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在巴尔的摩的黑人同性恋,双性恋和其他MSM中对基于社区的HIV/STI测试计划的看法:定性分析

Rashida Hassan¹, Nicole Thornton², Hope King¹

¹Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.

|July 8, 2024

概括

安全空间4性健康 (SS4SH) 通过在线宣传和移动货车,改善了黑人同性恋,双性恋和其他与男性发生性关系的男性 (GBM) 的HIV/STI测试. 参与者更喜欢移动货车的舒适性,隐私和效率.

科学领域:

公共卫生公共卫生
性健康性的健康
健康差异在健康上的差异

背景情况:

黑人同性恋,双性恋和其他与男性发生性关系的男性 (GBM) 经历了不成比例的高艾滋病毒和性传播感染率.
现有的基于临床的测试模型可能会对GBM获得性健康服务构成障碍.
需要以社区为基础,地位中立的干预措施来解决这些差异.

研究的目的:

评估社区对安全空间4性健康 (SS4SH) 干预措施,艾滋病毒/性传播疾病检测计划的看法.
将SS4SH在线推广和移动货车测试的参与者经验与传统的基于诊所的方法进行比较.
确定在GBM中获取HIV/STI测试服务的障碍和促进者.

主要方法:

定性研究涉及25次采访,参与者年龄在21-65岁之间.
参与者主要是黑人/非洲裔美国人 (88%),同性恋者 (80%),包括艾滋病毒感染者 (40%).
采访使用修改的主题常数比较方法进行分析.

主要成果:

参与者对引人注目的,简洁的在线宣传信息做出了积极反应,但希望更多的多样性和代表性.
移动货车测试组件是首选的,因为它提高了舒适性,隐私,保密性,可访问性和效率.
人们认为SS4SH是一种降低获取HIV/STI服务障碍的策略.

结论:

通过地理社交网络应用程序和社交媒体定制的在线宣传可以有效地接触到服务不足的GBM人口.
移动面包车测试为基于诊所的服务提供了更舒适,私密和高效的替代方案.
通过SS4SH干预,可以减少GBM社区的耻辱,并使HIV/STI服务的获取正常化.

关键词:

艾滋病病毒艾滋病病毒艾滋病病毒可持续发展目标10:减少不平等可持续发展目标3:良好的健康和福祉黑人性少数群体男性在健康方面存在差异.定性分析是一种定性分析.性传播感染性传播感染

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