The Esthetician's Perspectives and Practices Study

项目摘要 性与生殖健康（SRH）是美国年轻人的一个重要公共卫生问题， 特别是在性传播感染方面。开展宣传性传播感染预防的运动， 避孕药具的使用和其他预防性健康行为对年轻人产生了积极影响。 人然而，鉴于科学、技术和创新比率大幅上升，迫切需要在新的领域进一步开展这些努力， 和创造性的场所，以更好地接触重要的优先人群。在美国，超过85%的女性 18-24岁，几乎同样多的年轻男性，参加一些方法的阴毛去除（PHR）。像 理发店/美容院，PHR沙龙可以为美容师培养一个安全的，文化相关的空间（护肤 专业人员）进行干预。寻求医生促进人权服务的人，特别是青年男女， 性/性别少数群体（SGM;例如，年轻的男同性恋/双性恋男性[GBM]），可能处于更高的SRH风险中。因此，委员会认为， PHR沙龙可以为健康促进/减少风险干预提供新颖和创新的场所。 对这种情况知之甚少，对美学家以及这些专业人士如何了解更少 可能参与可能的干预行动。在以前的工作中，性健康和美学家（或SHE） 研究发现，美容师注意到客户可能的健康问题，如皮肤癌，疱疹，生殖器 疣和身体虐待的证据美学家与客户的互动往往转向与性有关的 讨论，创造空间，否则禁忌的谈话发生轻松， 提供资源/支持。因此，美容师可能是理想的干预促进者。然而，这些 干预成分可能看起来将取决于额外的形成性研究。此外，许多美学家在 我们最初的研究并没有针对男性。考虑到男性参与PHR，特别是GBM，这是一个重要的 要重点关注的人群。这项拟议工程计划的目的，是在安全、健康及环境研究的基础上， 为男性服务的美容师，并确定基于沙龙的干预措施的可接受性/可行性。我们将 采用探索性序贯混合方法设计，通过3个具体目标实现这一目标： 我们将1）与主要为男性服务的美容师（包括GBM）复制SHE研究。2)评估 将SHE研究/AIM 1结果转移到进行PHR的持牌美容师的大型全国样本中。 3)使用焦点小组对SHE研究/AIM 1/AIM 2的结果进行三角分析，以确定特定组件 为制定一项以美容院为基础、由美容师协助的、针对年轻人的健康相关干预措施提供信息。 这项研究的信息将导致互利沙龙的开发和试点测试- 基于健康促进和降低风险的干预措施（例如，R21）-通过社区参与设计 研究过程和随机对照试验评价（例如，R01）。这种创新努力令人痛心。 需要解决严重影响青年人和特别高级管理人员的性健康和生殖健康问题。

Project Abstract Sexual and reproductive health (SRH) is a critical public health issue among young people in the U.S., especially as it relates to sexually transmitted infections (STIs). Campaigns promoting STI prevention, contraceptive use, and other preventive health behaviors have demonstrated positive impacts among young people. However, given the massive increases in STI rates, there is a critical need to further these efforts in new and creative venues, to better reach important priority populations. More than 85% of women in the U.S. aged 18-24 years, and almost as many young men, participate in some method of pubic hair removal (PHR). Like barbershops/beauty salons, PHR salons may cultivate a safe, culturally relevant space for estheticians (skincare professionals) to deliver interventions. People who seek PHR services, especially young women and men and sexual/gender minorities (SGMs; e.g., young gay/bisexual men [GBM]), may be at higher SRH risk. Accordingly, PHR salons may exemplify novel and innovative venues for health promotion/risk reduction interventions. Little is known about this setting, and even less is known about estheticians and how these professionals may be engaged in possible intervention efforts. In previous work, the Sexual Health and Estheticians (or SHE) Study, we found that estheticians notice clients’ possible health concerns, such as skin cancer, herpes, genital warts, and evidence of physical abuse. Estheticians’ interactions with clients often turn towards sex-related discussions, creating spaces where otherwise taboo conversations take place with ease, and where estheticians provide resources/support. Accordingly, estheticians may be ideal intervention facilitators. However, how those intervention components may look will depend on additional formative research. Moreover, many estheticians in our initial study did not serve men. Given that men engage in PHR, and GBM especially, this is an important population on which to focus. The objective of this proposed project is to build on the SHE Study, focusing on estheticians who serve men, and determine the acceptability of/feasibility for salon-based interventions. We will accomplish this objective, employing an exploratory sequential mixed method design, via 3 SPECIFIC AIMS: We will 1) Replicate the SHE Study with estheticians who primarily serve men, including GBM. 2) Assess the transferability of SHE Study/AIM 1 findings to a large, national sample of licensed estheticians who perform PHR. 3) Triangulate findings from SHE Study/AIM 1/AIM 2 using focus groups to determine specific components informing the development of a salon-based, esthetician-facilitated, health-related intervention for young people. Information from this research will lead to the development and pilot testing of a mutually beneficial salon- based health promotion and risk reduction intervention (e.g., R21)—designed through a community-engaged research process—and a randomized controlled trial evaluation (e.g., R01). Such innovative efforts are sorely needed to address significant SRH issues that disproportionately affect young people and SGMs.