Health Education & Behavior最新文献_第7页

A Qualitative Study of Health Equity's Role in Community Coalition Development. 关于健康公平在社区联盟发展中的作用的定性研究。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-06-28 DOI: 10.1177/10901981231179755

Sadie Chen, Galya Walt, Alison Aldrich, Ann Scheck McAlearney, Benjamin Linas, Brenda Amuchi, Darcy A Freedman, Dawn Goddard-Eckrich, Erin Gibson, Jeanie Hartman Ms, Julie Bosak, Karsten Lunze, Latasha Jones, Mia Christopher, Pamela Salsberry, Rebecca Jackson, Sandi Back, Mari-Lynn Drainoni, Daniel M Walker

{"title":"A Qualitative Study of Health Equity's Role in Community Coalition Development.","authors":"Sadie Chen, Galya Walt, Alison Aldrich, Ann Scheck McAlearney, Benjamin Linas, Brenda Amuchi, Darcy A Freedman, Dawn Goddard-Eckrich, Erin Gibson, Jeanie Hartman Ms, Julie Bosak, Karsten Lunze, Latasha Jones, Mia Christopher, Pamela Salsberry, Rebecca Jackson, Sandi Back, Mari-Lynn Drainoni, Daniel M Walker","doi":"10.1177/10901981231179755","DOIUrl":"10.1177/10901981231179755","url":null,"abstract":"Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALing Communities Study (HCS)-a multisite implementation study aiming to reduce opioid overdose deaths in 67 communities. Researchers analyzed transcripts of 321 qualitative interviews conducted with members of 56 coalitions in the four states participating in the HCS. There were no a priori interests in themes, and emergent themes were identified through inductive thematic analysis and then mapped to the constructs of the Community Coalition Action Theory (CCAT). Themes emerged related to coalition development and highlighted the role of health equity in the inner workings of coalitions addressing the opioid epidemic. Coalition members reported seeing the lack of racial and ethnic diversity within their coalitions as a barrier to their work. However, when coalitions focused on health equity, they noted that their effectiveness and ability to tailor their initiatives to their communities' needs were strengthened. Based on our findings, we suggest two additions to enhance the CCAT: (a) incorporating health equity as an overarching construct that affects all stages of development, and (b) ensuring that data about individuals served are included within the pooled resource construct to enable monitoring of health equity.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"613-624"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9683827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teamwork Competencies and Their Influence on Health Literacy and Other Health Variables. 团队合作能力及其对健康素养和其他健康变量的影响。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-11-02 DOI: 10.1177/10901981231207079

Iago Portela-Pino, Alejandro Sal-de-Rellán, Lucía Lomba-Portela

引用次数: 0

Identifying Behavior Change Techniques in an Artificial Intelligence-Based Fitness App: A Content Analysis. 识别基于人工智能的健身应用程序中的行为改变技术：内容分析。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-12-06 DOI: 10.1177/10901981231213586

Hakan Kuru

{"title":"Identifying Behavior Change Techniques in an Artificial Intelligence-Based Fitness App: A Content Analysis.","authors":"Hakan Kuru","doi":"10.1177/10901981231213586","DOIUrl":"10.1177/10901981231213586","url":null,"abstract":"In the field of artificial intelligence-based fitness apps, the effective integration of behavior change techniques (BCTs) is critical for promoting physical activity and improving health outcomes. However, the specific BCTs employed by apps and their impact on user engagement and behavior change are not explored sufficiently. This study investigates the Freeletics fitness app through a mixed-methods approach to evaluate the use of BCTs. In the quantitative analysis, fifteen unique BCTs were identified based on the Behavior Change Technique Taxonomy (V1). In the qualitative analysis, user reviews (n=400) were examined to understand perspectives on the app's effectiveness in promoting behavior change. Goal setting, action planning, self-monitoring of behavior, and social support were among the most prevalent BCTs identified in the Freeletics app, and their effectiveness in enhancing user engagement and promoting behavior change was also highlighted by user reviews. Among the areas of improvement identified in the study were the need for simplifying personalization options and addressing user concerns regarding the specificity of feedback. The study underscores the importance of integrating BCTs effectively within AI-based fitness apps to drive user engagement and facilitate behavior change. It contributes valuable insights into the design and implementation of BCTs in fitness apps and offers recommendations for developers, emphasizing the significance of goal setting, feedback mechanisms, self-monitoring, and social support. By understanding the impact of specific BCTs on user behavior and addressing user concerns, developers can create more effective fitness apps, ultimately promoting healthier lifestyles and positive behavior change.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"636-647"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138487401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Turkish Adaptation of the ADORE: A Study of Validity and Reliability. ADORE 的土耳其语改编版：有效性和可靠性研究

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2023-12-21 DOI: 10.1177/10901981231218950

Sevil Cicek Ozdemir, Ayten Senturk Erenel

{"title":"Turkish Adaptation of the ADORE: A Study of Validity and Reliability.","authors":"Sevil Cicek Ozdemir, Ayten Senturk Erenel","doi":"10.1177/10901981231218950","DOIUrl":"10.1177/10901981231218950","url":null,"abstract":"It is obvious that current tools in literature that are used to measure female's sexual quality of life focus only on the objective dimension of sexual function, failing to examine quality of life on a multidimensional level. The aim of this research is to examine the validity and reliability of the ADORE for Turkish society. In the methodological research, 500 females were included. The research data was collected with \"Descriptive Information Form\" \"ADORE\" and \"Sexual Quality of Life-Female (SQOL-F).\" ADORE is a five-Likert-type type and 36-item scale that was developed to assess female's sexual quality of life. It has six sub-dimensions. It is stated that ADORE can better evaluate female's sexual quality of life holistically and contextually. The validity of ADORE was analyzed as linguistic, content, and construct validities. In determining the reliability of the scale, item-total score correlation, Cronbach alpha (Cr α) coefficient, Pearson correlation, split-half analysis, test-retest, and parallel form were used. Content validity index was found to be 0.90. The confirmatory factor analysis was performed for construct validity. ADORE's Cr α reliability coefficient was determined to be .95. According to ADORE test-retest analyses, it was found that there is a positively strong and statistically high significant correlation among scores of the scale. It was determined that there is an acceptable correlation between ADORE and SQOL-F. In determining female's sexual quality of life in Turkish society, ADORE is a valid and reliable scale. It is a useful scale for health professionals working in the clinic to evaluate female's sexual quality of life.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"648-656"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138829422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Being Queer, It Was Really Isolating": Stigma and Mental Health Among Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Young People During COVID-19. "作为同性恋者，真的很孤独"：COVID-19 期间女同性恋、男同性恋、双性恋、变性者和同性恋（LGBTQ+）青年的耻辱感与心理健康。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-05-17 DOI: 10.1177/10901981241249973

Megan M Ruprecht, Ysabel Floresca, Shreya Narla, Dylan Felt, Gregory Phillips, Kathryn Macapagal, Morgan M Philbin

{"title":"\"Being Queer, It Was Really Isolating\": Stigma and Mental Health Among Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Young People During COVID-19.","authors":"Megan M Ruprecht, Ysabel Floresca, Shreya Narla, Dylan Felt, Gregory Phillips, Kathryn Macapagal, Morgan M Philbin","doi":"10.1177/10901981241249973","DOIUrl":"10.1177/10901981241249973","url":null,"abstract":"Lesbian, Gay, Bisexual, Transgender, Queer, and other sexual and gender minority (LGBTQ+) youth and young adults (YYAs) have poorer mental health outcomes than their cisgender, heterosexual peers in large part due to multilevel stigmatization and minority stress. This was exacerbated by psychological stressors stemming from the COVID-19 pandemic; these experiences intersected with YYA unique developmental stage. Here we explored LGBTQ+ YYA's pandemic-related experiences, focusing on intersections between stigma and belonging, developmental processes, and their relationship to mental health. We conducted qualitative interviews from August to November 2021 with 34 LGBTQ+ YYA ages 14 to 24; interviews were nested within a quantitative study on YYA experiences during COVID-19. Interviews were transcribed and coded using thematic analysis. YYA described how pandemic impacts like quarantine and isolation directly impacted their mental health; these coalesced around four types of thematic shifts: shifts in (1) time, (2) living situations, (3) community supports, and (4) social and political climate. Multilevel stigmatization also created new mechanisms of norm enforcement for LGBTQ+ YYA. Interviews demonstrated how the pandemic also impacted key developmental processes including identity formation and autonomy seeking. The potential consequences of these pandemic-related shifts largely depended on YYA's experiences of stigma and/or belonging throughout the pandemic. Findings suggested that isolation from the COVID-19 pandemic intersected with existing socio-ecological structures in LGBTQ+ young people's lives. Efforts to investigate longitudinal impacts of the pandemic, as well as to intervene to reduce the stigmatization experienced by LGBTQ+ YYA, remain urgent.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"521-532"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140955932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Technology, Health Information Seeking, and Socioeconomic Factors Are Associated With Coronavirus Disease 2019 Vaccination Readiness in Estonians Over 50 Years? 技术、健康信息查询和社会经济因素如何与 50 岁以上爱沙尼亚人的冠状病毒疾病 2019 年疫苗接种准备情况相关联？

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-05-07 DOI: 10.1177/10901981241249972

Marianne Paimre, Sirje Virkus, Kairi Osula

{"title":"How Technology, Health Information Seeking, and Socioeconomic Factors Are Associated With Coronavirus Disease 2019 Vaccination Readiness in Estonians Over 50 Years?","authors":"Marianne Paimre, Sirje Virkus, Kairi Osula","doi":"10.1177/10901981241249972","DOIUrl":"10.1177/10901981241249972","url":null,"abstract":"Despite the proven effectiveness of COVID-19 vaccines in preventing severe illness, many individuals, including older adults who are most susceptible to the virus, have opted against vaccination. Various factors could shape vaccination decisions, including seeking health information (HI). The internet is the primary source of HI today; however, older adults are often referred to as those missing out on digital benefits. The study explores the correlations between information and communication technology (ICT) use, online HI seeking, socioeconomic factors, and COVID-19 vaccination readiness among individuals aged 50 and above in Estonia. The survey data were gathered from 501 people aged 50 and older after the first lockdown in 2020. The outcomes revealed that vaccination readiness positively correlated with factors such as higher educational attainment, greater income, male gender, access to ICT, a readiness to employ digital technologies for health-related purposes, a greater demand for HI, and a higher frequency of seeking it online. There was some discrepancy in the preference of HI sources; for example, vaccination consenters preferred online versions of professional press publications and specific health portals. Based on the findings, it is advisable to encourage older adults to utilize the internet and new technology for health-related purposes. This practice expands the range of information sources available to them, ultimately enabling better decision-making regarding their health behaviors.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"502-511"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11193318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression, Anxiety, and Stress Among Emerging Adult Undergraduates: A Longitudinal and Two-Cohort Study. 即将成年的大学生中的抑郁、焦虑和压力：纵向和双队列研究。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-08-01 Epub Date: 2024-03-30 DOI: 10.1177/10901981241240745

Marta Díez, Águeda Parra, María Del Carmen García-Mendoza, Inmaculada Queija-Sánchez

{"title":"Depression, Anxiety, and Stress Among Emerging Adult Undergraduates: A Longitudinal and Two-Cohort Study.","authors":"Marta Díez, Águeda Parra, María Del Carmen García-Mendoza, Inmaculada Queija-Sánchez","doi":"10.1177/10901981241240745","DOIUrl":"10.1177/10901981241240745","url":null,"abstract":"Mental disorders constitute one of the population's principal health problems, especially among undergraduates. This quantitative study compared levels of depression, anxiety, and stress in a sample of emerging adult university undergraduates from a gender perspective (1) during the initial and intermediate years of emerging adulthood and (2) in two different cohorts. A total of 383 Spanish emerging adult university undergraduates were monitored longitudinally (2015-2018) and two cohorts were compared (2015-2020). Participants completed the validated Spanish version of the Depression Anxiety Stress Scale-21. Mean-level and rank-order stability was found across the two waves of the longitudinal study in relation to levels of depression, anxiety, and stress. Significant differences were found between the two cohorts, indicating higher levels of psychological distress in 2020 than in 2015. Women were found to have higher levels of psychological distress, particularly stress, than men in both waves and cohorts. Results are discussed in relation to the negative effects of the COVID-19 health crisis on the emotional health of emerging adults. The present study highlights the need to establish measures designed to improve the mental health of emerging adults, which was more severely affected by the COVID-19 crisis than by the aftermath of the 2008 financial crisis. It also underscores the need to develop interventions designed to alleviate the greater degree of stress suffered by women.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"553-561"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimism Bias Among Gun Owners: Associations With Firearm Injury Prevention Practices and Policy Support. 枪支所有者的乐观偏差：枪支拥有者的乐观偏差：与枪支伤害预防措施和政策支持的关联。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-07-30 DOI: 10.1177/10901981241267212

Amanda J Aubel, Garen J Wintemute, Aaron B Shev, Nicole Kravitz-Wirtz

{"title":"Optimism Bias Among Gun Owners: Associations With Firearm Injury Prevention Practices and Policy Support.","authors":"Amanda J Aubel, Garen J Wintemute, Aaron B Shev, Nicole Kravitz-Wirtz","doi":"10.1177/10901981241267212","DOIUrl":"https://doi.org/10.1177/10901981241267212","url":null,"abstract":"Optimism bias is common across health risk assessments, including firearm injury risk, and can have behavioral consequences. Using data from the 2018 California Safety and Wellbeing Survey, we examine whether optimism bias influences firearm injury prevention practices and policy support by comparing the characteristics, behaviors, and opinions of gun owners who believed having a gun at home is comparatively safer for themselves than for similar others (Optimism Bias group) with (1) those who unequivocally believe guns increase safety for themselves and others (Always Safer group), and (2) those who said they \"don't know\" or \"it depends\" in both the self and other scenarios (Uncertain group). Weighted multinomial logistic regression results indicated that gun owners in the Optimism Bias group were more often female, members of minoritized racial or ethnic groups, and new gun owners than the Always Safer and Uncertain groups; they also demonstrated greater support for 4 of 5 firearm injury prevention policies/interventions. Despite similar prevalence of owning a gun for protection, gun owners in the Optimism Bias group less often carried a loaded firearm or stored a gun in an unsecure way compared with the Always Safer group. Findings suggest that gun owners characterized by optimism bias, who acknowledged some risk associated with firearms, even if only or more so for others than for themselves, may represent a \"movable middle\" that is more receptive to firearm injury prevention efforts. Public health messages emphasizing other-oriented (vs. personal) risk and collective responsibility may be perceived as less threatening to the symbolic significance of guns to individual identity, thus enhancing effectiveness.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981241267212"},"PeriodicalIF":2.7,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stigma, Mental Health, and Health care Use Among Rural Sexual and Gender Minority Individuals. 农村性少数群体和性别少数群体的污名、心理健康和医疗保健使用。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-06-01 Epub Date: 2022-08-29 DOI: 10.1177/10901981221120393

Wiley D Jenkins, Suzan Walters, Gregory Phillips, Kanicia Green, Emma Fenner, Rebecca Bolinski, Allison Spenner, Georgia Luckey

{"title":"Stigma, Mental Health, and Health care Use Among Rural Sexual and Gender Minority Individuals.","authors":"Wiley D Jenkins, Suzan Walters, Gregory Phillips, Kanicia Green, Emma Fenner, Rebecca Bolinski, Allison Spenner, Georgia Luckey","doi":"10.1177/10901981221120393","DOIUrl":"10.1177/10901981221120393","url":null,"abstract":"Sexual and gender minorities (SGM) frequently experience depression and health care-related stigma. Health care satisfaction is important for seeking care, but little is known about SGM health care satisfaction, and especially as it relates to depression among rural SGM. From May 25 to July 2, 2021, we surveyed rural Illinois (IL) individuals aged ≥18 years on the topics of demographics, depression, health care satisfaction, past health care experiences, internalized stigma, and victimization. Among the 398 respondents, the gender identity distribution included cisgender males and females (171 and 203, respectively) and transgender males and females (8 and 7, respectively), while sexual orientation included heterosexuals (114), gay/lesbians (143), and other orientations (141). Analyses were conducted with respect to both identity and orientation (and their interaction). In univariate analysis, transgender individuals were more likely than cisgender to screen positive for depression and less likely to report feeling accepted by their medical provider. Compared to heterosexual respondents, gay/lesbians and other orientations were more likely to screen positive for depression. In logistic regression, factors associated with increased risk of depression included nonheterosexual orientation and past poor health care experiences. In linear regression, factors most commonly associated with the seven satisfaction subscales include: sexual orientation, past poor experiences, and employment. There were significant differences in depression across both sexual orientation and gender identity, and in health care satisfaction by sexual orientation. Rural SGMs are more vulnerable to depression and less likely to report satisfactory care. As health care engagement is critical for screening and care adherence, engaging rural SGM in a routine and satisfactory fashion is needed.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"477-489"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9232080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlates of Transactional Sex Among Black Men and Women Who Misuse Opioids. 在滥用阿片类药物的黑人男女中，性交易的相关性。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-06-01 Epub Date: 2024-01-28 DOI: 10.1177/10901981231225440

Shemeka Thorpe, Paige Orphé, Gabriella Pitcher, Kendall McCleod, Natalie Malone, Danelle Stevens-Watkins

{"title":"Correlates of Transactional Sex Among Black Men and Women Who Misuse Opioids.","authors":"Shemeka Thorpe, Paige Orphé, Gabriella Pitcher, Kendall McCleod, Natalie Malone, Danelle Stevens-Watkins","doi":"10.1177/10901981231225440","DOIUrl":"10.1177/10901981231225440","url":null,"abstract":"The rise in opioid misuse coincides with increased sexually transmitted infection (STI) and HIV incidence. Transactional sex is an under-researched phenomenon among Black Americans who misuse opioids, and may increase their risk of STI or HIV transmission. Given the disproportionate impact of the opioid epidemic on Black Americans and the risks associated with opioid misuse, the current study aims to investigate sociostructural factors, history of violence, and sexual risk factors associated with transactional sex among Black men and women. A sample of n = 375 Black adult Kentuckians reporting opioid misuse completed a survey including transactional sex, sociostructural, violence history, and sexual risk measures. Results of chi-squares and independent samples t-tests revealed that compared to men who did not report engaging in transactional sex, men who engaged in transactional sex were less educated, reported being sexually assaulted or having an unwanted sexual experience in their lifetime, and were more likely to use opioids or cocaine before or during sex in the last year. Women who engaged in transactional sex had a history of violence, more structural barriers, higher psychological distress, and engaged in more sexual risk behaviors compared to women who did not engage in transactional sex. Implications for future research and interventions with this population are discussed.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"416-424"},"PeriodicalIF":2.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11200108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0