A Community-Based Approach to HIV Prevention: Engaging Mayan Young Adults in Rural Guatemala
| Autor: | Elena V. Chudnovskaya, Jasmine Rene Phillips, Victoria Orrego Dunleavy |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Rural Population Community-Based Participatory Research Health Knowledge Attitudes Practice Adolescent Population Participatory action research Community-based participatory research HIV Infections Health Promotion Models Psychological Indigenous law.invention Young Adult 03 medical and health sciences Population Groups Condom law Environmental health Humans Health belief model education education.field_of_study 030505 public health Public Health Environmental and Occupational Health Focus Groups Guatemala Focus group Health promotion Female 0305 other medical science Psychology |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 30:1001-1023 |
| ISSN: | 1548-6869 |
| DOI: | 10.1353/hpu.2019.0070 |
| Popis: | Background Guatemala has an accelerating HIV rate, where prevalence is three times higher among indigenous than nonindigenous people. Vulnerability is exacerbated by high poverty, low literacy, and poor access to prevention messaging, testing, and treatment options. This study develops a community-engaged HIV prevention campaign plan for the underserved Mayan town Santiago Atitlan. Guided by the community-based participatory research approach and the Health Belief Model, we identify barriers to and facilitators of HIV testing and condom use. Methods Formative data were collected from 50 Mayan heterosexual adults (18-25 years old) and community informants using in-depth interviews and a focus group. Results Data identified high susceptibility and severity, low rates of condom use, high rates of stigma and low testing rates. Discussion This research informs the development of a theoretically driven and culturally specific intervention that prioritizes an indigenous population. We highlight how collaboration with community partners enhances positive health promotion. |
| Databáze: | OpenAIRE |
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