HIV/STI Prevention Among Heterosexually Active Black Adolescents With Mental Illnesses: Focus Group Findings for Intervention Development

Bridgette M. Brawner, Loretta Sweet Jemmott, Gina Wingood, Janaiya Reason, Niya Mack

Résultat de rechercheexamen par les pairs

6 Citations (Scopus)

Résumé

Heterosexually active Black adolescents with mental illnesses are at increased risk for sexually transmitted infections (STIs), including HIV. However, few HIV/STI prevention interventions exist for this demographic. We held seven focus groups (N = 33) to elucidate social, cultural, and psychological factors that influence HIV/STI risk-related sexual behaviors in this understudied population. Seven themes emerged: (a) Blackness and media portrayals, (b) Blackness as a source of cultural resilience and pride, (c) psychosocial determinants of condom use, (d) consequences of engaging in sexual activity, (e) attitudes and beliefs toward sexual behaviors, (f) benefits of sexual activity, and (g) coping mechanisms. Participants also supported the feasibility of and interest in HIV/STI prevention programs integrated with mental health treatment. Transportation, potential breaches of confidentiality, and time were noted barriers to participation. Psychoeducational, skills-based programs are needed to address the sequelae of mental illnesses as they relate to the sexual decision-making process in adolescents.

Langue d'origineEnglish
Pages (de-à)30-44
Nombre de pages15
JournalJournal of the Association of Nurses in AIDS Care
Volume29
Numéro de publication1
DOI
Statut de publicationPublished - janv. 2018

Financement

This research was funded by the Centers for Disease Control and Prevention (Minority AIDS Research Initiative) grant # U01PS003304 awarded to Dr. Bridgette M. Brawner. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. The Centers for Disease Control and Prevention did not have any involvement in the study design; collection, analysis, or interpretation of data; writing of the report; or in the decision to submit the article for publication. The authors are grateful to the study participants, and thank the Made Aware with Care (MAC) research team and youth community advisory board for their assistance with data collection.

Bailleurs de fondsNuméro du bailleur de fonds
National Institutes of HealthU01PS003304
Centers for Disease Control and Prevention

    ASJC Scopus Subject Areas

    • Advanced and Specialised Nursing

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