Developing Culturally Sensitive HIV/AIDS and Substance Abuse Prevention Curricula for Native American Youth

Baldwin, Julie A.; Rolf, Jon E.; Johnson, Jodi; Bowers, Jeremy W.; Benally, Christine C.; Trotter, Robert T.

doi:10.1111/j.1746-1561.1996.tb03410.x

Cited by 30 publications

(12 citation statements)

References 14 publications

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“…28,[32][33][34] This limitation of the KAB approach, among others, has prompted some researchers to call for less individual, more contextual approaches and more strengths-based rather than risk-based approaches to understanding and preventing HIV/AIDS among youth. [35][36][37] In addition, some researchers have stressed the importance of taking into account community-level experiences, such as communities' historical oppression as a group, 38 and cultural contexts 37 when examining American Indians' health behaviors.…”

Section: A Contextual Approach To American Indian Youth Sexual Behaviormentioning

confidence: 99%

HIV/AIDS Protective Factors among Urban American Indian Youths

Marsiglia¹,

Nieri²,

Stiffman³

2006

hpu

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This research examined how family and individual factors influence three HIV/AIDS risk behaviors: having more than one sexual partner in the last three months, substance use at last sexual intercourse, and condom non-use at last sexual intercourse. The sample includes 89 sexually active American Indian adolescents living in a large Southwestern city. Logistic regression results revealed that family communication acts as a protective factor against HIV risk through a lower reported substance use during last sexual intercourse, but it did not appear to affect the number of multiple recent sex partners. Family and personal involvement in American Indian cultural activities, both low on average, had no effect on the outcomes. This study helps to fill the gap in knowledge on sexual health risk and protective factors among American Indian adolescents, an understudied group, and provides implications for intervention with American Indian youths and their families. Keywords HIV/AIDS; family context; protective factors; American Indian youthWhile there is a growing body of research on HIV/AIDS in the general population, less is known about the protective and risk factors associated with HIV/AIDS infection among youth in general 1 and American Indian youth in particular. Relative to other ethnic groups, American Indians have received minimal attention because they have had low rates of infection since the early days of the epidemic. [2][3][4] Yet, recently, rates of infection among American Indians have begun to increase, especially among youth, who make up a large portion of the American Indian population. 2,3 The change in rates raises questions about this group's vulnerability to HIV/AIDS and marks a need to better understand the factors that may lead to or prevent behaviors associated with disease contraction in this group. Toward that end, this study uses a sample of sexually active, urban American Indian youth and explores the influence of family and individual factors on behaviors associated with HIV/ AIDS risk: having multiple recent sexual partners, substance use during sex, and unprotected sex. Some researchers have described HIV as the new smallpox, an epidemic which could wipe out entire American Indian communities in a way reminiscent of the epidemics caused by early European colonization. 2,3 The fact that many American Indian communities present risk factors commonly associated with HIV infection contributes to the level of concern. For example, American Indians report high rates of substance use, especially alcohol use, 2,4,7,8 and high rates of sexually transmitted diseases. 4,7 Furthermore, American Indians face high rates of poverty and low rates of educational achievement which may constitute barriers to prevention and access to health services. 3,6,7 On the other hand, the community's past low levels of infection necessitate further research to identify possible protective factors. Once these protective factors are identified and better understood, they can be integrated into effective and cu...

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Section: A Contextual Approach To American Indian Youth Sexual Behaviormentioning

confidence: 99%

HIV/AIDS Protective Factors among Urban American Indian Youths

Marsiglia¹,

Nieri²,

Stiffman³

2006

hpu

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“…Baldwin, Rolf, Johnson, Bowers, Benally, and Trotter (1996) describe the critical components of a culturally sensitive intervention, which is two-staged with 24 sessions in eighth grade and 24 sessions in ninth grade. They note that they first obtained community input to develop culturally sensitive and relevant curriculum.…”

Section: Gender Roles Cultural Norms and Beliefsmentioning

confidence: 99%

Culturally Competent HIV Prevention Strategies for Women of Color in the United States

Scott

Gilliam

Braxton³

2005

Health Care for Women International

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Many studies suggest that aspects of culture be included in human immunodeficiency virus (HIV) education efforts in the United States. Few, however, clearly identify specific strategies that respond to the unique cultural issues of women of color. This article reviews the literature for culturally competent HIV prevention efforts for women of color--Latina, African American, Asian Pacific Islander, and Native American--and synthesizes components that need to be addressed in programs and interventions. Findings suggest that for programs to be culturally competent, both race/ethnicity and gender, along with population-specific, culturally based attitudes, beliefs, and behaviors, must be considered in interpersonal and organizational strategies.

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“…In making these conclusions, they draw on racial identity as a marker for risk behavior or living in an environment of risk. These studies, as well as others (Baldwin et al 1996;Vernon and Bubar 2001;Weaver 1999), also found that Natives conceive of HIV/AIDS as a disease explicitly associated with 'White' behaviors, such as homosexuality and intravenous drug use. While they address Natives' denial that such risk behaviors take place within their culture and communities, they do not address the role of racial essentialism in Natives' belief that they are racially unsusceptible to infection.…”

Section: Scholarship On Hiv/aids Among Native Americansmentioning

confidence: 73%

‘White man’s disease’

Gilley¹,

Pfeiffer²

2017

MAT

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Through critical reflection on the conspiracy theories told about the origins of HIV by American Indians, we learned that many community members refused the universalized aspects of AIDS prevention, education, and intervention. We found that standard HIV/AIDS-related prevention and treatment programs tend to universalize experiences with and responses to the AIDS epidemic and ignore -or push to the margin -alternative framings and understandings of this disease. Inspired by American Indians' refusal to synthesize (in the Hegelian dialectical sense) their own experience into national and international AIDS knowledges, in this article we seek to engage with such marginal understandings, as well as their interactions with universal, individual, and community notions of care, AIDS, and health causality. The use of non-standard theories of the origins of AIDS by American Indians, we argue, disrupts the logic that attempts to universalize AIDS and community experiences. By making AIDS a 'White man's disease', Natives bring the epidemic in line with a history of social and health neglect by the settler state, and refuse to collapse their own, marginalized experiences and understandings of HIV/AIDS into dominant knowledges of the disease.

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Developing Culturally Sensitive HIV/AIDS and Substance Abuse Prevention Curricula for Native American Youth

Cited by 30 publications

References 14 publications

HIV/AIDS Protective Factors among Urban American Indian Youths

HIV/AIDS Protective Factors among Urban American Indian Youths

Culturally Competent HIV Prevention Strategies for Women of Color in the United States

‘White man’s disease’

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