评估PrEP信息和沟通:对定性文献的审查
1Jane Addams College of Social Work, University of Illinois Chicago, Chicago IL 1040 W Harrison St, #4220 Chicago, IL 60607-7134, USA.
Current opinion in psychology
|May 29, 2023
概括
暴露前预防 (PrEP) 为性少数群体男性 (SMM) 提供HIV预防,但吸收率很低. 同行支持和赋权信息有助于坚持,而耻辱和访问问题会造成障碍.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 性健康 性的健康
背景情况:
- 暴露前预防 (PrEP) 是FDA批准的一种生物医学HIV预防方法.
- 尽管它是有效的,但PrEP的吸收和坚持在性少数群体男性 (SMM) 中仍然不理想.
- 现有的文献强调了PrEP使用的各种多层次障碍和促进因素.
研究的目的:
- 进行PrEP定性研究的范围审查.
- 评估SMM中PrEP吸收和坚持的障碍和促进因素,重点关注消息和沟通.
主要方法:
- 采用了一个范围审查方法.
- 调查了在PrEP可用性的第一个十年内发表的16项定性研究.
- 分析的重点是确定与PrEP信息和沟通相关的主题.
主要成果:
- 七个关键主题出现了:信息/错误信息,同行信息,性经验扩展,提供者关系,期望/耻辱,导航支持和吸收/坚持障碍.
- 积极的影响包括同行支持,赋权信息,以及PrEP在规范转变中的作用.
- 负面影响包括耻辱,供应商断开连接和访问挑战.
结论:
- 有效的PrEP参与策略需要基于优势的多层次和整体方法.
- 干预措施应利用积极的影响,如同行支持和赋权.
- 解决耻辱和改善获取对于提高SMM中PrEP吸收和坚持至关重要.
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