Food insecurity in college students: A concept analysis.

AIM: This concept analysis provides an analysis of the concept of food insecurity among college students. The purpose was to support improved identification of the population and allow for targeted assessment and intervention strategies. BACKGROUND: Food insecurity is a problem among college students. College students experience this more than the general population and have a unique set of risk factors and consequences. This requires a comprehensive understanding of this concept to design effective interventions. DESIGN: Concept analysis using Walker and Avant. DATA SOURCES: Databases were searched for articles in English related to food insecurity among college students. Government reports and gray literature were also reviewed. No date limit was set. REVIEW METHODS: Articles and reports were read and reviewed. Thirty-nine sources were included in the analysis. RESULTS: Five defining attributes were identified: Lack of sufficient food, negative academic implications, negative physical health impacts, negative psychosocial health impacts, learning to identify, and use food resources. Definitions, antecedents, consequences, and empirical referents are described. Cases are presented. CONCLUSIONS: The proposed definition expounds upon current definitions and identifies the unique experiences and needs of college students who experience the phenomenon. This allows for early identification and support of college students' needs regarding food.

Increasing HPV vaccination and eliminating barriers: Recommendations from young men who have sex with men.

BACKGROUND: There is a disparity in HPV vaccination rates in particular among young men who have sex with men (YMSM) and until very recently there has been a dearth of research examining factors related to HPV vaccination for YMSM. The purpose of this study was to elicit YMSM's beliefs about HPV and the HPV vaccine as well as describe perceived barriers and facilitators of vaccine initiation and completion. METHODS: A qualitative, descriptive study that utilized a focus group design was conducted among an urban and racially diverse sample of YMSM. Questionnaire data were analyzed using descriptive statistics, and focus group data were analyzed using content analysis. FINDINGS: 34 YMSM with a mean age of 20.8years participated. The sample was diverse, with the largest proportion of youth identifying as Black (35.4%). Over 90% reported having an annual exam each year, 61.8% reported obtaining a flu vaccine during the past year, and 58.8% reported initiating the HPV vaccine 3-dose series. Themes identified included low HPV knowledge and awareness, positive vaccine beliefs, perceived stigmas, and HPV vaccine facilitators. Participants identified 3 ways health providers/ researchers could facilitate vaccination: creative use of mobile technology, bundling vaccination with other health services, and increasing HPV and HPV vaccine awareness. CONCLUSIONS: Our findings point to some clear avenues to pursue in research and practice to improve HPV vaccination rates among YMSM, including increased use of mobile health strategies, making HPV vaccination a co-occurring part of other health-related services (e.g., HIV testing), and providing information on the relevance of HPV and HPV vaccination to YMSM.

Intimate partner violence and the CDC's best-evidence HIV risk reduction interventions.

OBJECTIVES: Intimate partner violence (IPV) is a prevalent health burden in the United States and is a risk factor for HIV (human immunodeficiency virus) transmission. Despite the association between IPV and HIV risk, IPV is often omitted from HIV prevention research and interventions. This review analyzes the Centers for Disease Control and Prevention's best-evidence HIV risk reduction interventions and their incorporation of IPV assessment, education and evaluation. DESIGN AND SAMPLE: The Centers for Disease Control and Prevention's best-evidence HIV risk reduction interventions (n = 44) were reviewed for inclusion of IPV content. RESULTS: Of the 44 best evidence interventions, 5 addressed IPV. These 5 interventions were further examined for method, measurement and uniformity. CONCLUSIONS: Justification for IPV integration in HIV risk reduction programs is explored and supported by evidence-based research and practice.

Concept analysis: sexual decision-making in adolescence.

PURPOSE: This papers aims to clarify and explore the topic of adolescent decision-making regarding sexual activity. SOURCES: Published literature. CONCLUSIONS: Adolescent decision-making regarding the initiation or continuation of sexual activity is influenced by desire for intimacy, perceived relationship safety, problem-solving ability, cognitive ability, family and peer relationships, and concern regarding pregnancy or sexually transmitted infection.