在肯尼亚,社会网络干预在老年人群中更有效
Daniel E Zoughbie1,2,3, Dillon Huddleston4, Kathleen Watson5
1Department of Public Health, New England Complex Systems Institute, 277 Broadway, Cambridge, MA, 02139, USA. danielzoughbie@gmail.com.
BMC public health
|November 8, 2024
概括
延长艾滋病毒/艾滋病治疗时间改善了肯尼亚农村地区的治疗结果. 患者保留率因年龄而异,以内化耻辱为媒介,这表明需要针对年龄的干预措施.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 社会流行病学 社会流行病学
背景情况:
- 美国总统的艾滋病毒/艾滋病应急计划 (PEPFAR) 挽救了数百万人的生命,但在肯尼亚农村面临着实施挑战.
- 患者留守和参与艾滋病毒/艾滋病护理对于治疗成功至关重要,特别是考虑到年龄差异和社会经济因素.
研究的目的:
- 在肯尼亚农村的基于社交网络的随机对照试验中分析患者在艾滋病毒/艾滋病护理中的保留率.
- 调查年龄,治疗状况,治疗时间和社交网络现象与患者留守之间的相互作用.
- 检查内部化耻辱在患者留守中的调解作用.
主要方法:
- 基于社交网络的随机对照试验的二次分析,使用治疗意图方法.
- 介导和三重相互作用分析,以探索人口特征与治疗的相互作用.
- 统计建模,以评估年龄,治疗,治疗时间和社交网络对留守的影响.
主要成果:
- 延长治疗时间显著改善了艾滋病毒/艾滋病护理的初级结果.
- 观察到年龄,治疗状态和治疗时间之间存在显著的三重相互作用.
- 患者的保留是由内化耻辱的介导,并且在不同年龄组之间存在显著差异.
结论:
- 患者在艾滋病毒/艾滋病治疗计划中的保留不均,受到年龄和内化污名的影响.
- 对艾滋病毒/艾滋病的干预措施采取一种适合所有人的方法是不够的;需要特定于年龄的策略.
- 政策制定者应该优先考虑优化艾滋病毒/艾滋病干预措施的研究,以适应农村不同年龄的人口结构.
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