Promoting sexual health equity in the United States: implications from exploratory research with African-American adults.
Promoting sexual health equity in the United States: implications from exploratory research with African-American adults.
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DOI：
10.1093/her/cyu003
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发表时间：
2014-12
影响因子：
2.4
通讯作者：
Hogben M
中科院分区：
文献类型：
--
作者：
Friedman AL;Uhrig J;Poehlman J;Scales M;Hogben M
为了向促进美国性健康公平的传播努力提供信息，疾病控制和预防中心试图探讨非裔美国人对于性传播疾病(STD)问题在其社区的看法、对种族比较的STD数据的反应以及对传播此类信息的看法。对美国东南部和中西部的非洲裔成年人(N=158)进行了半结构化的三合会和个人访谈。大多数参与者认为性病是他们社区的一个问题，但没有意识到性病对非裔美国人的影响有多大。一旦被告知性病发病率的种族差异，参与者通常会做出震惊、恐惧和绝望的反应；少数人对信息的来源和可信度提出质疑。大多数人认为，将这些信息传递给非裔美国人社区是至关重要的，因为这是推动变革的“警钟”，但也有一些人对其传播表示担忧。研究结果表明，有关性病发病率的种族差异的信息必须经过战略性的策划，并通过有针对性的渠道提供，才能为非裔美国人所接受。为了不进一步伤害被其他社会/健康不平等所拖累的社区，应考虑采取替代的(基于力量的)方法，以推动积极的变化。
In an effort to inform communication efforts to promote sexual health equity in the United States, the Centers for Disease Control and Prevention sought to explore African-Americans’ perceptions of the sexually transmitted disease (STD) problem in their communities, reactions to racially comparative STD data and opinions about dissemination of such information. Semi-structured triads and individual interviews were conducted with African-American adults (N = 158) in the Southeastern and Midwestern United States. Most participants believed that STDs are a problem in their communities but were unaware of the extent to which STDs disproportionately affect African Americans. Once informed about racial differences in STD rates, participants commonly reacted with shock, fear and despair; a minority raised questions about the information’s source and credibility. Most felt it was critical to get the information out to African-American communities as a ‘wake-up call’ to motivate change, though some raised concerns about its dissemination. Findings suggest that information about racial differences in STD rates must be strategically crafted and delivered through targeted channels to be acceptable to African Americans. So as not to further harm communities burdened by other social/health inequities, alternative (strength-based) approaches should be considered for motivating positive change.