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在拉丁裔MSM中实施暴露前预防 (PrEP):对实施决定因素和改变方法的定性范围审查

Juan Pablo Zapata^1,2, Alithia Zamantakis^3,4, Artur Queiroz⁵

¹Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA. juan.zapata@northwestern.edu.

Implementation science communications

|October 1, 2024

概括

需要创新策略来增加与男性发生性关系的拉丁裔男性 (MSM) 中的暴露前预防 (PrEP) 使用. 研究必须解决患者和临床医生的实施障碍和促进因素,以改善艾滋病毒预防.

科学领域:

公共卫生公共卫生
实施科学实施科学
健康差异在健康上的差异

背景情况:

与男性发生性关系的拉丁裔男性 (MSM) 之间的艾滋病毒率上升需要有针对性的预防研究.
暴露前预防 (PrEP) 是一种关键的艾滋病毒预防工具,但对其在拉丁裔MSM中实施的研究很少.
了解PrEP吸收的障碍和促进因素对于有效的艾滋病毒预防战略至关重要.

研究的目的:

审查拉丁裔MSM中PrEP实施的决定因素 (障碍和促进因素).
确定评估的变化方法 (实施策略和辅助干预措施) 适用于PrEP采用.
为了突出关于在这个人群中实施PrEP的研究差距.

主要方法:

一个全面的文献综述,包括43篇关于PrEP决定因素的文章和4篇关于改变方法的文章.
使用实施研究综合框架 (CFIR 2.0) 分析决定因素.
专注于影响PrEP实施的多层次因素.

主要成果:

大多数研究重点关注PrEP接受者的意识和意愿,对临床医生和医疗保健系统的研究有限.
对改善临床医生和接受者遵守PrEP的策略的评估很少.
在拉丁裔MSM中了解PrEP的实施格局存在重大差距.

结论:

文化适应的策略对于在拉丁裔MSM中有效实施PrEP至关重要.
实施科学原则可以指导文化相关干预措施的开发.
未来的研究应该优先考虑临床医生的观点和创新的变革方法,以提高PrEP的认识,采用和遵守.

关键词:

辅助干预措施辅助干预障碍物这些障碍物实施研究的综合框架研究研究有关决定因素的决定因素促进者是指促进者.实施科学实施科学实施策略实施策略拉丁裔MSM的MSM是什么意思暴露前的预防暴露前的预防

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