医疗不信任是预防和治疗艾滋病毒的障碍
Renee El-Krab1, Natalie Brousseau2, Seth C Kalichman2
1Department of Psychological Sciences, University of Connecticut, Storrs, CT, United States. renee.el-krab@uconn.edu.
Journal of behavioral medicine
|September 12, 2023
概括
由于阴谋论和历史上的滥用推动了医疗不信任,对艾滋病毒预防和对少数群体的护理产生了重大影响. 需要进一步的研究来理解和解决这些障碍,以改善健康结果.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 传染病流行病学 传染病流行病学
背景情况:
- 由阴谋论和系统性滥用加剧的医疗不信任,不成比例地影响少数群体和影响健康结果.
- 人类免疫缺陷病毒 (HIV) 疫情已被普遍的阴谋论和由此产生的医疗不信任严重复杂化.
- 了解医疗不信任的多面性质对于解决艾滋病毒预防和护理方面的健康差异至关重要.
研究的目的:
- 系统地审查有关艾滋病毒感染风险或艾滋病毒感染者的医疗不信任现有文献.
- 综合医学不信任对艾滋病毒检测,预防,护理参与,治疗坚持和临床结果的影响的证据.
- 确定当前研究中的差距,并为未来的纵向,理论驱动的研究提出方向.
主要方法:
- 对17项研究的系统性文献综述,这些研究检查了艾滋病毒感染人口中对医生的不信任.
- 关于医疗不信任与艾滋病毒预防和护理的各个阶段之间的关系的证据分析.
- 评估审查的研究的方法限制,主要是横截面设计.
主要成果:
- 大多数研究表明,对医生的不信任是艾滋病毒检测,预防服务,护理参与和治疗坚持的重大障碍.
- 一些研究报告了零发现,而一些研究则建议医疗不信任和某些与艾滋病毒相关的结果之间存在潜在的积极关联,突出了不一致的证据.
- 大多数审查的文献是横截面的,限制了建立医疗不信任的因果关系和长期影响的能力.
结论:
- 医疗不信任在艾滋病毒预防和护理方面构成了复杂的挑战,对风险和感染人口的参与和结果产生主要负面影响.
- 不一致的发现需要进一步的纵向和理论驱动的研究,以充分阐明医疗不信任和艾滋病毒健康之间的关系.
- 制定有针对性的干预措施,以减轻医疗不信任的不利影响,对于改善健康公平和艾滋病毒护理成果至关重要.
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