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解决暴露前预防 (PrEP) 接入的差异:在南佛罗里达州实施一个以社区为中心的移动PrEP计划

Stefani A Butts¹, BreAnne Young², Jakisha Blackmon²

¹Department of Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, USA.

BMC health services research

|November 28, 2023

概括

移动PrEP服务通过提供免费,方便的护理,有效地增加了与男性发生性关系的黑人和拉丁裔男性的艾滋病毒预防机会. 社区参与和具有文化能力的员工是成功实施的关键.

科学领域:

公共卫生公共卫生
预防艾滋病毒预防艾滋病毒
健康公平卫生公平

背景情况:

暴露前预防 (PrEP) 对于预防艾滋病毒至关重要,但面临着获取差异,特别是在与男性发生性关系的黑人和拉丁裔男性 (MSM) 中.
迈阿密大学移动PrEP计划成立,旨在在服务不足的地区提供艾滋病毒预防服务.
以社区为中心的方法指导了该计划扩展到迈阿密的自由城社区.

研究的目的:

质量评估影响移动艾滋病预防计划实施的因素.
了解社区利益相关者,客户和工作人员对移动PrEP服务障碍和促进者的看法.

主要方法:

进行了41次与客户,关键告密者和项目工作人员的深入采访.
探索感知障碍,促进者,服务满意度和推可能性.
根据实施研究综合框架 (CFIR) 的指导,利用了主题内容分析.

主要成果:

促进者包括无成本服务,方便的位置,运输支持,患者导航和文化合格的员工.
社区参与和熟悉是至关重要的,特别是对于黑人和非洲裔美国人社区,他们面临着独特的医疗保健障碍.
以社区为中心的方法促进了信任和改善了干预的吸收.

结论:

移动PrEP干预是HIV/STI预防护理的可接受和可访问的方法.
实施前的社区参与和准备对于成功的项目推出至关重要.
需要进一步的研究来优化干预组件,并评估在多样化,高影响力领域的实施.

关键词:

基于社区的参与式研究艾滋病病毒艾滋病病毒艾滋病病毒实施科学实施科学预防预防预防

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