感知到telePrEP干预的风险和益处:与德克萨斯州农村性少数民族男性的采访研究
Christopher Owens1, Elizabeth Buchanan2, Celia B Fisher3
1Department of Health Behavior, Texas A&M University, College Station, Texas, USA.
概括
TelePrEP为农村性少数群体男性 (SMM) 提供可访问的艾滋病毒预防,但信任,隐私和透明度对其成功至关重要. 解决这些问题是提高服务不足地区采用率的关键.
科学领域:
- 公共卫生 公共卫生
- 远程医疗远程医疗
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 农村地区在艾滋病毒预防资源方面面临重大缺口.
- 越来越多的艾滋病毒发病率需要为难以接触的人口提供创新的解决方案.
- 在线暴露前预防 (PrEP) 计划显示出改善获取机会的希望.
研究的目的:
- 探索农村性少数群体男性 (SMM) 对基于远程医疗的PrEP (telePrEP) 的看法.
- 确定与假设的telePrEP程序相关的感知好处和风险.
- 了解SMM对在线艾滋病毒预防服务的偏好.
主要方法:
- 质量研究涉及德克萨斯州20个农村中小企业.
- 通过在线视频会议进行的半结构面试.
- 使用反射主题分析分析的数据.
主要成果:
- TelePrEP提高了可访问性,但可能需要额外的面对面服务.
- 确认了telePrEP和邮购服务的便利性,以及潜在的挑战.
- 机密性,隐私,可信度和透明度是telePrEP的关键问题.
- 社会政治气候会影响人们对隐私和保密的看法.
结论:
- 农村中小企业在包括在家和远程医疗服务中提供PrEP,检测和护理时,对telePrEP的看法是积极的.
- 可接受性取决于强大的隐私,保密性,可信性和透明度措施.
- TelePrEP干预必须清楚地传达数据安全协议,以建立对服务需求的信任.
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