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03-11-2015 | Empirical Research

Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect^® (C2P) Structural Change Approach to Youth HIV Prevention

Auteurs: Robin Lin Miller, Patrick F. Janulis, Sarah J. Reed, Gary W. Harper, Jonathan Ellen, Cherrie B. Boyer, the Adolescent Medicine Trials Network for HIV/AIDS Interventions

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 2/2016

Abstract

Reducing HIV incidence among adolescents represents an urgent global priority. Structural change approaches to HIV prevention may reduce youth risk by addressing the economic, social, cultural, and political factors that elevate it. We assessed whether achievement of structural changes made by eight Connect-to-Protect (C2P) coalitions were associated with improvements in youth’s views of their community over the first 4 years of coalitions’ mobilization. We recruited annual cross-sectional samples of targeted youth from each C2P community. We sampled youth in neighborhood venues. We interviewed a total of 2461 youth over 4 years. Males (66 %) and youth of color comprised the majority (52 % Hispanic/Latinos; 41 % African Americans) of those interviewed. By year 4, youth reported greater satisfaction with their community as a youth-supportive setting. They reported their needs were better met by available community resources compared with year 1. However, these findings were moderated by risk population such that those from communities where C2P focused on young men who have sex with men (YMSM) reported no changes over time whereas those from communities focused on other at-risk youth reported significant improvements over time in satisfaction and resource needs being met. Internalized HIV stigma increased over time among those from communities serving other at-risk youth and was unchanged among those from YMSM communities. The very different results we observe over time between communities focused on YMSM versus other at-risk youth may suggest it is unreasonable to assume identical chains of structural causality across youth populations who have such different historical relationships to HIV and who encounter very different kinds of entrenched discrimination within their communities.

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Allen, N. E., Todd, N. R., Anderson, C. J., Davis, S. M., Javdani, S., Bruehler, V., & Dorsey, H. (2013). Council-based approaches to intimate partner violence: Evidence for distal change in the system response. American Journal of Community Psychology, 52, 1–12.PubMedCrossRef

Arnold, E. A., Rebchook, G. M., & Kegeles, S. M. (2014). ‘Triply cursed’: Racism, homophobia and HIV-rleated stigma are barriers to regular HIV testing, treatment adherence and disclosure among young Black gay men. Culture, Health, & Sexuality, 6, 710–722.CrossRef

Bamburger, M., Rugh, J., & Mabry, L. (2012). Realworld evaluation: Working under budget, time, data, and political constraints (2nd ed.). Newbury Park: Sage.

Barker, D. H., Swenson, R. R., Brown, L. K., Stanton, B. F., Vanable, P. A., Carey, M. P., et al. (2012). Blocking the benefit of group-based HIV–prevention efforts in at-risk African-American adolescents: The problem of HIV-related stigma. AIDS and Behavior, 16, 571–577.PubMedPubMedCentralCrossRef

Bekker, L., Johnson, L., Wallace, M., & Hosek, S. (2015). Building our youth for the future. Journal of the International AIDS Society, 18(Suppl 1), 20027.PubMedPubMedCentral

Berkowitz, B. (2001). Studying the outcomes of community-based coalitions. American Journal of Community Psychology, 29, 213–227.PubMedCrossRef

Blankenship, K. S., Bray, S. J., & Merson, M. H. (2000). Structural interventions in public health. AIDS, 14, S11–S21.PubMedCrossRef

Blankenship, K. S., Friedman, S. R., Dworkin, S., & Mantell, J. E. (2006). Structural interventions: Concepts, challenges and opportunities for research. Journal of Urban Health, 83, 59–72.PubMedPubMedCentralCrossRef

Bonnell, C., Hargreaves, J., Strange, V., Pronyk, P., & Porter, J. (2006). Should structural interventions be evaluated using RCTs? The case of HIV prevention. Social Science and Medicine, 63, 1135–1142.CrossRef

Burton, P., Gurrin, L., & Sly, P. (1998). Tutorial in biostatistics. Extending the simple linear regression model to account for correlated responses: an introduction to generalized estimating equations and multi-level mixed modeling. Statistics in Medicine, 17, 1261–1291.PubMedCrossRef

Campbell, C. (2010). Political will, traditional leaders, and the fight against HIV/AIDS: A South African case study. AIDS Care, 22(Suppl. 2), 1637–1643.PubMedCrossRef

Campbell, C., Nair, Y., & Maimane, S. (2007). Building contexts that support effective community responses to HIV/AIDS: A South African case study. American Journal of Community Psychology, 39, 347–363.PubMedCrossRef

Centers for Disease Control and Prevention. (2014). HIV among youth. Retrieved from http://www.cdc.gov/hiv/risk/age/youth/index.html.

Centers for Disease Control and Prevention. (2015). HIV surveillance report, 2013, Vol. 25. Retrieved from http://www.cdc.gov/hiv/library/reports/surveillance/

Cheadle, A., Hsu, C., Schwartz, P. M., Pearson, D., Greenwald, H. P., Beery, W. L., et al. (2008). Involving local health departments in community health partnerships: Evaluation results for the Partnership for the Public’s Health Initiative. Journal of Urban Health, 85, 162–177.PubMedPubMedCentralCrossRef

Cheadle, A., Schwartz, P. M., Rauzon, S., Bourcier, E., Senter, S., Spring, R., & Beery, W. L. (2013). Using the concept of “population-dose” in planning and evaluating community-level obesity prevention initiatives. American Journal of Evaluation, 34, 71–84.CrossRef

Chen, H. T. (1990). Theory-driven evaluations. Newbury Park: Sage.

Chutuape, K. S., Willard, N., Sanchez, K., Straub, D. M., Ochoa, T. N., Howell, L., et al. (2010). Mobilizing communities around HIV prevention for youth: How three coalitions applied key strategies to bring about structural changes. AIDS Education and Prevention, 22, 15–27.PubMedPubMedCentralCrossRef

Clark, N., Lachance, L., Doctor, L. J., Gillmore, L., Kelly, C., Krieger, J., et al. (2010). Policy and system change and community coalitions: Outcomes from Allies Against Asthma. American Journal of Public Health, 100, 904–912.PubMedPubMedCentralCrossRef

Cohen, D. A., Scribner, R. A., & Farley, T. A. (2000). A structural model of health behavior: A pragmatic approach to explain and influence health behaviors at the population level. Preventive Medicine, 30, 146–154.PubMedCrossRef

Darnell, A. J., Barile, J. P., Weaver, S. R., Harper, C. R., Kuperminc, G. P., & Emshoff, J. G. (2013). Testing effects of community collaboration on rates of low infant birthweight at the county level. American Journal of Community Psychology, 51, 398–406.PubMedCrossRef

Delany-Moretlwe, S., Cowan, F. M., Busza, J., Bolton-Moore, C., Kelley, K., & Fairle, L. (2015). Providing comprehensive health services for young key populations: Needs, barriers, and gaps. Journal of the International AIDS Society, 18(Suppl. 1), 19833.PubMedPubMedCentral

Earl, S., Carden, F., & Smutylo, T. (2001). Outcome mapping: Building learning and reflection into development programs. Ottawa, ON: International Development Research Centre.

Emshoff, J. G., Darnell, A. J., Darnell, D. A., Erickson, S. W., Schneider, S., & Hudgins, R. (2007). Systems change as an outcome and a process in the work of community collaboratives for health. American Journal of Community Psychology, 39, 255–267.PubMedCrossRef

Francisco, V. T., Paine, A. L., & Fawcett, S. B. (1993). A methodology for monitoring and evaluating community health coalitions. Health Education Research, 8, 403–416.PubMedCrossRef

Frieden, T. R. (2010). A framework for public health action: The health impact pyramid. American Journal of Public Health, 100, 590–595.PubMedPubMedCentralCrossRef

Funnell, S. C., & Rogers, P. J. (2011). Purposeful program theory. Effective use of theories of change and logic models. San Francisco: Wiley.

Grollman, E. A. (2012). Multiple forms of perceived discrimination and health among adolescents and young adults. Journal of Health and Social Behavior, 53, 199–214.PubMedCrossRef

Gupta, G. R., Parkhurst, J. O., Ogden, J. A., Aggleton, P., & Mahal, A. (2008). Structural approaches to HIV prevention. Lancet, 372, 764–775.PubMedCrossRef

Hardee, K., Gay, J., Croce-Galis, M., & Peltz, A. (2014). Strengthening the enabling environment for women and girls: What is the evidence in social and structural approaches in the HIV response?. Journal of the International AIDS Society, 17, 18619.PubMedPubMedCentralCrossRef

Harper, G. W., Lemos, D., Hosek, S. G., & the Adolescent Medicine Trials Network for HIV, AIDS Interventions. (2014). Stigma reduction in adolescents and young adults newly diagnosed with HIV: Findings from the Project ACCEPT Intervention. AIDS Patient Care and STDs, 28, 543–554.PubMedPubMedCentralCrossRef

Hollister, R. G., & Hill, J. (1995). Problems in the evaluation of community-wide initiatives. In J. P. Connell, A. C. Kubisch, L. B. Schorr, & C. H. Weiss (Eds.), New approaches to evaluating community initiatives: Concepts, methods, and contexts (pp. 127–172). New York: Aspen Institute.

Hubbard, A. E., Ahern, J., Fleisher, N., Laan, M. V. D., Lipmman, S. A., Jewell, N., et al. (2010). To GEE or not to GEE: Comparing population average and mixed models for estimating the associations between neighborhood risk factors and health. Epidemiology, 21, 467–474.PubMedCrossRef

Javdani, S., & Allen, N. E. (2011). Proximal outcomes matter: A multilevel examination of the processes by which coordinating councils produce change. American Journal of Community Psychology, 47, 12–27.PubMedCrossRef

MacKellar, D., Valleroy, L., Karon, J., Lemp, G., & Janssen, R. (1996). The Young Men’s Survey: Methods for estimating HIV seroprevalence and risk factors among young men who have sex with men. Public Health Reports, 111(Suppl. 1), 138–144.PubMedPubMedCentral

Mahajan, A. P., Sayles, J. N., Patel, V. A., Remien, R. H., Ortiz, D., Szekeres, G., & Coates, T. J. (2008). Stigma in the HIV/AIDS epidemic: A review of the literature and recommendations for the way forward. AIDS, 22(Suppl. 2), S67–S79.PubMedPubMedCentral

Miller, R. L., Reed, S. J., Francisco, V., & Ellen, J. (2012). Conflict transformation, stigma, and HIV-preventive structural change. American Journal of Community Psychology, 49, 378–392.PubMedPubMedCentralCrossRef

Muhib, F., Lin, L., Steuve, A., Miller, R. L., Ford, W., Johnson, W., et al. (2001). A venue-based method for sampling hard to reach populations. Public Health Reports, 116(Suppl. 2), 216–222.PubMedPubMedCentralCrossRef

Parkhurst, J. O. (2014). Structural approaches for prevention of sexually transmitted HIV infection in general populations: Definitions and an operational approach. Journal of the International AIDS Society, 17, 19052.PubMedPubMedCentralCrossRef

Prado, G., Lightfoot, M., & Brown, C. H. (2013). Marco-level approaches to HIV prevention among ethnic minority youth. American Psychologist, 68, 286–299.PubMedPubMedCentralCrossRef

Radcliffe, J., Doty, N., Hawkins, L. A., Gaskins, C. S., Beidas, R., & Rudy, B. J. (2010). Stigma and sexual health risk in HIV-positive African American young men who have sex with men. AIDS Patient Care and STDS, 24, 493–499.PubMedCrossRef

Reed, S. J., & Miller, R. L. (2014). The benefits of youth engagement in HIV-preventive structural change interventions. Youth and Society, 46, 528–545.CrossRef

Reed, S. J., Miller, R. L., & Francisco, V. (2012). Programmatic capacity and HIV structural change interventions: Influences on coalitions’ success and efficiency in accomplishing intermediate outcomes. Journal of Prevention and Intervention in the Community, 40, 118–130.PubMedCrossRef

Reed, S. J., Miller, R. L., & Francisco, V. (2014). The influence of community context on coalitions’ formation and achievement of HIV-preventive structural change. Health Education and Behavior, 41, 100–107.PubMedPubMedCentralCrossRef

Reed, S. J., Miller, R. L., & the Adolescent Medicine Trials Network for HIV, AIDS Interventions. (2013). Connect to Protect and the development of AIDS-competent communities. AIDS Education and Prevention, 25, 255–267.PubMedPubMedCentralCrossRef

Roussos, S. T., & Fawcett, S. B. (2000). A review of collaborative partnerships as a strategy for improving community health. Annual Review of Public Health, 21, 369–402.PubMedCrossRef

Salazar, L. F., Emshoff, J. G., Baker, C. K., & Crowley, T. (2007). Examining the behavior of a system: An outcome evaluation of a coordinated community response to domestic violence. Journal of Family Violence, 22, 631–641.CrossRef

Schriner, K. F., & Fawcett, S. B. (1988). Development and validation of a community concerns report method. Journal of Community Psychology, 16, 306–316.CrossRef

Smith, D. (1998). The HIV Epidemiology Research Study, HIV Out-Patient Study and the Spectrum of Disease Studies. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 17(Suppl 1), S17–S19.PubMedCrossRef

Stall, R., Friedman, M., & Catania, J. (2008). Interacting epidemics and gay Men’s health: A theory of syndemic production among urban gay men. In R. J. Wolitski, R. Stall & R. O. Valdiserri (Eds.), Unequal opportunity: Health disparities affecting gay and bisexual men in the United States (pp. 251–274). Oxford: Oxford University Press.

Suarez-Balcazar, Y., Bradford, B., & Fawcett, S. B. (1988). Common concerns of disabled Americans: Issues and options. Social Policy, 19, 29–35.

Sumartojo, E. (2000). Structural factors in HIV prevention: Concepts, examples, and implications for research. AIDS, 14, S3–S10.PubMedCrossRef

Watson-Thompson, J., Fawcett, S. B., & Schultz, J. A. (2008). A framework for community mobilization to promote healthy youth development. American Journal of Preventive Medicine, 34, S72–S81.PubMedCrossRef

Weick, K. E. (1984). Small wins: Redefining the scale of social problems. American Psychologist, 39, 40–49.CrossRef

Weiss, C. H. (1995). Nothing as practical as a good theory: Exploring theory-based evaluation for comprehensive community initiatives for children and families. In J. P. Connell, A. C. Kubisch, L. B. Schorr, & C. H. Weiss (Eds.), New approaches to evaluating community initiatives: Concepts, methods, and contexts (pp. 65–92). New York: Aspen Institute.

Willard, N., Chutuape, K., Stines, S., & Ellen, J. (2012). Bridging the gap between individual level risk for HIV and structural determinants: Using root cause analysis in strategic planning. Journal of Prevention and Intervention in the Community, 40, 103–117.PubMedCrossRef

Yin, R. K., & Kaftarian, S. J. (1997). Introduction: Challenges of community-based program outcome evaluations. Evaluation and Program Planning, 20, 293–297.CrossRef

Zakocs, R. C., & Edwards, E. M. (2006). What explains community coalition effectiveness? A review of the literature. American Journal of Preventive Medicine, 30, 351–361.PubMedCrossRef

Ziff, M., Harper, G., Chutuape, K., Deeds, B. G., Futterman, D., Francisco, V. T., et al. (2006). Laying the foundation for Connect to Protect^®: A multi-site community mobilization intervention to reduce HIV/AIDS incidence and prevalence among urban youth. Journal of Urban Health, 83, 506–522.PubMedPubMedCentralCrossRef

Titel: Creating Youth-Supportive Communities: Outcomes from the Connect-to-Protect® (C2P) Structural Change Approach to Youth HIV Prevention
Auteurs: Robin Lin Miller
Patrick F. Janulis
Sarah J. Reed
Gary W. Harper
Jonathan Ellen
Cherrie B. Boyer
the Adolescent Medicine Trials Network for HIV/AIDS Interventions
Publicatiedatum: 03-11-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Youth and Adolescence / Uitgave 2/2016
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI: https://doi.org/10.1007/s10964-015-0379-9

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