原住民社区艾滋病毒预防和治疗的实施科学:系统性审查和评论
Christopher G Kemp1, Abagail J Edwards2, Lauren White3
1Center for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. ckemp11@jhu.edu.
Current HIV/AIDS reports
|August 9, 2024
概括
本次对土著社区艾滋病毒实施科学的综述强调了对文化定制,社区主导的干预措施的需要. 解决社会决定因素和不信任对于有效的艾滋病预防和治疗提供至关重要.
科学领域:
- 实施科学 实施科学
- 土著健康土著健康
- 艾滋病毒/艾滋病研究研究
背景情况:
- 艾滋病毒预防和治疗服务需要在土著社区内实施有效的实施战略.
- 现有的研究往往缺乏社区主导的方法,主要关注行为干预.
研究的目的:
- 系统地审查对美洲和太平洋土著社区艾滋病毒服务的实施研究.
- 确定土著领导的HIV实施科学的优势,机会和原则.
主要方法:
- 实施研究的系统文献审查.
- 对专注于土著社区HIV预防或治疗服务的研究进行分析.
- 识别共同的障碍,促进者和研究方法.
主要成果:
- 审查了31项研究,强调文化定制和社区参与 (近一半使用CBPR).
- 关键的障碍包括耻辱感,地理位置,保密性,语言和不信任.
- 对生物医学HIV预防和治疗的研究有限;没有发现随机实施试验.
结论:
- 社区参与和土著领导的干预发展对于艾滋病毒服务至关重要.
- 解决实施的社会决定因素对于成功至关重要.
- 一个土著化的实施科学可以提高艾滋病毒服务的接受度和覆盖率,同时尊重土著知识.
相关概念视频
Community Based Intervention
36
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
36
Sexually Transmitted Infections
292
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
292
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Levels of Health Promotion and Illness Prevention
12.6K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.6K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Retrovirus Life Cycles
45.8K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.8K


