开发一种以理论为基础的工具,用于使用定性方法在有色人种中进行暴露前预防 (PrEP) 摄入
Siddharth Raich1, Christopher Johansen1, Neeraj Bhandari2
1Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA.
Healthcare (Basel, Switzerland)
|August 29, 2024
概括
这项研究开发了一项调查,以了解在有色人种社区使用预暴露预防 (PrEP) 的障碍. 调查结果强调了成本,耻辱和伴侣信任是影响PrEP使用的关键问题.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 改变 改变
- 定性研究是指质量研究.
背景情况:
- 在有色人种社区和白人美国人之间,在暴露前预防 (PrEP) 使用方面存在显著差异.
- 需要基于理论的调查工具来探索有色人种社区中这些差异的原因.
研究的目的:
- 开发一种基于理论的调查工具,以测量PrEP使用的障碍和促进因素.
- 为旨在增加服务不足人群PrEP吸收的干预措施提供信息.
主要方法:
- 使用半结构面试对来自有色人种社区的12名成员进行定性研究.
- 采访以健康行为变化的多理论模型 (MTM) 为指导.
- 使用定向内容分析来确定主题和开发调查项目.
主要成果:
- 确定的障碍包括PrEP成本,缺乏对其他性传播感染的保护,对伴侣的不信任和PrEP污名.
- 被认为的缺点包括PrEP成本,对伴侣的不信任,与提供者讨论性行为,以及不清楚的处方流程.
- 结果促使创建了一个调查工具,评估成本,合作伙伴关系,耻辱和安全.
结论:
- 开发的调查工具可以用于未来的研究,以调查影响PrEP吸收的因素.
- 这些发现为设计有针对性的干预措施以解决PrEP差异提供了基础.
- 了解社区特定的障碍对于公平的PrEP获取和使用至关重要.
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