促进艾滋病毒风险青年使用服务的策略:随机对照试验 (ATN 149)
Dallas Swendeman1, Mary Jane Rotheram-Borus2, Elizabeth Mayfield Arnold3
1Semel Institute for Neuroscience and Human Behavior, University of California, 760 Westwood Plaza, Suite 37-360A, Los Angeles, CA, 90024, USA. DSwendeman@mednet.ucla.edu.
AIDS and behavior
|November 28, 2024
概括
基于优势的辅导干预措施帮助性和性别少数群体青年 (SGMY) 与其他干预部门相比,保持更高的基本支持服务的使用率,包括食品和住房援助.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 性和性别少数群体青年 (SGMY) 面临着独特的脆弱性,包括更高的艾滋病毒风险和对健康和社会服务的竞争需求.
- 之前的研究表明,组合干预增加了SGMY中暴露前预防 (PrEP) 的使用.
- 本研究研究了不同干预组件对辅助支持和医疗保健利用的影响.
研究的目的:
- 评估不同干预组件对SGMY中辅助支持和医疗保健服务利用的有效性.
- 为了确定自动化短信,同行支持或基于优势的辅导是否影响使用食物,住房,交通和心理健康等服务的支持.
主要方法:
- 一个随机对照试验,涉及895个SGMY在洛杉矶和新奥尔良.
- 参与者被分配到四个条件:自动化短信和监控干预 (AMMI),AMMI加同行支持 (AMMI+PS),AMMI加指导 (AMMI+C),或所有三个 (AMMI+PS+C).
- 治疗意图的多变量回归分析评估了24个月报告的服务使用变化.
主要成果:
- 总体上,辅助服务的使用率从基线下降 (40%报告4.4个服务) 到24个月 (22.6%报告2.5个服务).
- 食物,住房,交通和其他基本需求服务是最常用的.
- 两个辅导干预组 (AMMI+C和AMMI+PS+C) 的年轻人报告说,与AMMI单独和AMMI+PS组相比,他们持续使用服务的比例更高.
结论:
- 基于优势的辅导干预似乎支持SGMY在基本辅助服务方面的持续参与.
- 虽然整体服务利用率下降,但辅导组件有助于缓解这一下降.
- 需要进一步的研究来探索这些服务对健康结果的长期影响,并解决潜在的自我报告偏见.
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