The Esthetician's Perspectives and Practices Study

项目摘要 性健康和生殖健康(SRH)是美国年轻人中的一个关键公共健康问题， 特别是在与性传播感染(STI)有关的情况下。促进防止性传播感染的运动， 避孕措施的使用和其他预防性健康行为在年轻人中显示出积极的影响 人民。然而，鉴于性传播感染比率的大幅上升，迫切需要在新的 和创意场所，以更好地接触到重要的优先人群。在美国，超过85%的女性上了年纪 18-24岁，以及几乎同样多的年轻男性，参加某种方法的阴毛脱掉(PHR)。喜欢 理发店/美容院，PHR沙龙可以为美容师(护肤品)培养一个安全的、与文化相关的空间 专业人员)提供干预措施。寻求PHR服务的人，特别是年轻的男女和 性/性别少数群体(SGM；例如年轻的男同性恋者/双性恋者[GBM])可能处于更高的SRH风险。因此， PHR沙龙可作为促进健康/减少风险干预的新颖和创新场所的范例。 人们对这种环境知之甚少，更不知道美学家和这些专业人士是如何 可能正在进行可能的干预努力。在之前的工作中，性健康和美学家(或她) 研究发现，美容师注意到客户可能存在的健康问题，如皮肤癌、疱疹、生殖器 疣和身体虐待的证据。美容师与客户的互动经常转向与性有关的 讨论，创造空间，在那里，原本禁忌的对话可以轻松进行，美学家们也可以在这里 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 干预组件可能看起来将取决于其他形成性研究。此外，许多美学家在 我们最初的研究并不针对男性。考虑到男性从事PHR，尤其是GBM，这是一个重要的 要重点关注的人口。这个拟议项目的目标是在环境卫生研究的基础上再接再厉，重点是 为男性服务的美容师，并确定以沙龙为基础的干预措施的可接受性/可行性。我们会 通过3个具体目标，采用探索性顺序混合方法设计来实现这一目标： 我们将在主要为男性服务的美容师中复制SHE的研究，包括GBM。2)评估 SHE研究/AIM 1研究结果在实施PHR的全国注册美容师的大样本中的可转移性。 3)使用焦点小组对SHE研究/AIM 1/AIM 2的结果进行三角测量，以确定具体的组成部分 为青少年提供以沙龙为基础、美容师协助的与健康相关的干预措施。 这项研究的信息将导致开发和试点测试一种互惠互利的沙龙- 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--和随机对照试验评估(例如，R01)。这样的创新努力令人痛心 需要解决对年轻人和一般利益攸关方造成不成比例影响的重大的性健康和健康问题。

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.