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HIV/STI prevention among heterosexually active Black adolescents with mental illnesses: Focus group findings for intervention development
Journal article   Open access   Peer reviewed

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 and Niya Mack
The Journal of the Association of Nurses in AIDS Care, v 29(1), pp 30-44
28 Sep 2017
PMID: 29037602
url
https://europepmc.org/articles/pmc6913525View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

adolescents Blacks HIV mental health qualitative research sexual health
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 7 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.

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Collaboration types
Domestic collaboration
Web of Science research areas
Nursing
Public, Environmental & Occupational Health
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