Dissemination and uptake of HIV/STD preventive interventions in American Indian and Alaska Native communities: a case study.
Dissemination and uptake of HIV/STD preventive interventions in American Indian and Alaska Native communities: a case study.
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美洲印第安人和阿拉斯加原住民社区中艾滋病毒/性病预防干预措施的传播和采用：案例研究。
DOI：
10.1080/13557858.2018.1514456
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发表时间：
2021
影响因子：
3.1
通讯作者：
Whitesell,NancyR
中科院分区：
文献类型：
--
作者：
Kaufman,CarolE;Keane,EllenM;Shangreau,Carly;Arthur-Asmah,Ruth;Morse,Bradley;Whitesell,NancyR
目的：HIV和性传播疾病(STDS)是美洲印第安人和阿拉斯加原住民(AIAN)人群中严重的健康问题，尤其是年轻人。然而，为AIAN服务的组织很少实施减少性风险的循证干预(EBI)。设计：在罗杰斯创新扩散理论的指导下，我们对涉及青少年性健康和幸福感的国家样本(N= 142)进行了一项调查。我们收集了从2010年9月开始的9个月的调查，并分析了2014年和2015年的数据。我们评估了受访者对可能促进或阻碍在他们所在社区使用性风险降低EBI的因素的看法，称为尊重。结果：在调整后的模型中，可试验性(p= .009)、可观察性(p= .003)和兼容性(p= .005)与程序吸收显著相关。标准化的Beta测试显示，兼容性排名最高，其次是可试验性和可观察性。结论：对于为AIAN服务的组织和AIAN社区，在特定的文化环境中展示可试验性、兼容性和可观察性风险降低EBI可能会增加实施的可能性和可持续性。
Objectives:HIV and sexually transmitted diseases (STDs) are serious health conditions among American Indian and Alaska Native (AIAN) populations, especially youth. However, few sexual risk reduction evidence-based interventions (EBIs) have been implemented by AIAN-serving organizations. This project sought to identify and assess the parameters facilitating the uptake and use of EBIs in order to strengthen opportunities for sustainability and improved sexual health among AIANs.Design:Guided by Rogers’ theory of diffusion of innovation, we conducted a survey with a national sample of stakeholders involved with sexual health and well-being of AIAN youth (N= 142). We collected surveys for nine months beginning September 2010 and analyzed data in 2014 and 2015. We assessed respondents’ perceptions of factors that might facilitate or hinder the use of a sexual risk reduction EBI, called RESPECT, in their communities. We regressed the scale of likely program uptake (alpha = 0.88) on each of five measures of perception of diffusion and uptake: trialability (extent new program can be altered), relative advantage (more advantageous than current program), observability (impact of program), complexity (difficulty of implementation), and compatibility (consistent with community values and practices).Results:Trialability (p= .009), observability (p= .003), and compatibility (p= .005) were found to be significantly related to program uptake in the adjusted model. Standardized betas showed that compatibility ranked highest of the three, followed by trialability and observability.Conclusions:For AIAN-serving organizations and AIAN communities, demonstrating trialability, compatibility, and observability of a sexual risk reduction EBI in specific cultural settings may increase likelihood of implementation and sustainability.