在快速ART启动期间,有效的信息可减少新诊断艾滋病毒的人群中的耻辱感
Chadwick K Campbell1, Kimberly A Koester2, Xavier A Erguera3
1Herbert Wertheim School of Public Health and Human Longevity, University of California San Diego, La Jolla, CA 92093, USA.
International journal of environmental research and public health
|September 28, 2024
概括
快速抗逆转录病毒疗法 (ART) 可以通过提供准确的信息和在诊断后的早期消除神话来减少艾滋病毒的耻辱感. 这种干预显示出改善治疗坚持和病毒抑制结果的潜力.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 心理学 心理学 心理学
背景情况:
- 艾滋病毒污名化对抗逆转录病毒治疗 (ART) 的启动,持续和病毒抑制产生负面影响.
- 立即获得ART (RAPID ART) 加快并维持HIV诊断后的病毒抑制.
- 快速治疗在减轻个人艾滋病毒污名化的作用仍未得到充分研究.
研究的目的:
- 探索如何在RAPID ART遭遇中表现出耻辱感.
- 为了确定RAPID ART干预措施是否会影响个人水平的艾滋病毒诊断后的耻辱感.
主要方法:
- 在旧金山和芝加哥的三个诊所对58名RAPID ART患者进行了深入采访.
- 对转录的采访进行主题分析,以确定与耻辱和RAPID ART经验相关的关键主题.
主要成果:
- 关于艾滋病毒的诊断前信念包括对它"粗"的看法,误解和对长期生存的意识.
- 快速ART接触提供了积极的,令人放心的信息,纠正了错误信息,并促进了与艾滋病毒感染者的早期互动.
- 通过准确的信息和消除神话的信息,RAPID ART过程有效地打破了内部化的耻辱感.
结论:
- 快速ART接触是对抗内化艾滋病毒污名化的强大工具.
- 早期解决耻辱和错误信息问题可以显著减少其对ART启动和坚持的长期影响.
- 快速治疗有可能通过减轻个人层面的艾滋病毒污名化影响来改善治疗结果.
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