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4. A Comparison of the Process and Content of Sexual Communications Among African American Adolescent Children Living in Parent and Grandparent Headed Families

Author

Cornelius,Judith B, Okoro,Florence, Piper,Crystal N, Cornelius,Judith B, Okoro,Florence, and Piper,Crystal N

Abstract

Judith B Cornelius,1 Florence Okoro,1 Crystal N Piper2 1School of Nursing, University of North Carolina at Charlotte, Charlotte, NC, USA; 2Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USACorrespondence: Judith B CorneliusSchool of Nursing, University of North Carolina at Charlotte, 9201 University City Blvd, CHHS 412B, Charlotte, NC 28223, USAEmail jbcornel@uncc.eduIntroduction: The process of parental sexual communication has been shown to delay the sexual debut of adolescents; however, few studies have focused on extended family members such as grandparents. The purpose of this study was to compare the process and content of sexual communications among African-American adolescent children living in parent or grandparent headed families.Methods: A secondary analysis of two de-identified datasets from 80 African-American adolescents was conducted.Results: Findings indicated that there were no significant differences in the sexual communication process in relation to facilitators p= 0.38 and barriers p =0.23 with the discussions. There were however significant differences with adolescents’ attitudes (p = 0.04) and feelings regarding sexual abstinence (p =0.01), HIV prevention (p= 0.002) and teen pregnancy (p= 0.010).Discussion: Researchers can use the results of this study as a beginning point in examining the sexual communication process in grandparent-headed families.Keywords: adolescents, parents, grand parents, sexual communications, process, content

Published
2021

8. Individual and structural factors influencing HIV care linkage and engagement: Perceived barriers and solutions among HIV-positive persons.

Author

Ma, Alice, Chambers, Brittany D., Jenkins Hall, Wendasha, Tanner, Amanda E., and Piper, Crystal N.

Subjects
AIDS treatment, THERAPEUTICS, HIV infections, EVALUATION of medical care, PATIENTS, ETHNIC groups, FOCUS groups, HEALTH services accessibility, SENSORY perception, QUALITATIVE research
Abstract

To meet the National HIV/AIDS Strategy’s goals of reducing and preventing HIV transmission, understanding factors that shape HIV-positive persons’ care-seeking behaviors is critical. Accordingly, this study examined factors that affect HIV care linkage and engagement. Six focus groups were conducted with 33 HIV-positive persons living in North Carolina. A variety of factors influenced care behaviors, including: structural and policy factors, relationship with HIV care systems, and individuals’ personal characteristics. Participants also provided solutions for addressing specific factors to care. Improving clinical services and utilizing context-specific strategies can help facilitate greater care linkage and engagement. [ABSTRACT FROM PUBLISHER]

Published
2017
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