Abstract

Aim: Since the early 1980s, sexual risk behaviors have become a severe public health concern in preventing the prevalence of HIV infection, especially among minority young adults. In the United States, minority young adults have higher than expected HIV infection than other racial groups. The spread of HIV infection among this vulnerable population has created a need to identify risk and protective factors, disease, and evidence-based prevention strategies to reduce disease transmission. The Comprehensive, Integrated HIV Prevention Program (CIHPP), is based on a derivative of the ecological epistemology framework that views risk factors as a multilevel concentric, including the individual, family, community, and societal levels. The framework asserts that any meaningful prevention strategy should examine these different levels and the effects on the population of interest. This study aims to assess the effectiveness of CIHPP in increasing sexual risk practice and reducing risky sexual behavior among minority young adults.

Highlights

  • It has been almost four decades when HIV infection became a severe public health problem

  • Female participants had a higher rate of change in safe sex practice than their male counterparts

  • Female participants had a higher rate of change in risky sexual behavior than their male counterparts

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Summary

Introduction

It has been almost four decades when HIV infection became a severe public health problem. Risky sexual behavior and unsafe sex practices have emerged as contributing factors to the disease’s transmission and spread, especially among young adults. Safe sex practice is a protective factor that prohibits individuals from HIV infection [1]. This practice includes wearing a condom, avoiding having multiple sex partners, and consuming mind-alteration substances that impair one’s judgment and abstinence [1]. The five subsections describe the magnitude and prevalence of the HIV/AIDS infection attributed to unsafe sex practice and indulging in risky sexual behavior in Cumberland County in North Carolina. The discussion includes: (1) Prevalence of Persons Living with HIV Infection (PLWHI); (2) Prevalence of newly diagnosed HIV infection and AIDS; (3) Comprehensive, Integrated HIV Prevention Program (CIHPP) and its theoretical framework; (4) the link between safe sex practice awareness and CIHPP; and (5) the purpose of the study and the research hypotheses

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