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Issues Affecting Sexual Decisions among Black Women in the Era of HIV/AIDS.

机译：在艾滋病毒/艾滋病时代，影响黑人妇女性决定的问题。

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摘要

HIV/AIDS became a significant concern in the United States (U.S.) during the 1980s and in recent years has increased the most among people living in underserved urban areas, particularly impacting Black women ages 24-35. Guided by the social learning theory, this phenomenological study explored the lived experiences and behaviors of Black women in the south in order to understand their sexual health decisions and how those decisions impact the spread of HIV/AIDS among this group. The central research question focused on understanding the sexual decision making of Black women in Georgia, from the perspective of the client and provider. Convenience sampling was used to recruit 21 participants at 2 HIV testing facilities. Interview data were collected from 9 clients, consisting of Black women ages 24-35, and 12 providers, consisting of HIV testing coordinators and administrators. Data were subjected to an inductive coding procedure and were then organized around themes. Findings suggest that clients perceived a lack of education and limited access to healthcare, due to socioeconomic status and rising medical costs, as contributing factors to the sexual decisions of Black women. Providers differed in suggesting that community distrust and lack of provider empathy and awareness were the primary factors due to broken relationships between provider and client. By understanding the sexual decision making of Black women in Georgia, this research can foster social change by identifying and creating educational programs heavily focused on the delivery of positive sexual health messages aimed at reducing the spread of HIV/AIDS among this group.
机译：艾滋病毒/艾滋病在1980年代成为美国（美国）的一个重大关切，近年来，在生活不足的城市地区，尤其是对24-35岁的黑人妇女产生了最大的影响。在社会学习理论的指导下，这项现象学研究探索了南部黑人妇女的生活经验和行为，以了解她们的性健康决定以及这些决定如何影响这一群体中艾滋病毒/艾滋病的传播。中心研究问题集中于从服务对象和提供者的角度了解乔治亚州黑人妇女的性决策。便利抽样用于在2个HIV检测机构招募21名参与者。采访数据收集自9位客户（包括24-35岁的黑人女性）和12位提供者（包括HIV检测协调员和管理人员）。数据经过归纳编码程序，然后围绕主题进行组织。调查结果表明，由于社会经济状况和医疗费用上涨，服务对象认为缺乏教育和获得医疗服务的机会有限，这是黑人妇女做出性决定的因素。提供者的不同之处在于，由于提供者与客户之间的关系破裂，社区的不信任以及缺乏提供者的同理心和意识是主要因素。通过了解格鲁吉亚黑人妇女的性决策，这项研究可以通过确定和创建高度专注于传递积极的性健康信息以减少艾滋病毒/艾滋病在人群中传播的教育计划来促进社会变革。

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  • 作者

    Jackson, Saecilia.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 African American studies.;Health education.;Public administration.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 156 p.
  • 总页数 156
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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