RESUMO
HIV/AIDS is growing at a disproportional rate among African American adolescents. This trend has occurred despite the fact that 89% of schools have educational programs on HIV/AIDS. Barriers to effective HIV prevention may be related to a failure to develop educational programs based on the cultural competencies of vulnerable populations such as adolescents who are at risk for HIV. The purpose of this qualitative study was to explore African American adolescent perceptions of vulnerability and resilience to HIV/AIDS within a cultural competency paradigm. A group of 8 adolescents at an African American church participated in a focus group to discuss vulnerability and resilience to HIV. To facilitate discussion, the adolescents developed collages from pictures in African American magazines. Content analysis was used to identify themes. The themes revealed were confidence, safe social activities, innocence, image, music/drug culture, and peer pressure.
Assuntos
Atitude Frente a Saúde/etnologia , Negro ou Afro-Americano/etnologia , Infecções por HIV/prevenção & controle , Psicologia do Adolescente , Autoeficácia , Populações Vulneráveis/etnologia , Adaptação Psicológica , Adolescente , Comportamento do Adolescente/etnologia , Negro ou Afro-Americano/educação , Negro ou Afro-Americano/estatística & dados numéricos , Competência Cultural , Feminino , Grupos Focais , Infecções por HIV/etnologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pesquisa Metodológica em Enfermagem , Grupo Associado , Pesquisa Qualitativa , Fatores de Risco , Assunção de Riscos , Sexo Seguro/etnologia , Educação Sexual , Sudeste dos Estados Unidos , Inquéritos e Questionários , Populações Vulneráveis/estatística & dados numéricosRESUMO
The purpose of this study was to examine the relationship between fathers' influences and African American male adolescents' perceptions of self-efficacy to reduce high-risk sexual behavior. A convenience sample of 70 fathers was recruited from churches in a large metropolitan area in the South. Hierarchical multiple linear regression analysis indicated father-related factors and son-related factors were associated with 26.1% of the variance in son's self-efficacy to be abstinent. In the regression model greater son's perception of the communication of sexual standards and greater father's perception of his son's self-efficacy were significantly related to greater son's self-efficacy for abstinence. The second regression model with son's self-efficacy for safer sex as the criterion was not statistically significant. Data support the need for fathers to express confidence in their sons' ability to be abstinent or practice safer sex and to communicate with their sons regarding sexual issues and standards.
