Efficacy of Provider Cultural Competency Training for Reducing HIV Prevalence among African-American Adolescent Females
Risky behavior is common among adolescents, some might even say expected, but the risks taken can sometimes lead to tragic, life-long consequences. Sexually transmitted infections (STIs), for example, can cause cervical cancer or acquired immunodeficiency syndrome (AIDS). The adolescent group most susceptible to HIV exposure in the United States is African-American females (reviewed by Aronowitz & Eche, 2013). Across all females between the ages of 13 and 19 in the U.S. African-Americans accounted for 70% of all new infections in 2006, even though only 14% of the American population is Black. More generally, a 2008 study revealed that nearly 50% of all African-American female teenagers were infected with at least one common STI.
Differences in risky behavior among racial and ethnic groups has been associated with other adverse outcomes, including substance abuse, exposure to violence, and mental health issues (reviewed by Gonzalez-Guarda, McCabe, Florom-Smith, Cianelli, & Peragallo, 2011). When Gonzalez-Guarda and colleagues (2011) examined these and other adverse outcomes in a Latina population they discovered that the dependent variables represented a syndemic. In other words, race/ethnicity predicted the prevalence of multiple, seemingly distinct health outcomes. The prevalence of risky behavior would therefore be expected to predict the prevalence of STI, substance abuse, exposure to violence, and mental health problems.
The age of sexual debut is widely regarded to be an accurate indicator of risky behavior in adolescents, such that a younger age of sexual debut would correlate with an increased risk of HIV (reviewed by Aronowitz & Eche, 2013). Other common indicators are condom use and a willingness to talk openly about sex with parents, friends, and intimate partners. The latter indicator has been shown to depend...
" (a Manager's Guide to Cultural Competence Education for Health Care Professionals, nd) Cultural competence is a development process as no individual "becomes culturally competent overnight or with one or two hours of training." (a Manager's Guide to Cultural Competence Education for Health Care Professionals, nd) Cultural competence training is stated to involve "attitude changes and the examining of personal biases and stereotypes as an initial step to acquiring the
Competencies Critically analyze current practice to formulate researchable problems. I was able to discover the following: current practice recommendations for reducing health disparities among African-American female adolescents are lacking, but recent research findings suggested that parenting may represent a significant syndemic factor that could be influenced by nursing interventions. A review of this literature led me to propose a quantitative study examining the efficacy of cultural competency training for primary
REDUCING RISKY BEHAVIOR FOR African-American TEENS An Intervention for Reducing Risky Behavior Among African-American Female Adolescents: Provider Cultural Competency Training The Office of Minority Health in the U.S. Department of Health and Human Services (2013) quotes Dr. Martin Luther King, Jr. As a way to introduce the topic of updating and enhancing the National CLAS (Culturally and Linguistically Appropriate Services) Standards. The quote is "Of all forms of inequality, injustice in health
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Training Needs Analysis Practices for Managers: A Study of Saudi Arabia Private Firms Training needs analysis (TNA) is defined by Mabey and Salman (1995:158) as a "process of collecting data which allows an organization to identify and compare its actual level with its desired level of performance." The authors also indicate that this performance could be interpreted as meaning the competencies and attitude necessary for the staff to do the
Critique of Restaurant Training and Development ProgramsIntroductionThe necessity for a distinctive staff training protocol cannot be overstated in dining establishments, especially the fine dining sector. Such a protocol not only serves to curtail training expenses and alleviate the anxiety experienced by new hires but also operates as a conduit for efficient time management and heightened revenue generation.The training regimen is multifaceted and tailored to each new employee�s role. Beyond furnishing
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