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Youth Voices on the Sexually Transmitted Infection Risk Environment: Community Violence, Chronic Trauma, and Sexual Health Outcomes.
Progress in Community Health Partnerships: Research, Education, and Action ( IF 1.284 ) Pub Date : 2019-04-09 , DOI: 10.1353/cpr.2019.0008
Suzanne M Dolwick Grieb , Rachel Bergstein , Brittany Griffin , Jacky M Jennings

BACKGROUND Sexually transmitted infections (STIs) disproportionately affect young people in the United States. Although social determinants have been identified as important in shaping STI prevalence and STI disparities, the voice of young people and key stakeholders representing young people is lacking to prioritize interventions aiming to improve these. OBJECTIVE The objective of this study was to use a community-based participatory research (CBPR) framework to explore how young people and community key stakeholders representing young people understand the context of STI risk experienced in their community, and gather information about their prioritization of social determinants of STIs and STI inequities in Baltimore City, Maryland. METHODS We conducted key informant interviews (n = 27) with young people ages 15 to 24 years and key stake-holders in neighborhoods with high rates of STIs. Interview transcripts were analyzed through a constant comparison approach. RESULTS Participants overwhelmingly identified trauma as the key challenge among young people in their communities and largely focused on the role of community violence as a source of chronic trauma. Participants described two pathways through which this trauma contributes to young people's risk of STI acquisition and transmission: (1) competing short-term priorities in a struggle for daily survival, and (2) sex as an available resource for stress relief, self-medication, and escapism. CONCLUSIONS These findings demonstrate a need to understand social determinants through youth voice and engage young people and key stakeholders in prioritizing and addressing STI disparities. Findings also support the urgent need for structural interventions for STI prevention.

中文翻译:

青年对性传播感染风险环境的看法:社区暴力,慢性创伤和性健康结果。

背景技术性传播感染(STIs)在美国影响年轻人。尽管社会决定因素已被确定对于影响科学,技术和创新的普及和科学与技术之间的差异很重要,但是,年轻人和代表年轻人的主要利益相关者的声音仍然缺乏优先考虑旨在改善这些问题的干预措施。目的本研究的目的是使用基于社区的参与性研究(CBPR)框架,探索年轻人和代表年轻人的社区关键利益相关者如何理解其社区中性传播感染风险的背景,并收集有关其社会优先次序的信息。 STI和STI不平等的决定因素,马里兰州巴尔的摩市。方法我们对15至24岁的年轻人以及性传播感染率高的社区中的主要利益相关者进行了关键的知情人访谈(n = 27)。访谈笔录通过持续比较方法进行分析。结果参与者绝大多数都认为创伤是其所在社区年轻人中的主要挑战,并且主要关注社区暴力作为慢性创伤来源的作用。参与者描述了这种创伤导致年轻人罹患性传播感染和性传播疾病的两种途径:(1)在争取日常生存的斗争中竞争短期优先事项;(2)性作为缓解压力,自我用药的可用资源和逃避现实。结论这些发现表明,有必要通过青年的声音来理解社会决定因素,并让年轻人和主要利益相关者参与优先考虑和解决科技与创新之间的差异。研究结果还支持迫切需要预防性传播感染的结构性干预。
更新日期:2019-11-01
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