在黑人妇女中理解PrEP的思考:从定性分析的见解
Amber I Sophus1, Kathryn L Braun2, Jason W Mitchell3
1Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, 11200 S.W. 8 th Street, Miami, FL, 33199, USA. asophus@fiu.edu.
Journal of racial and ethnic health disparities
|April 16, 2025
概括
美国南部的黑人妇女由于关系状况和 PrEP 信息不足而没有参与暴露前预防 (PrEP). 需要量身定制的信息和计划来改善吸收和解决健康差异.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 定性研究是指质量研究.
背景情况:
- 在美国南部的黑人妇女中,暴露前预防 (PrEP) 的参与仍然很低,这代表了健康差异很大.
- 现有研究强调,需要了解影响PrEP在这个人群中的使用动机和决策过程.
- 该PREP级联框架和一个综合的理论模型指导了这项调查,对PREP吸收的障碍和促进者进行了调查.
研究的目的:
- 探索黑人妇女关于暴露前预防 (PrEP) 参与的动机和决策过程.
- 确定增强PrEP信息的具体策略,并增加黑人女性的吸收,这些黑人女性可以从使用中受益.
- 为了解决这个人口群体中PrEP使用的持久健康差异.
主要方法:
- 在2020年2月至2022年3月期间,通过Zoom进行了12次半结构面试.
- 参与者是从一个更大的在线调查中招募的,该调查涉及黑人女性与PrEP吸收相关的因素.
- 采用定量描述性统计和定向内容分析来分析采访数据.
主要成果:
- 在12名接受采访的女性中,没有一个在研究时启动了PrEP;两个正在与提供者讨论,一个计划在三个月内启动.
- 不开始PrEP的关键原因包括当前的关系状况和关于PrEP的不充分的认识,知识和素养.
- 参与者表示对PrEP的不信任是由于信息不足和预期的成本和患者提供者沟通方面的挑战.
结论:
- 在考虑阶段,有很大的机会在黑人妇女中加强PrEP的使用.
- 改进和定制PrEP信息对于增加参与和解决障碍至关重要.
- 开发有针对性的PrEP计划和干预措施是必要的,以改善吸收和减少黑人妇女的健康差异.
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