在非洲和加勒比海遗产社区中,艾滋病毒检测的障碍和促进因素:混合方法研究
Temilola Adeniyi1, Jeremy Horwood2,3, Marsha Doran4
1Population Health Sciences, University of Bristol, Bristol, UK temilola.adeniyi@bristol.ac.uk.
Sexually transmitted infections
|May 13, 2025
概括
在英国的非洲和加勒比遗产 (ACH) 社区,艾滋病毒检测的障碍包括耻辱和对医疗保健的不信任. 文化定制的服务和社区参与可以提高检测的普及率,减少晚期诊断.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 英国的非洲和加勒比地区遗产 (ACH) 社区经历了不成比例的高艾滋病毒率和延迟诊断.
- 解决这些差异对于实现英国艾滋病毒减少目标和促进健康公平至关重要.
研究的目的:
- 为了检查布里斯托尔的ACH社区内艾滋病毒检测的障碍和促进者.
- 收集有关高流行地区艾滋病毒检测经验的特定背景数据.
主要方法:
- 一种混合方法的方法,结合了29个深度访谈和41个在线调查.
- 主题分析与社会生态模型 (SEM) 框架进行映射.
- 参与数据收集和分析的社区研究人员,以加强参与和信任.
主要成果:
- 确定的障碍包括个人耻辱,人际保密问题,社区禁忌和组织歧视.
- 促进者包括文化特定的服务,灵活的测试,社区外展和增加医疗保健代表性.
- 这些因素促进了对艾滋病毒检测的信任和参与.
结论:
- 文化一致的干预措施和社区联合制作对于减少晚期艾滋病毒诊断至关重要.
- 培训医疗保健提供者的文化能力和增加代表性可以改善服务供应.
- 在ACH社区规范化常规艾滋病毒检测有助于健康公平.
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