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Development and Evaluation of an HIV/AIDS Knowledge Measure for Adolescents Focusing on Misconceptions 以误解为中心的青少年艾滋病知识测评的发展与评价
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_03
W. B. de Bruin, J. Downs, Baruch Fischhoff, C. Palmgren
Abstract Measures of adolescents' HIV/AIDS knowledge that cover only die basic facts may fail to assess underlying misunderstandings in need of intervention. We developed and evaluated a measure covering the broad domain of HIV/AIDS knowledge, emphasizing misunderstandings revealed in semi-structured qualitative interviews. These included the cumulative and relative risks of unsafe behaviors, proper condom use, needle cleaning, HIV test procedures, and disease progression. Reliability was satisfactory; a correlation between test performance and condom use among sexually active teens provided predictive validity.
对青少年艾滋病毒/艾滋病知识的测量仅涵盖基本事实,可能无法评估潜在的误解,需要干预。我们开发并评估了一种涵盖艾滋病毒/艾滋病知识广泛领域的测量方法,强调了半结构化定性访谈中揭示的误解。这些风险包括不安全行为的累积和相对风险、正确使用安全套、针头清洁、艾滋病毒检测程序和疾病进展。可靠性令人满意;在性活跃的青少年中,测试成绩和避孕套使用之间的相关性提供了预测效度。
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引用次数: 16
The Preliminary Findings of a Study Exploring the Perceptions of a Sample of Young Heterosexual Males Regarding HIV Prevention Education Programming in Nova Scotia, Canada 加拿大新斯科舍省年轻异性恋男性对艾滋病预防教育规划的看法的初步研究结果
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_08
J. Gahagan, L. Rehman, L. Barbour, S. McWilliam
Abstract Despite the increasing numbers of young Canadian females becoming infected with HIV through heterosexual transmission with an infected male sexual partner, the majority of current HIV prevention programs and services in Canada continue to ignore the needs of young heterosexual males. This research is derived from 30 indepfh interviews, 9 focus groups and 13 indepfh interviews with sexual and reproductive health educators. The preliminary results of a province-wide, qualitative study on the sexual and reproductive needs of young sexually active males (n = 50) indicate that heterosexual males remain glaringly absent from HIV prevention programming in Nova Scotia. A number of key themes illustrate the current disconnect between sexual and reproductive health messages and the HIV prevention education needs of young heterosexual males. These themes include perceptions of male sexuality, peer norms, structural and attitudinal barriers to information, and confidentiality. This paper highlights these key themes in the context of focus groups conducted with a sample of young heterosexual males from across Nova Scotia, Canada. The paper concludes with possible directions for the development of healthy sexuality programming and HIV prevention education best practices for young, heterosexual males.
尽管越来越多的加拿大年轻女性通过与受感染的男性性伴侣的异性传播感染艾滋病毒,但加拿大目前的大多数艾滋病毒预防项目和服务仍然忽视了年轻异性恋男性的需求。这项研究是基于30个深入访谈、9个焦点小组和13个对性健康和生殖健康教育者的深入访谈。在全省范围内对性活跃的年轻男性(n = 50)的性和生殖需求进行的定性研究的初步结果表明,在新斯科舍省,异性恋男性仍然明显缺席艾滋病毒预防规划。若干关键主题说明了目前异性恋青年男性的性健康和生殖健康信息与艾滋病毒预防教育需求之间的脱节。这些主题包括对男性性行为的看法、同伴规范、信息的结构和态度障碍以及保密性。本文通过对来自加拿大新斯科舍省的年轻异性恋男性进行焦点小组调查,强调了这些关键主题。本文最后提出了针对年轻异性恋男性开展健康性行为规划和艾滋病毒预防教育最佳实践的可能方向。
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引用次数: 11
Orphans in Nyanza, Kenya 肯尼亚尼安扎的孤儿们
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_05
Tamara Landry, I. Luginaah, E. Maticka-Tyndale, D. Elkins
Abstract This paper examined the everyday challenges, Stressors and coping strategies of orphans affected by HIV/AIDS in Nyanza, Kenya. A thematic analysis of six focus group discussions with orphans was guided by Stress and Coping Theoretical Framework. The orphans reported intense stress at the time of their parents' death with their immediate concern being who would care for them. Most orphans were separated from their siblings, and this separation only compounded the Stressors and difficulties encountered by orphans. Orphans reported having problems with schooling and being treated differently as compared with the children of their caregivers. Orphans adopted various emotion-foused and problem-focused coping strategies, which were reinforced by financial and social support provided by their caregivers and community-based organizations.
摘要:本文研究了肯尼亚尼扬扎艾滋病孤儿的日常挑战、压力源和应对策略。以压力与应对理论框架为指导,对六次孤儿焦点小组讨论进行专题分析。据报道,这些孤儿在父母去世时压力很大,他们最关心的是谁来照顾他们。大多数孤儿与他们的兄弟姐妹分开,这种分离只会加剧孤儿所遇到的压力和困难。据报道,孤儿在上学方面存在问题,与照顾者的孩子相比,他们受到了不同的对待。孤儿采取了各种以情感为中心和以问题为中心的应对策略,这些策略得到照顾者和社区组织提供的经济和社会支持的加强。
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引用次数: 6
High-Risk Behaviors Among Youth and Their Reasons for Not Getting Tested for HIV 青少年的高危行为及其不接受艾滋病毒检测的原因
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_04
Matthew B. Moyer, A. Silvestre, E. Lombardi, Christopher A. Taylor
Abstract Concerned about reports of a 15% decline in HIV testing among high-risk youth in an earlier study in Pittsburgh, this study was initiated to explore reasons why young people are not getting tested for HIV, while gathering data on their respective level of risk taking behaviors. A total of 580 surveys were collected from youth aged between 14 and 24. Overall, 17% of youth were found to be at high to some risk for HIV infection, while many of them agreed they were not at-risk for HIV. Young MSM reported being afraid of testing HIV positive. Young people continue to engage in high-risk behaviors and avoid HIV testing, and efforts are needed to identify these youth and equip them with the resources they need to avoid infection.
考虑到匹兹堡早前的一项研究中,高危青年的艾滋病毒检测率下降了15%,本研究旨在探讨年轻人不接受艾滋病毒检测的原因,同时收集他们各自风险行为水平的数据。总共收集了580份来自14至24岁青少年的调查。总体而言,17%的年轻人被发现有感染艾滋病毒的高风险,而他们中的许多人认为他们没有感染艾滋病毒的风险。年轻的男男性接触者报告说,他们害怕检测出艾滋病毒呈阳性。年轻人继续从事高风险行为,避免进行艾滋病毒检测,需要努力查明这些年轻人,并为他们提供避免感染所需的资源。
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引用次数: 17
Validation of a Partner Sexual Communication Scale for Use in HIV/AIDS Prevention Interventions 在艾滋病毒/艾滋病预防干预中使用的伴侣性交流量表的验证
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_02
R. Milhausen, J. Sales, G. Wingood, R. DiClemente, L. Salazar, R. Crosby
Abstract This paper reports on three studies in which the Partner Communication Scale (PCS) is validated. The PCS assesses African American adolescent females' frequency of sexual communication with male sex partners. The PCS was administered to three samples of African American female adolescents (N = 522; N = 280; N = 715) ranging in age from 14 to 21. The PCS demonstrated strong internal consistency and acceptable stability over 6-month and 12-month follow-up periods. Scores on the PCS were correlated with frequency of parent communication, sexual communication self-efficacy, sexual refusal self-efficacy, fear of communication about condoms, partner-related barriers to condom use, relationship satisfaction, self-esteem, exposure to communication-related sex education in schools and condom use, particularly with nonsteady male sex partners. The present investigation indicates that the PCS is a reliable and valid measure of frequency of sexual communication for female adolescents with their male sex partners. Future research with the PCS with more diverse samples in terms of race/ethnicity, gender, age and sexual orientation will be useful to establish its reliability and validity for these adolescent subgroups.
摘要本文报道了三个对伙伴沟通量表(PCS)进行验证的研究。PCS评估了非裔美国青少年女性与男性性伴侣的性交流频率。PCS被用于3个非裔美国女性青少年样本(N = 522;N = 280;N = 715),年龄从14岁到21岁不等。在6个月和12个月的随访期间,PCS表现出很强的内部一致性和可接受的稳定性。PCS的得分与父母交流频率、性交流自我效能、性拒绝自我效能、对避孕套交流的恐惧、与伴侣有关的使用避孕套的障碍、关系满意度、自尊、在学校接受与交流有关的性教育以及避孕套的使用(尤其是与不稳定的男性性伴侣)相关。本研究表明,个人行为量表是衡量女性青少年与其男性性伴侣性交流频率的一种可靠有效的方法。未来的研究将在种族/民族、性别、年龄和性取向方面对PCS进行更多样化的研究,以建立其对这些青少年亚群体的信度和效度。
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引用次数: 42
The Perception of Family Conflict by Parents Living with HIV/AIDS and Their Adolescent Children 艾滋病毒/艾滋病父母及其青少年子女对家庭冲突的看法
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_06
Li Li, Luohua Jiang, Lynwood Lord, M. Rotheram-Borus
Abstract This study explores discrepancies in perceiving family conflict between HIV-infected parents and their adolescent children aged 12 to 22. A representative sample of 382 adolescent children and their HIV+ parents were recruited and assessed over 4 years. Relationships between discrepancies in perception and family demographics and the impact of discrepancies on adolescent adjustment are examined. A significant gap in perceiving family conflict was reported between parents and young adolescents aged 12. A higher level of discrepancy was associated with poor economic status, lower parental education, parental hard drug use, and negative parental coping style. Behavioral intervention programs for adolescents must consider both parents' and adolescents' psychosocial status and behavioral indicators as well as their impact on perceptions of family conflict.
摘要本研究探讨12 ~ 22岁hiv感染父母及其青少年子女在家庭冲突认知上的差异。在4年的时间里,对382名青少年儿童及其艾滋病毒阳性父母的代表性样本进行了招募和评估。研究了认知差异与家庭人口统计数据之间的关系以及差异对青少年适应的影响。父母与12岁青少年对家庭冲突的认知存在显著差异。较高的差异与经济状况差、父母受教育程度低、父母吸毒严重和父母消极的应对方式有关。青少年行为干预计划必须考虑父母和青少年的社会心理状态和行为指标,以及他们对家庭冲突的看法的影响。
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引用次数: 5
Individual, Peer, and Family Variables Associated with Risky Sexual Behavior Among Male and Female Incarcerated Adolescents 个人,同伴和家庭变量与男性和女性监禁青少年的危险性行为相关
Pub Date : 2007-07-20 DOI: 10.1300/J499v08n01_07
K. Mosack, C. Gore-felton, M. Chartier, E. McGarvey
Abstract This study examined individual, peer, and family variables associated with adolescent sexual risk behavior. Participants included 1008 adolescents (857 males and 151 females) incarcerated in Virginia juvenile correctional facilities. At the bivariate level, externalizing behaviors, social problems, perceived friend support, perceived family support, and family structure were significantly correlated (p < .10) with the lifetime number of sexual partners. After controlling age, multivariate analyses found that externalizing behaviors, social problems, perceptions of better family support, and family structure were significantly associated with the lifetime number of sexual partners for the full sample (p < .01) and males (p < .01). For females, externalizing behaviors and social problems were significantly associated with lifetime number of sexual partners (p < .01). These findings support the need to consider social influences on sexual risk-taking among adolescents. Intervention efforts aimed at reducing risk behavior among adolescents should be gender specific and focus on developing effective coping behaviors and bolstering social support, particularly within family systems.
本研究考察了与青少年性危险行为相关的个体、同伴和家庭变量。参与者包括1008名青少年(857名男性和151名女性),他们被关押在弗吉尼亚州的青少年惩教机构。在双变量水平上,外化行为、社会问题、感知到的朋友支持、感知到的家庭支持和家庭结构与终生性伴侣数量显著相关(p < .10)。在控制年龄后,多变量分析发现,外化行为、社会问题、对更好的家庭支持的看法和家庭结构与整个样本(p < 0.01)和男性(p < 0.01)的终生性伴侣数量显著相关。女性外化行为和社会问题与终生性伴侣数量显著相关(p < 0.01)。这些发现支持有必要考虑社会对青少年性冒险行为的影响。旨在减少青少年危险行为的干预努力应针对性别,并注重发展有效的应对行为和加强社会支持,特别是在家庭系统内。
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引用次数: 11
HIV/AIDS Teaching Behaviors of Educators in Haiti 海地教育工作者艾滋病教学行为研究
Pub Date : 2007-05-15 DOI: 10.1300/J499v07n02_07
Lise D. Martel, C. Mueller
Abstract This study examined the predictive power of knowledge, attitudes, support for AIDS education, teaching comfort, perceived behavioral control, religious (Vodoun and Christian) beliefs, and subjective norms on Haitian educators' teaching of HIV/AIDS to their students. Two hundred and fourteen teachers from Jeremie and surrounding areas in Haiti completed an anonymous questionnaire that included demographic questions, open-ended questions and eight scales. Four variables (subjective norms, perceived behavioral control, religious beliefs, and participant gender) were found to be significant predictors of HIV/AIDS teaching behavior. A binary logistic regression model was developed and correctly categorized 73% of those who did and did not teach about HIV to their students. Responses to open-ended questions supported and extended findings from the quantitative analyses.
摘要本研究考察了海地教育工作者艾滋病知识、态度、对艾滋病教育的支持、教学舒适度、感知行为控制、宗教信仰(伏都教和基督教)和主观规范对学生艾滋病教学的预测能力。来自耶雷米和海地周边地区的214名教师完成了一份匿名问卷,其中包括人口统计问题、开放式问题和8个量表。主观规范、感知行为控制、宗教信仰和参与者性别四个变量是HIV/AIDS教学行为的显著预测因子。开发了一个二元逻辑回归模型,并正确分类了73%的向学生讲授和未向学生讲授艾滋病毒的人。对开放式问题的回答支持并扩展了定量分析的结果。
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引用次数: 2
The International AIDS Questionnaire—English Version (IAQ-E) 国际爱滋病调查问卷-英文版
Pub Date : 2007-05-15 DOI: 10.1300/J499v07n02_03
C. Davis, Melissa M. Sloan, Samuel A. Macmaster, Leslie E. Hughes
Abstract In order to address HIV infection among college students, a comprehensive measure is needed that can be used with samples from culturally diverse populations. Therefore, this paper assessed the reliability and validity of an HIV/AIDS questionnaire that measures fours dimensions of HIV/AIDS awareness—factual knowledge, prejudice, personal risk, and misconceptions about HIV transmission, and will enable cross-cultural research. The International AIDS Questionnaire—Chinese Version (IAQ-C) was developed and validated by Davis, Tang, Chan, and Noel (1999) for use with Chinese populations. In this study, the validity and reliability of the International AIDS Questionnaire—English Version (IQA-E) was assessed on a sample of English-speaking college students from the United States (N = 200) and Australia (N = 74). The results of the CFA supported the four-factor model, and the normative data show patterns similar to previous research. The total IAQ-E had a high internal consistency (Cronbach's alpha = 0.88). The Cronbach's alphas for the sub-scales were 0.87 (myths), 0.81 (attitudes), 0.66 (personal risk), and 0.40 (facts). A 2-week test-retest reliability study on a sub-sample of 32 students revealed a Pearson product-moment correlation coefficient of 0.882 (p < 0.001). This instrument provides a valid and reliable comprehensive measure of HIV/AIDS for use with English-speaking samples.
为了解决大学生艾滋病感染问题,需要一种综合的措施,可以使用来自不同文化人群的样本。因此,本文评估了艾滋病毒/艾滋病问卷的信度和效度,该问卷测量了艾滋病毒/艾滋病意识的四个维度——事实知识、偏见、个人风险和对艾滋病毒传播的误解,并将促进跨文化研究。国际艾滋病调查问卷中文版(IAQ-C)是由Davis、Tang、Chan和Noel(1999)开发并验证的,用于中国人群。本研究以美国(N = 200)和澳大利亚(N = 74)的英语大学生为样本,对国际艾滋病问卷英文版(IQA-E)的效度和信度进行了评估。CFA结果支持四因素模型,规范数据显示出与以往研究相似的模式。总IAQ-E具有较高的内部一致性(Cronbach’s alpha = 0.88)。子量表的Cronbach's alpha值分别为0.87(神话)、0.81(态度)、0.66(个人风险)和0.40(事实)。对32名学生的子样本进行为期2周的重测信度研究,Pearson积差相关系数为0.882 (p < 0.001)。该仪器为使用英语样本提供了有效可靠的艾滋病毒/艾滋病综合测量方法。
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引用次数: 25
Who Really Uses Condoms? 谁真正使用避孕套?
Pub Date : 2007-05-15 DOI: 10.1300/J499v07n02_02
S. Rhodes, T. McCoy, Morrow R. Omli, G. Cohen, H. Champion, R. Durant
Abstract Using data collected from an online internet-based assessment, we explored condom use rates and the characteristics of condom users among sexually active, unmarried heterosexual college students within a stratified random sample of 2,645 students from 10 universities in North Carolina. Of 1,417 students who fit the inclusion criteria, 39% were male and 61% were female. Half reported consistent condom use. Using correlated logistic regression, consistent condom use was associated with being male (Adjusted Odds Ratio [AOR] = 1.47; 95% Confidence Interval [CI] = 1.16-1.86); underclassman academic classification (AOR = 0.87 per year increase, 95%CI = 0.78-0.96); being involved in performing arts (AOR = 1.63, 95%CI = 1.10-2.42); not smoking within the past 30 days (AOR = 1.38, 95%CI = 1.09-1.75); and not having a steady boy/girlfriend (AOR = 1.42, 95%CI = 1.09-1.85). These findings underscore the importance of tailoring HIV prevention strategies and intervention activities to student characteristics.
摘要/ Abstract摘要:本研究利用来自北卡罗莱纳州10所大学的2645名非婚异性恋性活跃大学生的安全套使用率和安全套使用者特征进行了分层随机抽样调查。在符合纳入标准的1417名学生中,39%为男性,61%为女性。一半的人报告坚持使用避孕套。使用相关逻辑回归,持续使用避孕套与男性相关(调整优势比[AOR] = 1.47;95%置信区间[CI] = 1.16-1.86);低年级学生学术分类(AOR = 0.87, 95%CI = 0.78 ~ 0.96);参与表演艺术(AOR = 1.63, 95%CI = 1.10-2.42);30天内未吸烟(AOR = 1.38, 95%CI = 1.09-1.75);没有稳定的男/女朋友(AOR = 1.42, 95%CI = 1.09-1.85)。这些发现强调了根据学生特点制定艾滋病预防策略和干预活动的重要性。
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引用次数: 11
期刊
Journal of HIV/AIDS prevention in children & youth
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