Investigating the impact of stigma, accessibility and confidentiality on STI/STD/HIV self-testing among college students in the USA: protocol for a scoping review

Reeves, Jaquetta; Zigah, Edem Yaw; Shamrock, Osman W; Aidoo-Frimpong, Gloria; Dada, Debbie; Batten, Janene; Abu-Ba’are, Gamji Rabiu; Nelson, LaRon E.; Djiadeu, Pascal

doi:10.1136/bmjopen-2022-069574

Cited by 8 publications

(4 citation statements)

References 18 publications

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“…Previous research highlights various barriers to accessing proper sexual health and STI preventative services in youth populations across the U.S. Notably, lack of quality health insurance, transportation, cost, missed opportunities during patient visits, concerns of confidentiality, and embarrassment or shame are often reported as major barriers to maintaining sexual health and wellness via STI screening [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Concept Mapping STI/HIV Prevention and Condom Use among Young African American Adults

Carmack,

Nganga,

Ahmed

et al. 2024

Behavioral Sciences

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Theory-based HIV prevention programs have resulted in increased condom use, which remains the best method for the prevention of sexually transmitted infections (STIs) among sexually active heterosexual individuals. Particularly, the integrative model of behavior prediction theorizes that attitudes, norms, self-efficacy, and socioenvironmental factors influence intention and behavior and has been useful in understanding STI risk among adolescents. However, more research is needed regarding young African American adults. Given the increased freedom and decision-making independence afforded to young adults compared to adolescents, it is important to consider the STI/human immunodeficiency virus (HIV) prevention messages that would resonate with them, particularly regarding condom use. The present study sought to explore how attitudes, subjective norms, self-efficacies, and socioenvironmental factors may influence condom use and STI/HIV prevention, as conceptualized by the participants. We conducted a group-based concept map, a systems-thinking mixed methodology that resulted in a geospatial map reflecting the conceptualizations of the participants. Self-identified young heterosexual African American adults (N = 43) aged 20–26 engaged in an interactive concept mapping procedure in order to “map out” their overarching concepts about STI/HIV risk and condom use. Seven overall conceptual domains emerged: self-efficacy for partner communication, condom use self-efficacy, social media/sociocultural influences, condom use/STI knowledge, condom use cons, condom use pros, and subjective and social norms about condom use. We presented the concept map and discussed the conceptual interpretations and the relationships among the overarching concepts. We also discussed how the social environment, including the social media environment, was conceptualized regarding STI/HIV risk and prevention among young African American adults. Concept mapping can be viewed as a way to determine worthwhile messages for intervention development. The findings may provide information for prevention programs aimed at reducing the incidence of STIs among young adult heterosexual persons within African American communities.

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Section: Discussionmentioning

confidence: 99%

Concept Mapping STI/HIV Prevention and Condom Use among Young African American Adults

Carmack,

Nganga,

Ahmed

et al. 2024

Behavioral Sciences

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“…As outlined by Tricco et al (2018), the rst step in conducting a scoping review is to develop a protocol to clarify the purpose and methodology of the review. By documenting and sharing this protocol, we aim to ensure transparency in our process and prevent duplication of efforts in the eld of adolescent HIV prevention and care 42,43 .…”

Section: Methods and Analysismentioning

confidence: 99%

“…A medical librarian (DR) from the University of Rochester Medical Center will create the search strategy with input from other authors to help nd any extra sources, such as grey literature, similar to what was done in other protocols 42,43 .…”

Section: Search Strategymentioning

confidence: 99%

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Adolescent HIV Prevent and Care Framework: A Global Scoping Review Protocol-BSGH 006

Abu-Ba’are,

Shamrock,

Rodriguez

et al. 2024

Preprint

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Among adolescents, HIV/AIDs remain the second leading cause of death globally1. Given the unique stages in human development, adolescents have been shown to fall within a sexually active phase. Combined with other social and structural factors in their immediate environments, HIV prevention and care among adolescents can be filled with challenges for intervention. This paper outlines this protocol to systematically review peer-reviewed literature in prevention and care among adolescents 10–19 years. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will be used to report this scoping review. The review will involve screening and extracting data using covidence as the primary tool. The review will encompass quantitative, qualitative, and mixed methods studies, utilizing a search strategy from electronic databases such as PubMed (NCBI), Web of Science Core Collection (Clarivate), Embase (Elsevier), and Scopus (Elsevier). Additionally, a search will be conducted for grey literature using Global Index Medicus (WHO), MedNar (Deep Web Technologies), and Central Register of Controlled Trials (Cochrane). Duplicate removal and selection of articles that meet the inclusion criteria for the study will be performed using Covidence. Once the screening process is complete, data will be extracted from the full-text screened articles in Covidence. We will pilot the extracted data in Covidence to ensure that all relevant information has been captured, making necessary changes if required. Data extraction will be carried out by at least two authors, with any conflicts resolved by the same authors. If a conflict cannot be resolved between the two, a third author will make a final determination. We aim to analyze data thematically by employing a grounded theory approach to generate codes pertinent to the research question. The team will review and discuss codes to create a cohesive set of codes that will be instrumental in identifying knowledge gaps and constructing themes that summarize the data. The proposed systematic review will be among the pioneering efforts to rigorously assess global data on HIV prevention and care, with a specific focus on adolescents 10–19 years. It will consider the diverse socio-economic factors and experiences shaping these adolescents' lives in HIV prevention and care. We expect this review to yield critical insights into the present landscape of HIV prevention and care for individuals aged 10–19. These findings will also play a pivotal role in shaping the development of a global framework that researchers and stakeholders can readily adopt and implement across socio-economic contexts. This framework will aim to address the unique needs of all adolescents concerning HIV prevention and care.

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Need for Sexual, Reproductive, and Mental Health Promotion Among Diverse College Students in a COVID-19 Era

Cooley-Strickland,

Wyatt,

Loeb

et al. 2023

Clin Child Fam Psychol Rev

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In 2020, the COVID-19 pandemic forced unprecedented disruptions in higher education operations. While the adverse mental health effects experienced by college students due to these changes are well documented, less is known about the impact on their sexual and reproductive health (SRH), and the reciprocal relationships between SRH and mental health among adolescents and emerging adults. This position paper reviews existing literature on the effects of the COVID-19 pandemic on SRH, sexual violence, unintended pregnancy, sexually transmitted illness and human immunodeficiency virus rates and highlights issues specific to college-aged males, females, racial/ethnic and sexual minorities, and individuals with disabilities. The need to conceptualize SRH as an integral component of normal development, overall health, and well-being in the context of COVID-19 is discussed. The need to prioritize the design and implementation of developmentally appropriate, evidence-based SRH interventions specifically targeting college students is identified. Furthermore, an intergenerational approach to SRH that includes parents/caregivers and/or college faculty and staff (e.g., coaches, trainers) could facilitate comprehensive SRH prevention programming that enhances sexual violence prevention training programs currently mandated by many colleges. Policies and programs designed to mitigate adverse pandemic-related exacerbations in negative SRH outcomes are urgently needed and should be included in mainstream clinical psychology, not only focused on preventing unwanted outcomes but also in promoting rewarding interpersonal relationships and overall well-being. Recommendations for clinical psychologists and mental health researchers are made.

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Investigating the impact of stigma, accessibility and confidentiality on STI/STD/HIV self-testing among college students in the USA: protocol for a scoping review

Cited by 8 publications

References 18 publications

Concept Mapping STI/HIV Prevention and Condom Use among Young African American Adults

Concept Mapping STI/HIV Prevention and Condom Use among Young African American Adults

Adolescent HIV Prevent and Care Framework: A Global Scoping Review Protocol-BSGH 006

Need for Sexual, Reproductive, and Mental Health Promotion Among Diverse College Students in a COVID-19 Era

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