乌普多的保护风格,一个多层次的干预措施,以改善黑人Cisgender妇女的暴露前预防:前测试后测试评估
Schenita D Randolph1, Ragan Johnson, Elizabeth Jeter
1Schenita D. Randolph, PhD, MPH, RN, FAAN, is an Associate Professor, Duke University School of Nursing, Durham, North Carolina, USA. Ragan Johnson, DNP, FNP-BC, CNE, is an Associate Professor, Duke University School of Nursing, Durham, North Carolina, USA. Elizabeth Jeter, PhD, is a Research Associate, Duke University School of Nursing, Durham, North Carolina, USA. Kara McGee, DMS, MSPH, PA-C, AAHIVS, is an Associate Professor, Duke University School of Nursing, Durham, North Carolina, USA. Allison Johnson is a Clinical Research Coordinator, Duke University School of Nursing, Durham, North Carolina, USA.
黑人妇女面临的障碍是艾滋病毒预防药物,暴露前预防 (PrEP). 一个以沙龙为基础的干预改善了PrEP知识和信心,显示了增加吸收的希望.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 健康差异 在健康上的差异
背景情况:
- 在美国,特别是南方,黑人cisgender女性占新的艾滋病毒感染的很大一部分.
- 暴露前预防 (PrEP) 对预防艾滋病毒非常有效,但黑人女性的吸收率极低 (2%).
- 接受PrEP的障碍包括缺乏意识,不信任,耻辱和低风险感知.
研究的目的:
- 评估文化相关的,以沙龙为基础的干预 (UPDOs Protective Styles) 在改善黑人cisgender女性的PrEP知识,意识,信任和吸收方面的有效性.
- 通过社区参与的方法,解决黑人社区使用PrEP的障碍.
主要方法:
- 一个多层次的,混合方法的研究,利用社区参与战略.
- 基于沙龙的"使用PrEP和为自己做 (UPDOs) 保护风格"干预措施的开发和试点.
- 评估PrEP知识,意识,耻辱感,信任和吸收方面的变化.
主要成果:
- UPDO的干预显著改善了参与者之间的PrEP知识,意识和信任.
- 在人际关系中与PrEP使用相关的耻辱感在干预后减少.
- 与PrEP相关的低感知风险和更广泛的社会耻辱仍然是持续存在的挑战.
结论:
- 文化定制的干预措施,比如以沙龙为基础的UPDOs保护风格计划,可以有效地增强PrEP知识和对黑人cisgender女性的信任.
- 解决持续存在的障碍,如低风险感知和社会耻辱感,对于进一步改善PrEP采用至关重要.
- 以沙龙为基础的干预提供了一个有前途的医疗保健提供模式,以建立信任并改善服务不足社区的艾滋病毒预防结果.
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