HIVサービスの利用率を高めるための強化されたソーシャルネットワーク戦略:タイプIハイブリッド実施研究のためのプロトコル (Carolinas RESPOND)
Ian Dale1, Meagan Zarwell2, Alicia Diggs3
1Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
JMIR public health and surveillance
|August 29, 2025
まとめ
強化されたソーシャルネットワーク戦略 (eSNS) は,HIVの予防と非比例的に感染した人々のケアへの関与を改善することを目的としています. この革新的なアプローチは,社会的障壁を軽減し,重要なHIVサービスへのアクセスを拡大することを目指しています.
科学分野:
- 公衆衛生
- ソーシャルネットワークの介入
- HIV 予防
背景:
- 新しいHIV診断は,同性愛者,双性愛者,および男性と性交する他のシスジェンダー男性 (GBMSM) と米国内のトランスジェンダー女性の間で継続しています.
- 米国南部では HIVに感染した黒人,ラテン系,GBMSM,トランスジェンダーの女性が 圧倒的に多くいます
- ソーシャルネットワークのアプローチは HIV検査と 介護の継続性への関与を 増加させるという見込みを示しています
研究 の 目的:
- 強化されたソーシャルネットワーク戦略 (eSNS) を評価し,HIVサービスへの関与を促進する.
- HIVの予防と治療の格差に対処する.
- シャルロット州におけるeSNSの実施と評価を優先する HIV流行の終結 (EHE) 管轄区域
主な方法:
- ハイブリッドタイプ1有効性実施試験の設計
- 第1段階:疾病管理予防センターのソーシャルネットワーク戦略 (SNS) を精進するための形成的な混合方法
- 第2段階:eSNSをNCパートナーサービスに統合し,HIVサービスにピアを紹介する"大使"を利用する.
- ステージ3: 標準的なケアパートナーサービスに対するeSNSの有効性評価
主要な成果:
- 第1段階は2024年8月に終了し,研究変更を報告した.
- 2025年3月にeSNSの導入を開始しました.
- 研究の修正には,形成的な発見に基づいて大使の適格性と紹介の経路の拡大が含まれています.
結論:
- 効果的な公衆衛生戦略は HIVの新規診断を減らすために不可欠です
- このeSNSプロトコルは,既存のアプローチと革新的な介入を統合しています.
- eSNSは,危険にさらされている集団のHIV予防とケア継続への関与を妨げている社会的障壁を克服することを目的としています.
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