Are cultural values and beliefs included in U.S. based HIV interventions?

Are cultural values and beliefs included in U.S. based HIV interventions?
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DOI:
10.1016/j.ypmed.2011.08.021
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发表时间:
2012-11
影响因子:
5.1
通讯作者:
Malebranche, Dominique
Malebranche, Dominique
中科院分区:
医学2区
文献类型:
--
作者:
Wyatt, Gail E.;Williams, John K.;Gupta, Arpana;Malebranche, Dominique

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To determine the extent to which current U.S. based HIV/AIDS prevention and risk reduction interventions address and include aspects of cultural beliefs in definitions, curricula, measures and related theories that may contradict current safer sex messages. A comprehensive literature review was conducted to determine which published HIV/AIDS prevention and risk reduction interventions incorporated aspects of cultural beliefs. This review of 166 HIV prevention and risk reduction interventions, published between 1988 and 2010, identified 34 interventions that varied in cultural definitions and the integration of cultural concepts. HIV interventions need to move beyond targeting specific populations based upon race/ethnicity, gender, sexual, drug and/or risk behaviors and incorporate cultural beliefs and experiences pertinent to an individual’s risk. Theory based interventions that incorporate cultural beliefs within a contextual framework are needed if prevention and risk reduction messages are to reach targeted at risk populations. Implications for the lack of uniformity of cultural definitions, measures and related theories are discussed and recommendations are made to ensure that cultural beliefs are acknowledged for their potential conflict with safer sex skills and practices.
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