"Entre Nosotras:"是一项针对跨性别拉丁裔女性的同行领导的PrEP项目的定性研究
Sophia Zamudio-Haas1, Kim Koester2, Luz Venegas2
1Department of Medicine, University of California, 550 16th Street, 3rd Floor, CA, 94158, San Francisco, USA. Sophia.Zamudio-Haas@ucsf.edu.
BMC health services research
|September 20, 2023
概括
这项研究表明,将艾滋病毒暴露前预防 (PrEP) 服务与性别肯定护理放在一起,成功地吸引了跨性别拉丁裔女性. 同行健康教育者在克服障碍和建立对获得医疗保健的信任方面至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 跨性别者接受艾滋病毒暴露前预防 (PrEP) 的比例很低,尽管艾滋病毒感染率很高.
- 加利福尼亚州的拉丁裔跨性别女性面临着不成比例的高艾滋病毒负担.
- 对这一群体而言,存在对文化上适当且可访问的艾滋病毒服务的需求.
研究的目的:
- 描述西班牙语跨性别拉丁裔女性在PrEP示范项目中的成功参与.
- 评估一种干预措施,将艾滋病毒服务与性别肯定护理放在一起.
- 确定导致PrEP吸收和在这个子组持续存在的关键因素.
主要方法:
- 定性方法包括13次深入的参与者访谈和5次提供者/工作人员访谈.
- 干预活动的六个月的民族学观察.
- 对采访和观察数据进行主题分析.
主要成果:
- 关键的成功因素包括创造值得信赖的空间,全面的患者导航和社会支持 ("entre nosotras").
- 参与者报告了积极的经验,克服了以前因跨性别恐惧症和歧视而避免医疗保健.
- 性别肯定,双语工作人员和同行健康教育者 (PHE) 对于参与和导航至关重要.
结论:
- 同行健康教育者 (PHE) 扮演了多方面的角色,赋予参与者克服医疗保健障碍的能力.
- 该干预成功地吸引了以前避免临床设置的人群.
- 这个模型展示了一种有效的方法来改善跨性别拉丁裔女性的PrEP吸收率.
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