Sexual health communication warrants greater attention as it may help to reduce the rates of HIV incidence among youth. A growing body of literature suggests that conversations about sexual health among Black and Latino youth may serve as a potential strategy for HIV prevention. The current study investigates whether sexual health communication—in particular, conversations about sexual health and HIV—influences Black and Latino youth’s personal agency regarding their role in achieving an HIV-free generation. For this secondary data analysis, we used the National Survey of Teens and Young Adults on attitudes towards HIV/AIDS (n = 701). Participants included youth between the ages 15 and 24, and the average was 20 years. We used a multiple regression analysis to examine whether sexual health communication contributed to youth knowledge and awareness of (1) the national plan for EHE, and (2) their role in ending the epidemic”. (1) knowledge and awareness of the national plan for EHE, and (2) role in ending the epidemic. The final multiple regression model was statistically significant [R² = 0.16 F (12, 701) = 001, p < 0.001] for both outcomes. Study results found that sexual health communication was positively related to Black and Latino youth’s awareness of efforts to end the HIV epidemic (EHE) and their belief that they could play a role in achieving EHE. In addition, HIV stigma influenced personal agency and whether youth were aware of efforts to achieve EHE. Our results demonstrated that openly communicating about sexual health and HIV may contribute to a sense of personal agency among Black and Latino youth. In addition, understanding whether sexual health communication contributes to a sense of personal agency among youth may inform HIV prevention efforts to achieve the goals set forth by the national EHE plan for the U.S.

中文翻译：

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结束流行病：评估美国黑人和拉丁裔青年的性健康沟通、个人能动性和艾滋病毒耻辱


性健康传播值得更多关注，因为它可能有助于降低青少年的艾滋病毒发病率。越来越多的文献表明，黑人和拉丁裔青年中有关性健康的对话可能成为预防艾滋病毒的潜在策略。目前的研究调查了性健康沟通——特别是有关性健康和艾滋病毒的对话——是否会影响黑人和拉丁裔青年在实现无艾滋病毒一代中所扮演的角色。对于二次数据分析，我们使用了全国青少年和年轻人对艾滋病毒/艾滋病态度的调查（ n = 701）。参与者包括15岁至24岁的青少年，平均年龄为20岁。我们使用多元回归分析来检验性健康沟通是否有助于青少年了解和认识（1）国家 EHE 计划，以及（2）他们在结束流行病中的作用。 (1) 对国家 EHE 计划的了解和认识，以及 (2) 在结束疫情中的作用。最终的多元回归模型对于两种结果均具有统计显着性 [R ² = 0.16 F (12, 701) = 001, p < 0.001]。研究结果发现，性健康沟通与黑人和拉丁裔青年对结束艾滋病毒流行（EHE）的努力的认识以及他们对自己可以在实现 EHE 方面发挥作用的信念呈正相关。此外，艾滋病毒耻辱会影响个人能动性以及年轻人是否意识到为实现 EHE 所做的努力。我们的结果表明，公开交流性健康和艾滋病毒可能有助于增强黑人和拉丁裔青年的个人代理感。 此外，了解性健康沟通是否有助于青少年的个人能动感，可以为艾滋病毒预防工作提供信息，以实现美国国家 EHE 计划设定的目标