Understanding how young African adults interact with peer-generated sexual health information on Facebook and uncovering strategies for successful organic engagement

Background The use of social media for sexual health communication is gaining intense discussion both globally and in Africa. Despite this reality, it remains unclear whether and how young African adults use digital innovations like social media to access sexual health information. More importantly, the unique properties of messages that increase message reach and propagation are not well understood. This study aims to fill the gaps in scholarship by identifying post features and content associated with greater user engagement. Methods We analyzed a corpus of 3533 sexual and reproductive health messages shared on a public Facebook group by and for young African adults between June 1, 2018, and May 31, 2019, to understand better the unique features associated with higher engagement with peer-generated sexual health education. Facebook posts were independently classified into thematic categories such as topic, strategy, and tone of communication. Results The participants generally engaged with posts superficially by liking (x̃ = 54; x̄ = 109.28; σ = 159.24) rather than leaving comments (x̃ = 10; x̄ = 32.03; σ = 62.65) or sharing (x̃ = 3; x̄ = 11.34; σ = 55.12) the wallposts. Messages with fear [IRR:0.75, 95% CI: 0.66–0.86] or guilt [IRR:0.82, 95% CI: 0.72–0.92] appeals received a significantly lower number of reactions compared to neutral messages. Messages requesting an opinion [IRR:4.25, 95% CI: 3.57–5.10] had a significantly higher number of comments compared to status updates. The use of multimedia and storytelling formats were also significantly associated with a higher level of engagement and propagation of sexual health messages on the group. Conclusion Young adults in our sample tend to superficially interact with peer-communicated sexual health information through likes than engage (comments) or propagate such messages. Message features that increase engagements and propagation of messages include multimedia and engaging styles like storytelling. Our findings provide valuable insight and pave the way for the design of effective and context-specific sexual health information use of features that attract young African adults.

Ending the Epidemic: Assessing Sexual Health Communication, Personal Agency, and HIV Stigma among Black and Latino Youth in the U.S

Sexual health communication warrants greater attention as it may help to reduce the rates of HIV incidence among youth. A growing body of literature suggests that conversations about sexual health among Black and Latino youth may serve as a potential strategy for HIV prevention. The current study investigates whether sexual health communication—in particular, conversations about sexual health and HIV—influences Black and Latino youth’s personal agency regarding their role in achieving an HIV-free generation. For this secondary data analysis, we used the National Survey of Teens and Young Adults on attitudes towards HIV/AIDS (n = 701). Participants included youth between the ages 15 and 24, and the average was 20 years. We used a multiple regression analysis to examine whether sexual health communication contributed to youth knowledge and awareness of (1) the national plan for EHE, and (2) their role in ending the epidemic”. (1) knowledge and awareness of the national plan for EHE, and (2) role in ending the epidemic. The final multiple regression model was statistically significant [R2 = 0.16 F (12, 701) = 001, p < 0.001] for both outcomes. Study results found that sexual health communication was positively related to Black and Latino youth’s awareness of efforts to end the HIV epidemic (EHE) and their belief that they could play a role in achieving EHE. In addition, HIV stigma influenced personal agency and whether youth were aware of efforts to achieve EHE. Our results demonstrated that openly communicating about sexual health and HIV may contribute to a sense of personal agency among Black and Latino youth. In addition, understanding whether sexual health communication contributes to a sense of personal agency among youth may inform HIV prevention efforts to achieve the goals set forth by the national EHE plan for the U.S.

The sexual health education experiences of Eritrean women in Toronto: an evaluation of the raising sexually healthy children (RSHC) Program

Very few studies have focused on the health knowledge and practices of Eritrean women and their children in Canada. The research surrounding Eritrean women and their children’s awareness and exposure to sexual health education is even far more limited. This study aims to fill this gap in immigrant health research though an evaluation of the Raising Sexually Healthy Children (RSHC) Project, a sexual health education program for immigrant parents in Toronto. Evaluation is based on the Eritrean women’s experiences of the RSHC Program as well any challenges and benefits they encountered throughout its implementation. Six Eritrean women including four program participants as well as two program coordinators were interviewed. Findings indicated that despite the cultural taboo of discussing issues of sexual health, the women gained a greater sense of confidence, openness, and acceptance towards this topic. The study concluded that the RSHC program was successful in assisting the Eritrean women participants to develop effective sexual health communication with their children, family members, and wider community.

The sexual health education experiences of Eritrean women in Toronto: an evaluation of the raising sexually healthy children (RSHC) Program

Very few studies have focused on the health knowledge and practices of Eritrean women and their children in Canada. The research surrounding Eritrean women and their children’s awareness and exposure to sexual health education is even far more limited. This study aims to fill this gap in immigrant health research though an evaluation of the Raising Sexually Healthy Children (RSHC) Project, a sexual health education program for immigrant parents in Toronto. Evaluation is based on the Eritrean women’s experiences of the RSHC Program as well any challenges and benefits they encountered throughout its implementation. Six Eritrean women including four program participants as well as two program coordinators were interviewed. Findings indicated that despite the cultural taboo of discussing issues of sexual health, the women gained a greater sense of confidence, openness, and acceptance towards this topic. The study concluded that the RSHC program was successful in assisting the Eritrean women participants to develop effective sexual health communication with their children, family members, and wider community.

The sexual health education experiences of Eritrean women in Toronto: an evaluation of the Raising Sexually Healthy Children (RSHC) Program

Very few students have focused on the health knowledge and practices of Eritrean women and their children in Canada. The research surrounding Eritrean women and their children's awareness and exposure to sexual health education is even far more limited. This study aims to fill this gap in immigrant health research through an evaluation of the Raising Sexually Healthy Children (RSHC) Project, a sexual health education program for immigrant parents in Toronto. Evaluation is based on the Eritrean women's experiences of the RSHC Program as well any challenges and benefits they encountered through its implementation. Six Eritrean women including four program participants as well as two program coordinators were interviewed. Findings indicated that despite the cultural taboo of discussing issues of sexual health, the women gained a greater sense of confidence, openness, and acceptance towards this topic. The study concluded that the RSHC program was successful in assisting the Eritrean women participants to develop effective sexual health communication with their children, family members, and wider community.

The sexual health education experiences of Eritrean women in Toronto: an evaluation of the Raising Sexually Healthy Children (RSHC) Program

Very few students have focused on the health knowledge and practices of Eritrean women and their children in Canada. The research surrounding Eritrean women and their children's awareness and exposure to sexual health education is even far more limited. This study aims to fill this gap in immigrant health research through an evaluation of the Raising Sexually Healthy Children (RSHC) Project, a sexual health education program for immigrant parents in Toronto. Evaluation is based on the Eritrean women's experiences of the RSHC Program as well any challenges and benefits they encountered through its implementation. Six Eritrean women including four program participants as well as two program coordinators were interviewed. Findings indicated that despite the cultural taboo of discussing issues of sexual health, the women gained a greater sense of confidence, openness, and acceptance towards this topic. The study concluded that the RSHC program was successful in assisting the Eritrean women participants to develop effective sexual health communication with their children, family members, and wider community.

Factors Associated With HIV Testing in Teenage Men Who Have Sex With Men

BACKGROUND Adolescent men who have sex with men (AMSM) have a high rate of HIV diagnoses. An estimated 14.5% of HIV infections in the United States are undiagnosed; but among 13- to 24-year-olds, the rate is 51.4%. We describe HIV testing rates and identifies salient individual, family, school, and health care influences among AMSM. METHODS Data were collected as part of SMART, an ongoing pragmatic trial of an online HIV prevention intervention for AMSM (N = 699). Measures included lifetime HIV testing, demographics, sexual behaviors, condom use, HIV education from school and family, sexual health communication with doctors, HIV knowledge, and risk attitudes. RESULTS Only 23.2% of participants had ever had an HIV test. Rates of testing increased with age (5.6% in 13- to 14-year-olds; 15.8% in 15- to 16-year-olds; 37.8% in 17- to 18-year-olds), and sexual experience was a strong predictor of testing (odds ratio: 6.54; 95% confidence interval: 3.95–11.49; P &lt; .001). Most participants had a regular doctor (67.5%), but few had conversations about same-sex sexual behaviors (21.3%), HIV testing (19.2%), or sexual orientation (29.2%). Speaking to a doctor about HIV testing had a large effect (odds ratio: 25.29; confidence interval: 15.91–41.16; P &lt; .001), with 75.4% who had such conversations having been tested, compared to only 10.8% of those who had not had such conversations. CONCLUSIONS Despite higher risk, few participants reported ever having received an HIV test. Data indicate pediatricians are an important, but largely untapped, source of testing and could be integral to achieving testing rates needed to end the epidemic.