Technology Use in Peer Education for HIV Prevention
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The 30 for 30 Campaign aims to address the unique needs of women living with and affected by HIV through policy, research, education and activism. It conducted focus groups in 7 US cities which found that older women participants were not well connected to support services and there is a need to better engage younger people. Sacramento Peers on Prevention (SacPOP) is a youth-led organization using peer education, outreach and social media to promote sexual health awareness among youth and reduce HIV and STD rates in the Sacramento area.
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Technology Use in Peer Education for HIV Prevention
- 1. Jaspreet Chowdhary, JD, MPH
- 2. 30 for 30 Campaign Mission • The 30 for 30 Campaign is dedicated to ensuring that the unique needs of women living with and affected by HIV, including transgender women, are addressed in the national HIV response. • 30 for 30 Mission: to ensure that the unique needs of women living with and affected by HIV are addressed through policy, research, education and activism toward the elimination of health disparities and gaps in the continuum of prevention and care
- 3. Work and Location • Helps bolster federal representation in DC – Education, advocacy, & research • Member orgs – Direct services, research, supportive services, federal and local advocacy – Located in New York, Alabama, North Carolina, California, Illinois, Texas, Georgia & Washington D.C.
- 4. Focus Groups • 7 Cities Across the Country • Goal was to hear from women living with HIV about their experiences accessing care and the role of HIV in their lives
- 5. Preliminary Findings • Participants were older women • Across the country, concern about stigma • Need for more support services • Better sex education
- 6. Preliminary Implications • Participants were recruited from community based organizations • The participant pool supports the data that younger women are not in care or looped into services
- 7. Preliminary Implications for Young People • Greater need to reach out to loop young people into care • Our participants have said that it took a few years for them to accept diagnosis and learn to live again
- 8. Opportunity for Outreach • Gaps in current outreach efforts to youth • Could be filled with use of technology • Sacramento Peers on Prevention on steering committee and glad to learn from them about youth engagement
- 9. Sacramento Peers on Prevention Ericka Dennis, MPH
- 10. About Us • Founded in 2013 • Became a non-profit in 2015 • Located in Sacramento, CA
- 11. About Us Sacramento Peers on Prevention (SacPOP) is a youth driven organization and our goal is to reach out to youth in the Sacramento area and encourage them to get tested and treated for HIV and other STIs. SacPOP believes that it is important to empower youth and encourage risk reduction behaviors with their peers.
- 12. Youth Advocacy Youth have the power to make change. The youth are creative, insightful and are able to give a better perspective on how they are dealing with various health and social issues pertaining to them. Validating their ability to lead can give them a greater sense of self-awareness and self-identity which creates positive changes for themselves and their peers.
- 13. Three Components 1. Sexual Health Education 2. Peer-to-Peer Intervention 3. Social Media
- 14. What’s the Importance? Luciano, L. & Hooks, K. (2016). The rise in Sacramento County STDs and the condom dilemma. Retrieved from: http://www.abc10.com/news/local/sacramento/the-rise-in-sacramento-county-stds-and-the-condom-dilemma/348861959
- 15. What’s the Importance? Luciano, L. & Hooks, K. (2016). The rise in Sacramento County STDs and the condom dilemma. Retrieved from: http://www.abc10.com/news/local/sacramento/the-rise-in-sacramento-county-stds-and-the-condom-dilemma/348861959 • In Sacramento County, there were 8,427 cases of Chlamydia compared to 7,684 cases in 2014. • 2,871 cases of gonorrhea, of which, 47.1 percent were women and 52.7 percent were men. There were 2,223 cases in 2014. • 224 cases of primary & secondary syphilis, of which, 9.8 percent were women and 90.2 percent were men. There were 114 cases of early latent syphilis, of which 16.7 percent were women and 83.3 percent were men.
- 16. What’s the Importance? Luciano, L. & Hooks, K. (2016). The rise in Sacramento County STDs and the condom dilemma. Retrieved from: http://www.abc10.com/news/local/sacramento/the-rise-in-sacramento-county-stds-and-the-condom-dilemma/348861959 • AIDS cases and AIDS deaths in California decreased 29 percent and 17 percent, respectively, from 2008 to 2013. • The rate of new HIV diagnoses decreased 15 percent, respectively, during those 6 years. • The number of people living with AIDS and HIV in California rose 12 percent and 18 percent, respectively.
- 17. Sexual Health Education College Team • Meet 1-2 times a month • POP This! Questions
- 18. Sexual Health Education January • Cervical Cancer Awareness Month • Human Trafficking Prevention Month February • National Teen Dating Violence Awareness Month • February 7th – National Black HIV/AIDS Awareness Day • Condom Awareness March • March 10th – National Women and Girls HIV/AIDS Awareness Day April • STD Awareness Month • Alcohol Awareness Month • April 10th – National Youth HIV/AIDS Awareness Day May • National Teen Pregnancy Prevention Month • Mental Health Month
- 19. Sexual Health Education High School Team • Meet once a week for 5-7 weeks • Plan and host community event
- 20. Sexual Health Education • Focus on HIV/STI prevention –Include: pregnancy prevention and other health/social issues • Contraception • Negotiation and Refusal Skills • Project Development
- 24. Social Media
- 25. Social Media • Twitter chats • Campaigns • Blogs
- 27. Social Media
- 28. Social Media
- 29. Putting it all Together 1. Sexual Health Education 2. Peer-to-Peer Intervention 3. Social Media
- 30. Thank You! Ericka Dennis edennis@sacpop.org Visit Us: www.SacPOP.org info@sacpop.org
Editor's Notes
- Based on various peer reviewed research Theories: Theory of Reasoned Action This theory states that the intention of a person to adopt a recommended behavior is determined by: A person’s subjective belief, that is, his or her own attitudes towards this behavior and his or her belief about the consequences of the behavior. For example, a young woman who thinks that using contraception will have positive results for her will have a positive attitude towards contraception use, A person’s normative beliefs, that is, how a person’s view is shaped by the norms and standards of his or her society and by whether people important to him or her approve or disapprove of the behavior. Social Learning Theory This theory is largely based upon the work of psychologist Albert Bandura. He states that people learn: Through direct experiences Indirectly, by observing and modeling the behavior of others with whom the person identifies, for example, how young people see their peers behaving, Through training that leads to confidence in being able to carry out that behavior. This specific condition is called self-efficacy, which includes the ability to overcome any barriers to performing the behavior. For example, using role plays to practice how and when to introduce a condom can be important in developing the self-confidence to talk about safer sex methods with a partner. Diffusion of Innovations Theory This theory argues that social influence plays an important role in behavior change. The role of opinion leaders in a community, acting as agents for behavior change, is a key element of this theory. Their influence on group norms or customs is predominately seen as a result of person-to-person exchanges and discussions. Theory of Participatory Education This theory states that empowerment and full participation of the people affected by a given problem is a key to behavior change. Health Belief Model The Health Belief Model is used to explain and predict health behavior, mainly through perceived susceptibility, perceived barriers and perceived benefits. This model suggests that if a person has a desire to avoid illness or to get well (value) and the belief that a specific health action would prevent illness (expectancy), then a positive behavioral action would be taken with regards to that behavior. Social Ecological Model for Health Promotion According to this model, behavior is viewed as being determined by the following: Intrapersonal factors – characteristics of the individual such as knowledge, attitudes, behavior, self-concept and skills. Interpersonal processes and primary groups – formal and informal social networks and social support systems, including the family, work group and friendships. Institutional factors – social institutions with organizational characteristics and formal and informal rules and regulations for operation. Community factors – relationships among organizations, institutions, and informal networks with defined boundaries. Public policy – local, state and national laws and policies. This theory acknowledges the importance of the interplay between the individual and the environment and considers multilevel influences on unhealthy behavior. In this manner, the importance of the individual is deemphasized in the process of behavior change. IMBR Model: Information, Motivation, Behavioral Skills and Resources The IMBR model addresses health-related behavior in a way that can be applied to and across different cultures. It focuses largely on the information (the “what”), the motivation (the “why”), the behavior skills (the “how”) and the resources (the “where) that can be used to target at-risk behaviors. For example, if a young man knows that using condoms properly may prevent the spread of HIV, he may be motivated to use them and know to employ them correctly, but he may not be able to purchase or find them; thus, the concept of resources is important to this model.
- 100% - stated that they reach out to their peers in person or on social media 70% stated that they reach out to their peers in person and on social media 30% stated that they reach out to their peers only in person
- 100% - stated that they reach out to their peers in person or on social media 70% stated that they reach out to their peers in person and on social media 30% stated that they reach out to their peers only in person
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- Love – YPE personal experience with an abusive relationship Vday – advice for those who feel pressure to have sex and for those who feel lonely on vday