Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect® (C2P) Structural Change Approach to Youth HIV Prevention

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• 作者：Robin Lin Miller ; Patrick F. Janulis ; Sarah J. Reed…
• 关键词：HIV prevention ; Structural change ; Coalitions ; High ; risk youth ; Young MSM
• 刊名：Journal of Youth and Adolescence
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：45
• 期：2
• 页码：301-315
• 全文大小：508 KB
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• 作者单位：Robin Lin Miller (1)
  Patrick F. Janulis (1)
  Sarah J. Reed (1)
  Gary W. Harper (2)
  Jonathan Ellen (3)
  Cherrie B. Boyer (4)
  the Adolescent Medicine Trials Network for HIV/AIDS Interventions
  
  1. Michigan State University, East Lansing, MI, USA
  2. University of Michigan, Ann Arbor, MI, USA
  3. Johns Hopkins University, Baltimore, MD, USA
  4. University of California, San Francisco, CA, USA
  
• 刊物类别：Behavioral Science
• 刊物主题：Psychology
  Child and School Psychology
  Clinical Psychology
  Health Psychology
  Law and Psychology
  History of Psychology
  Psychology
  
• 出版者：Springer Netherlands
• ISSN：1573-6601

文摘

Reducing HIV incidence among adolescents represents an urgent global priority. Structural change approaches to HIV prevention may reduce youth risk by addressing the economic, social, cultural, and political factors that elevate it. We assessed whether achievement of structural changes made by eight Connect-to-Protect (C2P) coalitions were associated with improvements in youth’s views of their community over the first 4 years of coalitions’ mobilization. We recruited annual cross-sectional samples of targeted youth from each C2P community. We sampled youth in neighborhood venues. We interviewed a total of 2461 youth over 4 years. Males (66 %) and youth of color comprised the majority (52 % Hispanic/Latinos; 41 % African Americans) of those interviewed. By year 4, youth reported greater satisfaction with their community as a youth-supportive setting. They reported their needs were better met by available community resources compared with year 1. However, these findings were moderated by risk population such that those from communities where C2P focused on young men who have sex with men (YMSM) reported no changes over time whereas those from communities focused on other at-risk youth reported significant improvements over time in satisfaction and resource needs being met. Internalized HIV stigma increased over time among those from communities serving other at-risk youth and was unchanged among those from YMSM communities. The very different results we observe over time between communities focused on YMSM versus other at-risk youth may suggest it is unreasonable to assume identical chains of structural causality across youth populations who have such different historical relationships to HIV and who encounter very different kinds of entrenched discrimination within their communities.