人性化和医疗化 在泰国无法检测=无法传播
Nittaya Phanuphak1, Jarunee Siriphan2, Aree Kumpitak3
1Institute of HIV Research and Innovation (IHRI), Bangkok, Thailand.
Sexual health
|June 28, 2023
概括
不可检测=不可传播 (U=U) 可以人性化,以减少艾滋病毒的污名. 探索以人为中心的价值观揭示了U=U使艾滋病毒感染者能够充分生活,并促进亲密关系,从而导致有效的沟通策略.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 卫生沟通健康沟通
背景情况:
- 泰国国家艾滋病委员会批准了"不可检测=不可传播" (U=U),以打击对艾滋病毒感染者 (PLHIV) 的耻辱.
- 需要将U=U科学转化为可行的策略,解决普遍的耻辱.
- 这项研究探讨了U=U的"以人为中心的价值",以使其人性化和非医疗化,以实现有效的沟通.
研究的目的:
- 探索U=U的以人为中心的价值.
- 发展人性化和非医疗化的U=U通信.
- 为减少与艾滋病毒相关的耻辱感的国家战略提供信息.
主要方法:
- 与泰国五个地区的43个PLHIV和17个合作伙伴进行了深入采访 (2022年8月至9月).
- 与28名医疗保健提供者 (HCP) 和11名PLHIV同行进行焦点小组讨论.
- 对定性数据进行主题分析.
主要成果:
- PLHIV非常重视U=U,因为它使他们能够"过上充实的生活",缓解罪恶和不负责任的感觉.
- 对于PLHIV和合作伙伴来说,U=U通信促进了新的亲密关系和关系中的乐趣.
- 医疗保健专家和PLHIV同行主要将U=U与身体健康联系起来,他们担心性传播感染和无避孕套的性行为.
- 制定了国家U=U培训课程,整合以人为中心的价值观,解决医疗保健中的权力不平衡问题.
- 该课程旨在打击多层次的耻辱和歧视.
结论:
- 为了有效的沟通策略,U=U可以有效地被人性化和非医疗化.
- 在个人层面上,U=U可以解决跨界的污名化态度.
- 国家对U=U的认可可以推动政策行动和对打击艾滋病污名的持续兴趣.
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