scholarly journals The Need for an Integrated Approach to Reducing Young People’s Risk of Homelessness and HIV in Pakistan

2021 ◽  
Vol 10 (2) ◽  
pp. 77-81
Author(s):  
Muhammad Naveed Noor
Keyword(s):  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Health Sector ◽  
Health Behaviours ◽  
Past Research ◽  
Integrated Approach ◽  
Good Health ◽  
Inconsistent Condom ◽  
Increased Risk

Background: Past research demonstrated a link between homelessness and the increased risk of HIV and other sexually transmitted infections (STIs). However, ways to reduce young people’s risk of homelessness and sexual health risks have not been adequately addressed. This paper, based on the first detailed sociological exploration into the lived experiences of homeless young people, argues for the adoption of a holistic and integrated approach to health promotion that goes beyond the health sector. Methods: In-depth interviews were conducted with twenty-nine homeless young people, aged 16-25-year-old, from Rawalpindi, Pakistan. Results: A combination of socio-structural and interpersonal forces shaped participants’ pathways to homelessness and their experiences of street life – notably regarding sex work – and produce contexts of competing risks where HIV/STIs prevention became a secondary concern. Participants had a reasonable knowledge regarding nature, transmission, prevention, and to some extent, treatment of HIV/STIs. Nevertheless, this knowledge did not help them much, as most of the participants used condoms inconsistently with clients and intimate partners. Financial considerations, fear of violence from clients, and social obligations in intimate partnerships contributed to participants inconsistent condom use, increasing their risk of HIV/STIs. Conclusion: The results indicate the importance of the Ottawa Charter of health promotion, which suggests that conventional health promotion approaches are potentially suboptimal in shaping health behaviours supportive of good health. Notably, building healthy public policies, creating supportive environments, strengthening community actions, developing personal skills, and reorienting health services can help to improve young people’s socioeconomic status, which is inextricably linked with sexual health behaviour and status.

scholarly journals Sexual health promotion messages for young people in Netflix most-watched series content (2015–2020): mixed-methods analysis study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052826
Author(s):  
Solenne Tauty ◽  
Philippe Martin ◽  
Aurélie Bourmaud ◽  
Boris Chapoton ◽  
Elise de La Rochebrochard ◽  
...  
Keyword(s):  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Data Extraction ◽  
Health Behaviours ◽  
Positive Health ◽  
Sexually Transmitted ◽  
Value Judgements ◽  
Risky Behaviours ◽  
And Gender

IntroductionSexual health is a major issue for young people, and there is a need to promote it. Sexual health promotion messages may be included in Netflix series that are widely watched by young people, with important emotional dimensions in scenarios.ObjectiveThe aim of this study is to investigate the explicit sexual health promotion messages integrated in Netflix series popular among young people, and to describe them and how they are delivered.MethodsWe selected two types of Netflix series, aimed at young people: (1) series whose synopsis is mainly about sexual health and (2) all-subject series. We extracted data from 65 episodes of 6 of the most-watched Netflix series. We used a data extraction grid on EpiData. We analysed sexual health themes and sexual health promotion messages. We described the series and listed all the sexual health and other health themes discussed. For each promotion message, we described scene contents and extracted dialogues.ResultsWe found 62 promotion messages in the 6 analysed series. The two series that highlight sexual health in their synopsis account for 81% (n=50/62) of these identified promotion messages. Messages mainly focus on sexual harassment and violence (19%), on sexually transmitted infections protection (18%) and on contraception (15%). Messages are mainly delivered as verbal information, and mostly feature 16–18 years old characters in school. Analysis highlighted four main points concerning scenarios in these series: (1) there are different ways to deliver sexual health promotion messages; (2) there is depiction of negative value judgements and gender norms; (3) some information may be incomplete or misleading and (4) risky behaviours are represented.ConclusionNetflix series incorporate diverse sexual health promotion messages for young people. Further research could assess how these messages are perceived and whether they increase the knowledge, skills and positive health behaviours of young people.

Determining the Impact of Text Messaging for Sexual Health Promotion to Young People

2010 ◽  
pp. 1 ◽  
Author(s):  
Judy Gold ◽  
Megan S. C. Lim ◽  
Jane S. Hocking ◽  
Louise A. Keogh ◽  
Tim Spelman ◽  
...  
Keyword(s):  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Text Messaging ◽  
The Impact

Attitudes, knowledge and sexual behavior among Finnish adolescents before and after an intervention

2019 ◽  
Vol 35 (4) ◽  
pp. 821-830
Author(s):  
Marja Pakarinen ◽  
Jari Kylmä ◽  
Mika Helminen ◽  
Tarja Suominen
Keyword(s):  
Health Promotion ◽  
Sexual Behavior ◽  
Sexual Health ◽  
First Year Students ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
Before And After ◽  
Class Room ◽  
Information Materials

Abstract Adolescents are an important target group for sexual health promotion, and there are numerous programs and interventions carried out in this field. The aim of this study is to describe adolescents’ attitudes, knowledge and sexual behavior before and after a sexual health promotion intervention. The intervention was developed in the study and consisted of three elements: (i) class-room session, (ii) information materials and (iii) free condom distribution. The study was carried out in eight randomly selected vocational schools in Finland. The participants were first year students aged 15–19 years. The data were collected using an electronic questionnaire before intervention (intervention baseline n = 500, control baseline n = 183) and two times after the intervention (intervention first follow-up n = 173/second follow-up n = 202, control first follow-up n = 115/second follow-up n = 46). There were significant differences before and after the intervention concerning better knowledge and more frequent testing for sexually transmitted infections (STIs). Schools are an important environment to reach adolescents during the phase where their sexual health is developing and there is an increased risk of STI transmission. More school-based interventions are therefore needed, and the results of this study can be utilized when developing sexual health promotion interventions among adolescents.

16. A RANDOMIZED CONTROLLED TRIAL OF THE IMPACT OF EMAIL AND TEXT (SMS) MESSAGES ON THE SEXUAL HEALTH OF YOUNG PEOPLE

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 290 ◽  
Author(s):  
M. S. C. Lim ◽  
J. S. Hocking ◽  
C. K. Aitken ◽  
L. Jordan ◽  
C. K. Fairley ◽  
...  
Keyword(s):  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Controlled Trial ◽  
Intervention Group ◽  
Text Messages ◽  
Control Group ◽  
Sexual Risk Behaviour ◽  
Health Seeking ◽  
The Impact

Objective: To trial a novel method of sexual health promotion - sending email and mobile phone text messages (SMS) about safe sex and STI to promote reductions in STI behaviours and increases in STI knowledge and testing. Methods: Young people (aged 16-29) were recruited at a music festival in Melbourne. They completed a questionnaire about sexual risk behaviour and were randomised to either the intervention arm of the study (to receive messages) or a control group. Text messages were sent every 3-4 weeks for a twelve month period and included catchy STI prevention slogans. Emails were sent monthly and contained detailed information about STI topics and links to related websites. Participants completed follow-up questionnaires online after 3, 6 and 12 months. Clustered weighted estimating equations were used to compare outcomes of the two groups. Results: 994 people completed at least one questionnaire (507 in the intervention group and 487 in the control group); at baseline 58% were female, the median age was 19 years and 82% had ever had sex. At 12 months, STI knowledge was higher among the intervention group for both males (OR 3.19, 95% CI 1.52, 6.69) and females (OR 2.36, 95% CI 1.27, 4.37). Females in the intervention group were also more likely to have discussed sexual health with a clinician (OR 2.92, 95% CI 1.66, 5.15) and to have had an STI test in the past 6 months (OR 2.51, 95% CI 1.11, 5.69). There were no significant differences in condom use between the groups. Respondents' opinions of the SMS and emails were positive. Conclusions: Receiving regular sexual health-related SMS and email messages can improve knowledge in young people and health seeking behaviour in young women. SMS and email are low cost, widely available and convenient, which - when combined with their popularity among youth - means that these media have considerable potential for sexual health promotion.

scholarly journals New digital media interventions for sexual health promotion among young people: a systematic review

Sexual Health ◽  
2019 ◽  
Author(s):  
Erin Wadham ◽  
Clare Green ◽  
Joseph Debattista ◽  
Shawn Somerset ◽  
Adem Sav
Keyword(s):  
Systematic Review ◽  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Digital Media ◽  
Media Interventions

scholarly journals Measuring health promotion: translating science into policy

2020 ◽  
Vol 59 (S2) ◽  
pp. 11-23
Author(s):  
James C. Griffiths ◽  
Jan De Vries ◽  
Michael I. McBurney ◽  
Suzan Wopereis ◽  
Samet Serttas ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Sector ◽  
Human Microbiome ◽  
Good Health ◽  
Lifestyle Changes ◽  
Phenotypic Flexibility ◽  
Positive Health ◽  
Health Promoting Behaviors ◽  
Health Promoting ◽  
Nutritional Studies

Abstract Commonly, it is the end of life when our health is deteriorating, that many will make drastic lifestyle changes to improve their quality of life. However, it is increasingly recognized that bringing good health-promoting behaviors into practice as early in life as possible has the most significant impact across the maximal healthspan. The WHO has brought clarity to health promotion over the last fifteen years, always centering on language relating to a process of enabling people to increase control over, and to improve, their physical, mental and social health. A good healthspan is not just freedom from morbidity and mortality, it is that joie de vivre (“joy of living”) that should accompany every day of our lifespan. Therefore, health promotion includes not only the health sector, but also needs individual commitment to achieve that target of a healthspan aligned with the lifespan. This paper explores health promotion and health literacy, and how to design appropriate nutritional studies to characterize contributors to a positive health outcome, the role the human microbiome plays in promoting health and addressing and alleviating morbidity and diseases, and finally how to characterize phenotypic flexibility and a physiologic resilience that we must maintain as our structural and functional systems are bombarded with the insults and perturbations of life.

Mental Health and Associated Sexual Health Behaviours in a Sample of Young People Attending a Music Festival in Melbourne, Victoria

2016 ◽  
Vol 52 (8) ◽  
pp. 1082-1088 ◽  
Author(s):  
Elise R. Carrotte ◽  
Alyce M. Vella ◽  
Margaret E. Hellard ◽  
Megan S. C. Lim
Keyword(s):  
Mental Health ◽  
Young People ◽  
Sexual Health ◽  
Health Behaviours ◽  
Music Festival

scholarly journals Has untargeted sexual health promotion for young people reached its limit? A quasi-experimental study

2013 ◽  
Vol 67 (5) ◽  
pp. 398-404 ◽  
Author(s):  
Lawrie Elliott ◽  
Marion Henderson ◽  
Catherine Nixon ◽  
Daniel Wight
Keyword(s):  
Experimental Study ◽  
Health Promotion ◽  
Young People ◽  
Sexual Health ◽  
Quasi Experimental

scholarly journals Thetha Nami: Participatory development of a peer-navigator intervention to deliver biosocial HIV prevention for adolescents and young men and women in rural South Africa

2020 ◽  
Author(s):  
Maryam Shahmanesh ◽  
Nonhlanhla Okesola ◽  
Natsayi Chimbindi ◽  
Thembelihle Zuma ◽  
Sakhile Mdl ◽  
...  
Keyword(s):  
South Africa ◽  
Health Promotion ◽  
Young People ◽  
Hiv Prevention ◽  
Sexual Health ◽  
Young Men ◽  
Theory Of Change ◽  
Hiv Care ◽  
High Morbidity ◽  
Men And Women

Abstract BackgroundDespite effective biomedical tools, adolescents and young men and women carry the dual burden of high HIV incidence and high morbidity/mortality in South Africa. We integrated community-based participatory research (CBPR) with biomedical interventions to develop a peer-led biosocial intervention for HIV care and prevention in young people living in rural KwaZulu-Natal (KZN).MethodsBetween March 2018 and September 2019 we used CBPR to iteratively co-create and contextually adapt a biosocial peer-led intervention to support HIV prevention. Men and women aged 18–30 years were selected by community leaders of 21 intervention implementation areas (izigodi) and underwent 20 weeks of training as peer-navigators. We synthesised quantitative and qualitative data collected between 2016 and 2018 into 17 vignettes illustrating the local drivers of HIV. During two participatory intervention development workshops and community mapping, the peer-navigators discussed the vignettes in small groups, brainstormed solutions and mapped the components to their own izigodi. The intervention components were plotted to a Theory of Change (ToC). Following a six-month pilot, the peer-navigators used process evaluation data and experience to refine the ToC in a third workshop.ResultsFollowing written and oral assessments 57 of the 108 initially selected participated in the two workshops to discuss the vignettes and co-create the Thetha Nami (talk to me) intervention. During the pilot the peer-navigators approached 6871 young people, of whom 6141 (89%) accepted health promotion and 438 linked to care. During semi-structured interviews peer-navigators described the appeal of providing sexual health information to peers of a similar age and background but wanted to provide more than just “onward referral”. In the third participatory workshop 54 peer-navigators refined the Thetha Nami intervention to include:· Structured assessment tool to tailor support.· Safe spaces and community advocacy to create an enabling environment for HIV prevention.· Peer-led sexual health promotion to improve self-efficacy and demand for HIV prevention.· Accessible youth-friendly clinical services to improve uptake of HIV prevention.· Peer-mentorship to navigate resources and improve retention in HIV prevention.ConclusionLocal youth were able to use evidence to develop a contextually adapted peer-led intervention to deliver biosocial HIV prevention and care.

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