为黑人群体量身定制艾滋病毒护理:试点可行性前性队列研究
BreAnne Young1, Olveen Carrasquillo2, Deborah L Jones3
1Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States.
JMIR formative research
|October 4, 2024
概括
将社区卫生工作者 (CHW) 纳入诊所是一个可行的策略,以改善黑人对艾滋病毒治疗的坚持. 这种方法解决了健康的社会决定因素,并支持持续的病毒抑制.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社区卫生工作者 (CHWs) 融入医疗保健改善了艾滋病毒的结果.
- 针对边缘化群体的CHW框架存在有限的研究.
- 携带艾滋病毒的黑人个人在护理遵守方面面临着独特的挑战.
研究的目的:
- 评估临床嵌入的CHW战略的可行性.
- 改善艾滋病毒感染黑人抗逆转录病毒治疗的坚持.
- 为了解决影响迈阿密-戴德县艾滋病毒护理健康的社会决定因素.
主要方法:
- 三个CHW被整合到医院的工作流程中.
- 十名艾滋病毒病毒载量>200副本/毫升的黑人成年人接受了3个月的CHW支持.
- 通过招聘率,人口统计,忠诚度和定性反来评估可行性.
主要成果:
- 实现了5.7名参与者/月的招聘率.
- 样本在男性和女性之间均分布.
- 70%的参与者参加了超过75%的CHW会议,这表明保留率很高.
结论:
- 临床集成的CHW方法是可行的和可以接受的.
- 医疗保健中心可以解决社会决定因素,并改善艾滋病毒治疗的坚持.
- 医疗保健工作室对持续的病毒抑制和参与艾滋病毒感染黑人护理充满希望.
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