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一个以提供者为中心的干预措施,以增加学校医疗中心青少年普遍进行艾滋病毒检测

Neal D Hoffman¹, Adam Ciarleglio², Susanna Lesperance-Banks³

¹Division of Adolescent Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY, 10467, USA. nhoffman@montefiore.org.

AIDS and behavior

|July 24, 2024

概括

提供者干预促进了青少年在学校医疗中心 (SBHCs) 提供艾滋病毒检测. 然而,它并没有显著提高学生的整体测试验收率.

科学领域:

公共卫生公共卫生
实施科学实施科学
青少年健康青少年健康

背景情况:

学校医疗中心 (SBHC) 对青少年获得医疗保健至关重要.
建议青少年进行普遍的艾滋病毒检测,但面临实施挑战.
以提供者为中心的干预措施可能会提高艾滋病毒检测的普及率.

研究的目的:

评估以提供者为中心的干预措施,旨在增加青少年SBHC用户的普遍艾滋病毒检测.
为了比较SBHC的HIV测试供应和接受率,干预和没有干预.
根据患者的性活动史,分析干预的有效性.

主要方法:

在12个站点网络中的6个大型SBHC中实施了以提供者为中心的干预.
干预包括系统和员工层面的举措,并有实施教练.
干预队列和非干预队列之间的HIV测试供应和接受率进行了比较.

主要成果:

该干预措施对增加普遍的艾滋病毒检测提供有显著影响.
对于艾滋病毒检测验收率,没有观察到总体显著的影响.
这项干预措施有效地增加了早期没有性活动史的青少年的测试机会.
实施较晚,这项干预措施改善了那些没有或未知性活动史的人的测试接受度.

结论:

提供者专注的干预措施可以提高SBHCs的HIV测试产品.
维持普遍的艾滋病毒检测可能需要使用实施科学框架调整干预措施.
可能需要有针对性的策略来改善SBHC中青少年接受HIV测试的情况.

关键词:

青少年青少年青少年艾滋病毒检测艾滋病毒检测基于学校的健康中心.

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