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Efficacy of behavioral interventions to increase engagement in sexual health services among LatinX youth in the United States: A meta-analysis for post-pandemic implications.
Rosen, Aviana O; Bergam, Lauren; Holmes, Ashley L; Krebs, Emma; Moreno, Melanie; Muñiz, Geycel S; Huedo-Medina, Tania B.
Afiliación
  • Rosen AO; Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.
  • Bergam L; Syneos Health, Morrisville, NC, USA.
  • Holmes AL; Department of Health Policy, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
  • Krebs E; Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.
  • Moreno M; Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.
  • Muñiz GS; Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.
  • Huedo-Medina TB; Department of Clinical, Health Psychology and Research Methodology, University of the Basque Country, San Sebastian - Donastia, Spain.
Int J Adolesc Med Health ; 36(1): 1-15, 2024 Feb 01.
Article en En | MEDLINE | ID: mdl-38373148
ABSTRACT

INTRODUCTION:

LatinX youth in the U.S. are disproportionately affected by HIV and STIs, commonly attributed to a lack of diagnostic testing and regular physician consultations to address sexual health. These disparities have been exacerbated by the COVID-19 pandemic. This meta-analysis seeks to assess the efficacy of behavioral interventions among LatinX youth in the U.S. that aim to increase engagement in sexual health services (i.e., STI/HIV testing, physician consultations). CONTENT Following PRISMA guidelines, seven electronic databases were searched. We systematically extracted data with a coding form, and effect sizes were obtained from each study on HIV/STI testing outcomes and physician consultation. Moderator analyses were run for demographic and intervention characteristics. SUMMARY AND OUTLOOK Of nine included studies, the interventions created a small-to-moderate effect on increased engagement of sexual health services (d +=0.204, 95 % CI=0.079, 0.329). Moderator analyses showed that interventions including the following characteristics were most efficacious at facilitating care services community-based or online setting, access to diagnostic testing, social media/remote components, parental involvement, and longer session duration. This meta-analysis provides informative results regarding behavioral interventions that have proven efficacious in facilitating engagement in sexual health services among LatinX youth. Most prominently, interventions that are remote or through social media, community-based, and incorporated parents had large positive effects. These findings prove useful for the ongoing COVID-19 pandemic situation and provide guidance for targeting LatinX youth to engage them in sexual health services as primary and secondary STI and HIV prevention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de Transmisión Sexual / Infecciones por VIH / Salud Sexual Límite: Adolescent / Humans País/Región como asunto: America do norte Idioma: En Revista: Int J Adolesc Med Health Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de Transmisión Sexual / Infecciones por VIH / Salud Sexual Límite: Adolescent / Humans País/Región como asunto: America do norte Idioma: En Revista: Int J Adolesc Med Health Asunto de la revista: PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania