对性工作者艾滋病毒应对措施的社区赋权方法:有效性,挑战以及实施和扩大规模的考虑
Deanna Kerrigan1, Caitlin E Kennedy1, Ruth Morgan-Thomas2
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lancet (London, England)
|July 26, 2014
概括
社区赋权计划在性工作者中显著减少了艾滋病毒和性传播感染. 然而,法律,社会和资金障碍阻碍了这些重要的艾滋病毒预防策略的大规模实施.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 流行病学 流行病学
背景情况:
- 社区赋权被认为是解决性工作者艾滋病毒/性传播感染问题的关键,通过解决社会和结构性障碍.
- 尽管得到了认可,但大规模实施社区赋权方法预防性工作者艾滋病毒仍然有限.
研究的目的:
- 审查和系统地分析社区赋权方法在性工作者预防艾滋病毒方面的有效性.
- 识别实施和扩大这些社区主导的艾滋病毒干预措施的障碍.
主要方法:
- 对性工作者艾滋病毒的社区赋权方法进行全面审查.
- 一项对低收入和中等收入国家的研究进行系统审查和元分析.
主要成果:
- 社区赋权方法与艾滋病毒/性传播感染率的降低和性工作者避孕套使用的增加有关.
- 显著的结构性障碍,包括犯罪,耻辱,暴力和资金问题,阻碍了计划的实施和扩展.
结论:
- 社区赋权在改善性工作者艾滋病毒结果方面是有效的,但面临着实质性的实施挑战.
- 加强证据基础和倡导政策变革,包括承认性工作是工作,对于更广泛的支持和成功至关重要.
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