HIV陰性スティグマの軽減と地域社会の回復力の促進のための受容とコミットメントによるエンパワーメント介入:実施研究のためのプロトコル
Josephine Pui-Hing Wong1, Alan Tai-Wai Li2, Carla T Hilario3
1Daphne Rockwell School of Nursing, Toronto Metropolitan University, 350 Victoria St, Toronto, ON, M5B 2K3, Canada, 1 416-979-5000.
JMIR research protocols
|January 26, 2026
まとめ
この研究では、カナダの人種化された移民の間でHIVスティグマを軽減するための受容とコミットメントによるエンパワーメント(ACE)介入を紹介します。このプログラムは、HIV予防とケアへの障壁に対処する心理的柔軟性と集団的エンパワーメントを強化することを目的としています。
科学分野:
- 公衆衛生;社会科学;心理学
背景:
- 人種化された移民はカナダでHIV罹患率が不釣り合いに高く、2022年の新規症例の69.5%がこれらの集団の間で見られました。;HIVの脆弱性は、人種差別、ジェンダー抑圧、ホモフォビア、経済的疎外と交差するスティグマによって悪化します。;スティグマと差別は、効果的なHIV予防、検査、治療、ケアの取り組みを妨げます。
主な方法:
- 適応、実施、評価のためにPRISMおよびRE-AIMフレームワークを利用しました。;フェーズ1:組織を調査し、サービス提供者/コミュニティメンバー(n=90)と関わり、ニーズを評価しました。;フェーズ2:ACE介入を洗練し、トレーナー養成(TTT)プログラム(n=48)を実施しました。フェーズ3:混合方法を使用してオンラインACE介入(n=288)を実施しました。
結論:
- HIVスティグマを軽減する上でのACE介入の有効性に関する重要な知識を生み出すと予想されます。;現実世界の状況における人種化された移民の間でのACE実施の促進要因と障壁を特定すると予想されます。;この研究は、脆弱な集団におけるHIVスティグマ軽減の研究、政策、実践を進めることを目的としています。
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