Sexual Health, STI and HIV Risk, and Risk Perceptions Among American Indian and Alaska Native Emerging Adults
Sexual Health, STI and HIV Risk, and Risk Perceptions Among American Indian and Alaska Native Emerging Adults
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DOI：
10.1007/s11121-018-0920-7
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发表时间：
2019-04-01
影响因子：
3.5
通讯作者：
Rushing, Stephanie Craig
中科院分区：
文献类型：
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作者：
Hafner, Steven Paul;Rushing, Stephanie Craig
成年初显期（18-25岁）是性健康不良风险增加的时期。虽然这个年龄组的任何人都处于较高的风险中，但美洲印第安人和阿拉斯加原住民（AI/AN）青年和新兴成年人面临着影响其性传播感染（STI）风险的独特因素。为了解决AI/AN青年中这种增加的风险，有必要采取文化上适当的干预措施。这项研究报告了一项基于视频的性健康干预的结果，该干预是专门为AI/AN青年和新兴成年人（15- 24岁）设计的，旨在改变人们对风险的看法。采用分组随机设计对该干预措施进行评估，其中包括三个条件：（1）单独的情况说明书，（2）情况说明书和视频，以及（3）情况说明书，视频和促进讨论。使用来自199名参与Native VOICES评估的AI/AN新兴成年人（18- 24岁）的数据，我们使用多项logistic回归来确定从基线到干预后以及从干预后到6个月随访的研究组之间的风险感知变化是否存在显著差异。在基线时发现STI风险认知的差异很小，在模型中包括基线风险认知后，研究组之间STI风险认知的观察差异消失。同样，在基线时观察到研究组之间的HIV风险认知差异很小，在控制基线风险认知、人口统计学和基线性风险因素后，研究组之间的HIV风险认知差异消失。总的来说，这项研究指出，需要专门针对AI/AN新兴成年人的行为，社会和性环境以及风险认知的干预措施，这是一个几乎不存在文化相关性健康干预措施的年龄组。
Emerging adulthood (18-25) is a period of increased risk for adverse sexual health outcomes. While anyone in this age group is at elevated risk, American Indian and Alaska Native (AI/AN) youth and emerging adults face unique factors that influence their risk for sexually transmitted infections (STIs). To address this increased risk among AI/AN youth, culturally appropriate interventions are necessary. This study reports the results of a video-based sexual health intervention designed specifically for AI/AN youth and emerging adults (15-24years old) on risk changing perceptions. This intervention was evaluated using a group-randomized design with three conditions: (1) fact sheet alone, (2) fact sheet and video, and (3) fact sheet, video, and facilitated discussion. Using data from 199 AI/AN emerging adults (18-24years old) who participated in the Native VOICES evaluation, we used multiple multinomial logistic regressions to determine if changes in risk perceptions were significantly different between study arms from baseline to post-intervention, and from post-intervention to 6-month follow-up. Few differences in STI risk perceptions were found at baseline and observed differences in STI risk perceptions between study arms disappeared after including baseline risk perceptions in the model. Similarly, few differences in HIV risk perceptions between study arms were observed at baseline, and all differences in HIV risk perceptions between study arms disappeared after controlling for baseline risk perceptions, demographics, and baseline sexual risk factors. Overall, this study points to the need for interventions that specifically address the behaviors, social and sexual contexts, and risk perceptions of AI/AN emerging adults, an age group for whom few culturally relevant sexual health interventions exist.