apha 2013 gonzalez_public
TRANSCRIPT
Are Texting and SNS Instant Messaging Appropriate Sexual
Health Education Tools for Urban Young Women of Color?
Sonia K. González, MPH, Doctoral StudentGraduate Center, City University of New York
Wednesday, November 6, 2013APHA, #287981
2
Presenter DisclosuresSpecial 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)
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: http://pewinternet.org/Reports/2013/Teens-and-Tech.aspx)
4
Research Goal
Shared
Asking
Sexual
Reproductive
Health (SRH) / HIV
Information
Research Setting: Red Hook, Brooklyn
6
Sample Characteristics
All Young WomenRed Hook, Brooklyn connectionMean Age 18 (16-22 year olds)
76% attending school100% English Speakers71% were in some sort of romantic relationship
7
Mixed MethodsSurveys (n=20)
Sources of InformationHIV/AIDS Worry ScaleHIV/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)
90%
80%
70%
40%
30%
SRH Sources of Information
92.31%84.62%
76.92%69.23% 69.23%
53.85%
SRH Information in Person
10
Trusted Sources of SRH by Group
“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
“..my doctor gave me a website called ashastd.org 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
11
Trust, Confidentiality & Privacy
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
In-roads for Technology for Community
Education… 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
Lessons Learned from Red Hook, Brooklyn Pilot
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
A Big Sis App
about Sex
Piloting a Mobile App
for HIV Risk Reduction among Young Women of
Color
National Research Service Award (1F31MH099924-01)
15
Community Advisory Committee
16
Formative Research Findings
"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
It Depends
Are Texting and SNS Instant Messaging Appropriate Sexual Health Education
Tools for Urban Young Women of Color?
18
AcknowledgementsDeep gratitude & appreciation to…
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.
Community Advisory 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.
