazilian society.
考虑到艾滋病信息是疾病控制的一种策略,本项目旨在向学校教师和学生提供全面的艾滋病感染和艾滋病信息。以往对青少年学生艾滋病知识的分析表明,他们对艾滋病的传播、诊断和治疗仍有疑虑。因此,我们为他们提供了关于这一主题的动态教育活动。学校教师、学生和研究人员一起工作了3年,开发了艾滋病毒/艾滋病教育材料和活动,如戏剧、第一读本、游戏和音乐表演。学校教师、学生和研究人员在这种多学科方法中制作的材料应该是通过促进对疾病过程、艾滋病毒感染和对疾病传播的理解的反思和讨论来促进预防的一种方式。这些创造性的互动活动可以增进对艾滋病毒/艾滋病的了解,并通过向巴西社会传播艾滋病毒/艾滋病的信息,加强学校社区的保障。
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引用次数: 2
American Indian University Students' Knowledge, Beliefs, and Behaviors Associated with HIV/AIDS 美国印第安大学学生与HIV/AIDS相关的知识、信仰和行为
Pub Date : 2008-07-14 DOI: 10.1080/10698370802124068
Nancy M. Sileo, Thomas W. Sileo
ABSTRACT Manuscript considers results of a research study that assesses American Indian university students' factual knowledge, understanding, and perceptions of susceptibility to HIV/AIDS, and relationships between their attitudes and decisions to engage in HIV-risk behaviors. Participants responded to a 57-item scaled survey and several demographic items. Survey items were grouped into five categories: factual knowledge about HIV/AIDS, perceptions about sexual intercourse and condom use, perceptions about susceptibility to HIV/AIDS, self-efficacy and HIV/AIDS, and personal beliefs about HIV/AIDS. Survey results indicate unique approaches should be employed when conducting HIV/AIDS prevention education programs for the heterogeneous American Indian/Alaska Native tribes in the United States.
手稿考虑了一项研究的结果,该研究评估了美国印第安大学学生对艾滋病毒/艾滋病易感性的事实知识、理解和感知,以及他们的态度和参与艾滋病毒风险行为的决定之间的关系。参与者回答了一项包含57个项目的规模调查和几个人口统计项目。调查项目分为五类:对艾滋病毒/艾滋病的实际认识、对性交和避孕套使用的认识、对艾滋病毒/艾滋病易感性的认识、自我效能感和艾滋病毒/艾滋病以及对艾滋病毒/艾滋病的个人信念。调查结果表明,在针对美国印第安人/阿拉斯加土著部落开展艾滋病毒/艾滋病预防教育项目时,应采用独特的方法。
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引用次数: 5
Parent-Adolescent Communication About Sex: The Impact of Content and Comfort on Adolescent Sexual Behavior 亲子性交流:内容与安慰对青少年性行为的影响
Pub Date : 2008-07-14 DOI: 10.1080/10698370802126477
C. Sneed
ABSTRACT This study examined the relationship between parent adolescent communication (comfort), topics discussed when talking to parents about sex (content), and sexual behavior. A larger percent of participants reported they discussed sex with their mother in comparison to their father. More females than males reported they discussed sexual topics with their parents. Adolescents reporting more comfort in talking with their mother about sex were more likely to hold conversations on topics about sex. Content of conversations was related to sexual behavior. A larger percent of adolescents who were told to wait to have sex until married were not sexually active in comparison to adolescents who were given no instruction. The importance of direct messages from parents on their expectations for child's sexual behavior is discussed.
本研究考察了父母青少年沟通(安慰)、与父母谈论性时讨论的话题(内容)和性行为之间的关系。与父亲相比,更大比例的参与者表示,他们与母亲讨论过性问题。与男性相比,更多的女性报告说他们与父母讨论过性话题。青少年在与母亲谈论性问题时感到更自在,他们更有可能就性话题展开对话。谈话内容与性行为有关。被告知要等到结婚后再发生性行为的青少年,与没有得到任何指示的青少年相比,性生活不活跃的比例更高。讨论了父母对孩子性行为期望的直接信息的重要性。
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引用次数: 57
Knowledge and Perception of STI/HIV Risk Among Rural African-American Youth: Lessons Learned in a Faith-Based Pilot Program 非洲裔农村青年对性传播感染/艾滋病毒风险的认识和认知:基于信仰的试点项目的经验教训
Pub Date : 2008-07-14 DOI: 10.1080/10698370802175193
J. Baldwin, E. Daley, E. Brown, Euna M. August, C. Webb, R. Stern, R. Malow, J. Dévieux
ABSTRACT The purpose of this study was to evaluate a pilot program designed to educate African American adolescents living in rural, North Florida about STIs/HIV and to compare the effectiveness of peer- and adult-led faith-based, HIV educational programs. Controlling for age and pretest knowledge scores, the summed knowledge score was significantly higher at posttest for the adult-led group than the teen-led group. Participants' perceived risk of acquiring HIV also increased significantly for the adult-led group. Significant pretest differences between the two groups narrowed at posttest. This pilot study has the potential to inform future, faith-based interventions for African American youth that utilize peer leaders to educate and conduct outreach on HIV/AIDS issues.
摘要:本研究的目的是评估一项旨在教育生活在北佛罗里达农村的非洲裔美国青少年性传播感染/艾滋病毒的试点项目,并比较同龄人和成人主导的基于信仰的艾滋病毒教育项目的有效性。控制年龄和测前知识得分,成人主导组的后测总知识得分显著高于青少年主导组。在成人领导的小组中,参与者感染艾滋病毒的感知风险也显著增加。两组显著的测试前差异在测试后缩小。这项初步研究有可能为今后非裔美国青年提供基于信仰的干预措施,利用同龄人领袖就艾滋病毒/艾滋病问题进行教育和宣传。
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引用次数: 20
Risk Behaviors and Health Care Utilization Among Homeless Youth: Contextual and Racial Comparisons 流浪青年的风险行为与卫生保健利用:背景与种族比较
Pub Date : 2008-04-30 DOI: 10.1080/15538340902824092
Jeffrey Sweat, A. Nyamathi, A. Christiani, Malaika Mutere
ABSTRACT This study analyzes survey and focus group data from 54 homeless youth from a drop-in center and residential shelter in the Los Angeles area. Youth from the drop-in center reported higher levels of risk-taking behaviors as well as less access, lower quality of care, and overall more negative views regarding health care utilization than those from the residential shelter. Effective interventions targeting homeless youth must be sensitive to the fact that this vulnerable population is heterogeneous. No single approach will address the specific needs, circumstances, and perspectives of all subgroups in the target population, necessitating a multifaceted design.
本研究分析了来自洛杉矶地区收容中心和收容中心的54名无家可归青年的调查和焦点小组数据。来自收容中心的青少年报告了更高水平的冒险行为、更少的机会、更低的护理质量,以及总体上对医疗保健利用的负面看法。针对无家可归青年的有效干预措施必须认识到这一弱势群体是异质的。没有一种方法能够满足目标人群中所有子群体的具体需求、情况和观点,因此需要多方面的设计。
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引用次数: 5
“I Don't Want to Sit by You”: A Preliminary Study of Experiences and Consequences of Stigma and Discrimination from HIV-positive Mothers and Their Children “我不想坐在你旁边”:对艾滋病毒阳性母亲及其子女的耻辱和歧视的经历和后果的初步研究
Pub Date : 2008-04-30 DOI: 10.1080/15538340902824126
Cynthia D. Fair, Brittany Brackett
ABSTRACT This exploratory study seeks to recognize the voices of infected mothers and their uninfected children regarding their experiences and consequences of stigma and discrimination. Ten children and their HIV-positive mothers were interviewed to assess perceptions of stigma and discrimination, as well as emotional and educational functioning. Quantitative and qualitative methods indicated that infected mothers perceive greater levels of stigma and experienced a greater number of discriminatory acts than their uninfected children. Children's total stigma score was significantly correlated with levels of maternal anxiety and depression. Additionally, child reading levels were negatively correlated with their mothers' total stigma score. Qualitative analyses revealed that many acts of stigma and discrimination experienced by the mothers were related to a fear of contagion. Children did not report any acts of discrimination due, in part, to the fact that children did not typically share their mother's HIV status with others. However, the majority of children believed they would be mistreated if they revealed their mother's HIV status to their classmates. Findings suggest that those children who report high levels of HIV-related stigma may be at risk for educational problems and that children's perceptions of stigma are influenced by maternal mental health.
本探索性研究旨在识别受感染母亲及其未受感染儿童关于其耻辱和歧视的经历和后果的声音。对10名儿童及其艾滋病毒阳性母亲进行了访谈,以评估对耻辱和歧视的看法,以及情感和教育功能。定量和定性方法表明,与未受感染的儿童相比,受感染的母亲感到更大程度的耻辱和遭受更多的歧视行为。儿童总污名得分与母亲焦虑、抑郁水平显著相关。此外,儿童阅读水平与母亲的总污名得分呈负相关。定性分析表明,母亲所经历的许多耻辱和歧视行为与害怕传染有关。儿童没有报告任何歧视行为,部分原因是儿童通常不会与其他人分享其母亲的艾滋病毒状况。然而,大多数孩子认为,如果他们向同学透露母亲的艾滋病毒状况,他们会受到虐待。研究结果表明,那些报告受到与艾滋病毒有关的耻辱程度较高的儿童可能面临教育问题的风险,儿童对耻辱的看法受到母亲心理健康的影响。
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引用次数: 11
期刊
Journal of HIV/AIDS prevention in children & youth
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