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Download - Society for Public Health Education

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Conference Abstractsand seronegative drug-using populations residing in areaswith low, medium, and high HIV prevalence. Hypothesis:Participants who go through the NIDA Community BasedOutreach Program will show significant improvement onthe National Outcome Measures: Ÿ Abstinence: did not usealcohol or illegal drugs Ÿ Crime and Criminal Justice: hadno past 30 day arrests Ÿ Employment/<strong>Education</strong>: werecurrently employed or attending school Ÿ <strong>Health</strong>/Behavior/Social Consequences: experienced no alcohol or illegal drugrelated health, behavioral, social consequences Ÿ SocialConnectedness: were socially connected Ÿ Stability inHousing: had a permanent place to live in the communityMethods: The program was conducted between 2008 to 2011.Data was collected at baseline and 6 month follow-up via streetoutreach, substance abuse treatment centers and a communityhealth clinic. Results: Data reveals an increase in abstinenceof alcohol and/or illegal drugs (23.4% to 82.9%); had no past30 day arrest (78.4% to 96.4%); shows individuals who areemployed or attending school (16.2% to 29.7%); experiencedno related health, behavior, or social consequences (44.1% to88.3%); social connectedness (91.9% to 95.5%); and stabilityin housing (had a permanent place to live in the community)from 44.1% to 13.5%. Conclusion: Study findings indicate thatthe outreach-based interventions were effective in reachingat-risk individuals and enabling them to reduce risk behaviorsand, consequently, their risk of acquiring HIV/AIDS. Communitybased outreach was found to be an effective approach <strong>for</strong>reaching out-of-drug users, providing materials to support HIVrisk reduction, facilitating drug treatment entry and retention.Implications <strong>for</strong> Practice: Multidisciplinary approachesis an effective strategy <strong>for</strong> reducing risky behaviors.Tailoring Social Marketing Messages toEmpower African-American College Women toKnow their HIV StatusKimberly Coleman, MPH, PhD, MCHES, Department of <strong>Public</strong><strong>Health</strong> <strong>Education</strong>, North Carolina Central University; DeborahFortune, PhD, MCHES, FAAHE, Department of <strong>Public</strong> <strong>Health</strong><strong>Education</strong>, North Carolina Central University; Nickie Jackon,BS, Gillings School of Global <strong>Public</strong> <strong>Health</strong>, University ofNorth Carolina; Seronda Robinson, PhD, Department of<strong>Public</strong> <strong>Health</strong> <strong>Education</strong>, North Carolina Central UniversitySocial marketing campaigns have been developed <strong>for</strong>college students to address health issues such as safe sexpractices (primarily condom use), smoking cessation, alcoholuse, healthy eating, and physical activity. The focus of thispresentation is the social marketing component of a multicomponentproject, entitled Status Matters. The StatusMatters project was designed to prevent and/or reducerisky behaviors that lead to HIV infection among African-American female college students 18-24 years of age througheducation, empowerment, and HIV testing. The objectiveof the social marketing campaign <strong>for</strong> Status Matters is toempower African-American female college students to gobeyond encouraging HIV testing. Thus, empowering themto know their HIV status and take the necessary protectivesteps to either remain negative or <strong>for</strong> positive participantsto get treatment. There<strong>for</strong>e, it is a critical component <strong>for</strong> theeffectiveness and sustainability of this multi-component HIVintervention. There are four phases to the development of theStatus Matters social marketing campaign, driven by studentfeedback: planning and strategy development, developing andMCHES Sessionspretesting materials/messages, implementing the program,and evaluating effectiveness. Using a non-probability,criterion sampling technique, an initial focus group session wasconducted using a semi-structured protocol consisting of tenopen-ended questions. The purpose of this focus group withAfrican-American female students was to determine the keymessages, strategies, and best channels <strong>for</strong> the Status Matterscampaign. Assessment questions were in<strong>for</strong>med by constructsof the Theory of Reasoned Action, the TranstheoreticalModel, and the <strong>Health</strong> Belief Model. The session was digitallyrecorded and transcribed <strong>for</strong> data analysis. Data were analyzedby three researchers to determine the common themes <strong>for</strong> keymessages, strategies, and best channels <strong>for</strong> this populationand HBCU environment. The results of this initial stage ofsocial marketing campaign development will in<strong>for</strong>m thedevelopment of tailored messages and the channels that aremost likely to reach and empower this unique population.From Protocol to Practice: Successes and Challengesof Post Exposure Response Community Workgroup’sEf<strong>for</strong>ts to Implement a Citywide Non-occupationalPost Exposure Prophylaxis (nPEP) HIV PreventionZupenda Davis, MPH, MCHES, DrPH (c), PA/MidAtlantic AIDS <strong>Education</strong> and Training Center,Drexel University School of <strong>Public</strong> <strong>Health</strong>Background: In 2005, the Centers <strong>for</strong> Disease Controland Prevention (CDC) issued guidelines <strong>for</strong> antiretroviralpostexposure prophylaxis following sexual, injection-druguse, and other non-occupational exposure to HIV (nPEP).These guidelines, although widely accepted, have not beenincorporated in most Philadelphia clinical practices andemergency departments. As a result, patients seeking nPEPoften have a hard time finding this valuable resource whenneeded. A needs assessment distributed to local HIV serviceproviders indicated limited availability of nPEP. Currently, theincidence rate of HIV infection in Philadelphia is five timesthat of the national HIV incidence rate. Theoretical Basis:The conceptual framework <strong>for</strong> this intervention is the CDC’srecommendations <strong>for</strong> nPEP which are based on the benefitsof taking antiretroviral medication after a possible nonoccupationalexposure to HIV. Objectives: By the end of thispresentation, attendees will be able to: 1. Identify essentialcomponents of an integrated approach to HIV preventionthrough proposed nPEP guidelines; 2. List three factors thatcan foster implementation of a citywide nPEP HIV preventionstrategy; 3. Assess role AIDS <strong>Education</strong> and Training Center(AETC) plays in addressing HIV primary prevention needsof an urban city. Interventions: A local AETC convened aPost Exposure Response Community Workgroup to assessthe availability of nPEP in Philadelphia and develop localguidelines to improve accessibility. The Workgroup consistsof representatives from the local health department, Title XRegional grantee and several area hospitals. The Workgroupalso identified various HIV providers to assist with patientfollow-up care. Evaluation Measures: The evaluationmeasures <strong>for</strong> this intervention are community planning<strong>for</strong> comprehensive health education and biomedical HIVprevention activities; policy development; and capacitybuilding activities. Results: Needs assessments were crucialin assessing capacity and resources. Collaborative ef<strong>for</strong>tswith various health care and social service agencies werevery instrumental to developing local guidelines and logisticSOPHE 62nd Annual Meeting19

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