The Esthetician's Perspectives and Practices Study

美学家的观点和实践研究

基本信息

批准号：
10193717
负责人：
Eric Richard Walsh-Buhi
金额：
$ 7.93万
依托单位：
TRUSTEES OF INDIANA UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-21 至 2023-09-20
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10193717
关键词：
Address Affect Anal Sex Anogenital venereal warts Anus Area Barbering Beauty Behavior Therapy Bisexual Client Contraceptive Usage Data Development Entire hair of pubis Environment Evaluation Evidence based intervention Focus Groups Gays Grooming Hair Removal Health Health Promotion Health behavior Intervention Interview Methods Modeling Oral Sex Population Preventive Probability Process Public Health Randomized Controlled Trials Recording of previous events Reproductive Health Research Resources Risk Risk Reduction Role Rural STI prevention Sampling Series Services Sex Behavior Sexual Health Sexual Partners Sexual and Gender Minorities Sexually Transmitted Diseases Skin Cancer Surveys Taboo Testing Ursidae Family Vagina Visit Woman Work aged base black men community engaged research design experience genital herpes high risk human old age (65+)infection burden infection rate innovation interest male health men metropolitan novel physical abuse racial and ethnic rectal research study sex sexual HIV transmission virtual young man young woman

项目摘要

Project Abstract Sexual and reproductive health (SRH) is a critical public health issue among young people in the U.S., especially as it relates to sexually transmitted infections (STIs). Campaigns promoting STI prevention, contraceptive use, and other preventive health behaviors have demonstrated positive impacts among young people. However, given the massive increases in STI rates, there is a critical need to further these efforts in new and creative venues, to better reach important priority populations. More than 85% of women in the U.S. aged 18-24 years, and almost as many young men, participate in some method of pubic hair removal (PHR). Like barbershops/beauty salons, PHR salons may cultivate a safe, culturally relevant space for estheticians (skincare professionals) to deliver interventions. People who seek PHR services, especially young women and men and sexual/gender minorities (SGMs; e.g., young gay/bisexual men [GBM]), may be at higher SRH risk. Accordingly, PHR salons may exemplify novel and innovative venues for health promotion/risk reduction interventions. Little is known about this setting, and even less is known about estheticians and how these professionals may be engaged in possible intervention efforts. In previous work, the Sexual Health and Estheticians (or SHE) Study, we found that estheticians notice clients’ possible health concerns, such as skin cancer, herpes, genital warts, and evidence of physical abuse. Estheticians’ interactions with clients often turn towards sex-related discussions, creating spaces where otherwise taboo conversations take place with ease, and where estheticians provide resources/support. Accordingly, estheticians may be ideal intervention facilitators. However, how those intervention components may look will depend on additional formative research. Moreover, many estheticians in our initial study did not serve men. Given that men engage in PHR, and GBM especially, this is an important population on which to focus. The objective of this proposed project is to build on the SHE Study, focusing on estheticians who serve men, and determine the acceptability of/feasibility for salon-based interventions. We will accomplish this objective, employing an exploratory sequential mixed method design, via 3 SPECIFIC AIMS: We will 1) Replicate the SHE Study with estheticians who primarily serve men, including GBM. 2) Assess the transferability of SHE Study/AIM 1 findings to a large, national sample of licensed estheticians who perform PHR. 3) Triangulate findings from SHE Study/AIM 1/AIM 2 using focus groups to determine specific components informing the development of a salon-based, esthetician-facilitated, health-related intervention for young people. Information from this research will lead to the development and pilot testing of a mutually beneficial salon- based health promotion and risk reduction intervention (e.g., R21)—designed through a community-engaged research process—and a randomized controlled trial evaluation (e.g., R01). Such innovative efforts are sorely needed to address significant SRH issues that disproportionately affect young people and SGMs.

项目摘要性与生殖健康（SRH）是美国年轻人的一个重要公共卫生问题，特别是与性传播感染 (STI) 相关的宣传活动，避孕药具的使用和其他预防性健康行为已证明对年轻人产生积极影响然而，鉴于性传播感染发病率大幅上升，迫切需要在新的领域进一步推动这些努力。和创意场所，以更好地覆盖美国 85% 以上的老年女性。 18-24 岁以及几乎同样多的年轻男性参与某种阴毛脱毛 (PHR) 方法。理发店/美容院、PHR 沙龙可以为美容师（护肤品专业人士）提供干预措施。性/性别少数群体（SGM；例如年轻男同性恋/双性恋男性 [GBM]）可能面临较高的 SRH 风险。 PHR 沙龙可以作为健康促进/降低风险干预措施的新颖和创新场所的典范。人们对这种环境知之甚少，对美容师以及这些专业人士如何在之前的工作中，性健康和美容师（SHE）可能会参与可能的干预工作。研究发现，美容师会注意到顾客可能存在的健康问题，例如皮肤癌、疱疹、生殖器疾病疣和身体虐待的证据往往转向与性有关的行为。讨论，创造一个可以轻松进行禁忌对话的空间，以及美容师可以在其中进行的空间因此，美容师可能是理想的干预促进者。干预措施可能取决于额外的形成性研究。我们最初的研究并不针对男性，因为男性参与 PHR，尤其是 GBM，因此这是一个重要的研究。该拟议项目的目标是建立在 SHE 研究的基础上，重点关注人群。为男性服务的美容师，并确定基于沙龙的干预措施的可接受性/可行性。通过 3 个具体目标，采用探索性顺序混合方法设计来实现这一目标：我们将 1) 与主要为男性（包括 GBM）服务的美容师重复 SHE 研究 2) 评估 SHE 研究/AIM 1 的研究结果可转移到执行 PHR 的执业美容师的大型全国样本中。 3) 使用焦点小组对 SHE 研究/AIM 1/AIM 2 的结果进行三角测量，以确定具体组成部分为年轻人制定以沙龙为基础、由美学家推动、与健康相关的干预措施的发展。这项研究的信息将导致互利沙龙的开发和试点测试—— 基于健康促进和降低风险的干预措施（例如，R21）——通过社区参与设计研究过程和随机对照试验评估（例如，R01）。需要解决对年轻人和 SGM 影响尤为严重的重大 SRH 问题。