Keep It Up: development of a community-based health screening and HIV prevention strategy for reaching young African American men.
This article addresses the challenge of developing HIV prevention interventions that not only prove to be efficacious but also are designed from the outset to overcome obstacles to reaching priority populations. We describe how community input has informed development of Keep It Up (KIU), a community health screening and behavioral prevention program for young Black men. KIU embeds HIV prevention in a broader health promotion campaign, with the goal of reducing stigma and reaching a population that bears a disproportionate burden of HIV/AIDS and other health problems-hypertension, high cholesterol, diabetes, asthma, and obesity. Information from community partners, expert advisers, and focus groups was collected at key junctures and incorporated into four core components: social marketing, a computerized behavioral learning module, biological testing for HIV and other conditions, and a personalized health profile and risk reduction plan. A pilot with 116 participants provided evidence that the KIU model of integrating HIV prevention with other health screening is acceptable and has the potential to reach Black men at risk for HIV as well as other chronic health conditions.
O'Donnell
Lydia
L
Health and Human Development Programs, Education Development Center, Inc., Newton, MA 02459, USA. lodonnell@edc.org
Bonaparte
Beverly
B
Joseph
Heather
H
Agronick
Gail
G
Leow
Deborah McLean
DM
Myint-U
Athi
A
Stueve
Ann
A
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D003153:Community Health Services; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D009519:New York City; D010865:Pilot Projects; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation / Q000379:methods*; D040242:Risk Reduction Behavior; D040241:Social Marketing; D055815:Young Adult