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Apha 2013 Gonzalez_Public


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Are texting and social networking site's instant messaging appropriate sexual health education tools for urban young women of color? A mixed-methods study

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Apha 2013 Gonzalez_Public

  1. 1. Sonia K. González, MPH, Doctoral Student Graduate Center, City University of New York Wednesday, November 6, 2013 APHA, #287981
  2. 2. Special thanks to the National Institutes of Mental Health for their support. • Research in HIV Intervention: Skills for Underserved Communities and Families (R25 MH083602) • Piloting a Mobile App for HIV Risk Reduction among Young Latinas & Black Females (1F31MH099924-01) 2
  3. 3. Citation: Hillebrand F, editor. Short Message Service (SMS): The Creation of Personal Global Text Messaging. Chippenham, Wiltshire: Wiley; 2010. Madden M, Lenhart A, Duggan M, Cortesi S, Gasser U. Teens and Technology 2013. Pew Research Center's Internet & American Life Project. 2013; Available at: 3
  4. 4. Asking Shared Sexual Reproductive Health (SRH) / HIV Information 4
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  6. 6.  All Young Women  Red Hook, Brooklyn connection  Mean Age 18 (16-22 year olds)  76% attending school  100% English Speakers  71% were in some sort of romantic relationship 6
  7. 7.  Surveys (n=20)  Sources of Information  HIV/AIDS Worry Scale  HIV/AIDS Knowledge  Focus Groups (n=20)  Peer Health Educator (PHEs, n=10)  Peers Contacted by PHEs (PCs, n=8)  Non-PHE/PC Community Member (n=12) 7
  8. 8. 90% 80% 70% 40% 30% In person Info from personal Info from an Info from media Via electronic authority communication 8
  9. 9. 92.31% 84.62% 76.92% 69.23% 69.23% 53.85% Friend School classes dult I live with A Doctor, Nurse, Counselor, Teacher Other adults Partner9
  10. 10. “Because they know that every time they know that we used to do girls group and that we’re peer health educators and stuff, so they ask us for advice instead of going to their mothers….” ~Peer Health Educator “ doctor gave me a website called or .com, I’m not sure, but most of the time I just Google everything.” ~Peer Contacted by PHE “I go to Google before I even go to a human person. Google is my best friend.” ~Community Member 10
  11. 11. Frances: That’s why it’s always better to do it in person. If you do it in person you know who you’re around and you’ll know what you’re saying around certain people. Maria: So if it does get out, you know who leaked it. Angie: Like these are the only ones I was talking to so it had to be one of these people going and saying it. But if you’re texting somebody you don’t know who’s on the other side of that phone. August 18,2011 11
  12. 12. … I had someone I went to high school with and…he was trying to get the word out “everyone get tested” he said, ‘because I actually found out that I was HIV positive’ and I thought that was so big of him. I think it’s [Facebook] still used for good, but it’s the people that abuse it. ~CeCe, December 10, 2011 “Facebook is another world, people be hacking into your stuff and all kinds of crazy things.” ~ Peer Health Educator
  13. 13.  Variance in what was considered a trusted source for SRH Information  Acknowledge that trust and privacy are important issues for young people  Reminder: HIV & SRH strategies are NOT one-size-fits all; must include target population input early in design 13
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  15. 15. "I also believe this would be a very useful app…I just have to say you found the real need and I think the app would be really great because young women, especially those of color, they don't have the support services they need, so this is just one thing in the big circle of things that they need, but it 'll be really helpful for them to have - just women on a whole. I like it, and if this is just a pilot, I hope it goes to older women, and younger women, and just goes out there.” ~Paige 16
  16. 16. It Depends 17
  17. 17. Vivian Cortés & Liza Fuentes, research collaborators. Drs. Beatrice Krauss, Lynn Roberts, Denis Nash, Christina Zarcadoolas, Jessie Daniels, & Betty Wolder Levin- my mentors who provide on-going guidance. Committee The Red Hook Initiative & broader Red Hook community for supporting formative research. I am in your debt for lessons about the human spirit in the aftermath of Hurricane Sandy. 18
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