农业生计干预与艾滋病毒感染者中艾滋病毒污名的减少有关
Sheri D Weiser1, Lila A Sheira1, Elly Weke2
1Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
AIDS (London, England)
|May 16, 2024
概括
一项生计干预措施显著减少了艾滋病毒感染者 (PWH) 中的艾滋病毒污名. 这种减少贫困的战略改善了健康和经济贡献,为打击艾滋病污名提供了一种新的方法.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 健康的社会决定因素
背景情况:
- 艾滋病毒污名化对治疗坚持和病毒抑制产生负面影响.
- 生计干预措施可以通过改善艾滋病毒感染者的健康和经济状况来减轻艾滋病毒的污名.
研究的目的:
- 评估多部门农业生计干预对肯尼亚西部PWH中艾滋病污名的影响.
主要方法:
- 一个集群随机对照试验 (Shamba Maisha) 涉及16个卫生机构.
- 干预包括农业贷款和对粮食不安全的成年人进行ART的农业/金融培训.
- 艾滋病毒的污名化 (内化,预期,实施) 在24个月内半年测量一次,使用经过验证的尺度表.
主要成果:
- 与对照组相比,干预组的内化耻辱 (0.42分),预期耻辱 (0.43分) 和实行耻辱 (0.13分) 显著减少.
- 在为期两年的研究期间,高保留率为94%.
- 该干预措施在艾滋病毒污名的多个维度中表现出有效性.
结论:
- 一个农业生计干预措施有效地减少了艾滋病毒感染者之间的艾滋病毒污名.
- 减少贫困的战略是一个有希望的,新的方法来解决和减少艾滋病污名.
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