对解决与艾滋病毒相关的耻辱和歧视问题的干预措施进行系统审查和定量和定性比较分析
Laura Ferguson1, Sofia Gruskin1, Maria Bolshakova2
1Institute on Inequalities in Global Health, University of Southern California.
AIDS (London, England)
|June 23, 2023
概括
有效的干预措施可以减少艾滋病毒污名和歧视在医疗机构. 一项系统性审查确定了包括教育和咨询在内的关键策略,以在全球范围内成功实施.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 医学伦理 医学伦理
背景情况:
- 全球正在努力消除与艾滋病毒相关的耻辱和歧视.
- 为了解决这些问题,已经实施了各种策略.
- 了解这些干预措施的成功因素至关重要.
研究的目的:
- 系统地审查针对内部化艾滋病毒污名,医疗保健污名和法律/政策歧视的干预措施的成功情况.
- 确定这些干预措施的关键成功因素.
- 为减少与艾滋病毒相关的耻辱和歧视的战略提供信息.
主要方法:
- 使用PICOTS框架和GRADE标准进行系统审查.
- 随机效应的元分析和干预的组件分析.
- 法律和政策干预的定性文件.
主要成果:
- 对内化耻辱的干预表明没有显著的减少 (SMD 0.56).
- 在医疗保健机构的干预表明了积极的影响 (SMD 0.71).
- 成功的干预措施往往结合了教育,咨询,社区参与,支持人员和接触艾滋病毒专家.
结论:
- 有希望的干预措施会在不同环境中对艾滋病毒的污名和歧视产生积极影响.
- 综合方法在医疗保健环境中尤其有效.
- 扩大基于证据的干预措施对于实现全球艾滋病毒目标和改善艾滋病毒感染者的生活质量至关重要.
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