以客户为中心的护理协调 (C4TM) 艾滋病毒/性传播感染预防:理论,概念和方法概述-艾滋病毒预防试验网络 (HPTN) 073
LaRon E Nelson1,2,3, Leo Wilton4,5, Darren L Whitfield6
1School of Nursing, Yale University, 400 West Campus Drive, New Haven, CT, 06477, USA.
Sexuality research & social policy : journal of NSRC : SR & SP
|September 20, 2024
概括
C4TM干预有效地支持与男性发生性关系 (MSM) 的黑人男性使用和遵守PrEP. 这种文化为基础的策略显示了高的保留率和朝着艾滋病毒预防目标的进展.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 健康 公平 卫生 公平
背景情况:
- 有限的文化知情策略存在,以支持在黑人MSM中使用PrEP.
- 这篇论文详细介绍了C4TM干预的理论基础和艾滋病毒和性传播疾病预防的发展.
研究的目的:
- 描述C4TM的理论基础和概念发展.
- 评估C4TM在黑人MSM中PrEP使用和遵守的示范项目中的实施情况.
主要方法:
- C4TM集成了自决理论,风险咨询和反种族主义镜头.
- 一个为期52周的艾滋病毒预防项目 (2014-2017) 涉及3个美国城市的225名黑人MSM.
主要成果:
- 准备剂使用率为79%,其中91%在30天内开始使用.
- 在C4TM的12个月保留率为92%,实现了高坚持目标 (81%在52周).
- 护理协调的重点是PrEP的遵守 (43%) 和性健康 (19%).
结论:
- C4TM是一个针对个人和医疗机构因素的多层次干预.
- 它旨在优化黑人MSM的PrEP使用,坚持和保留.
- 该干预措施促进了PrEP服务提供中的种族平等.
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