改善美国东南部与艾滋病毒感染的代表性不足的种族和少数民族的心血管健康:使用健康信念模型进行定性调查
Charles Muiruri1, Carrie Dombeck, Amy Corneli
1Charles Muiruri, PhD, MPH, is a Health Services Researcher, Assistant Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. Carrie Dombeck, MA, is a Project Leader and Qualitative Research Analyst, Department of Population Health Sciences, Durham, North Carolina, USA. Amy Corneli, PhD, MPH, is a Social Scientist and Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. April C. Pettit, MD, MPH, is an Associate Professor of Medicine, Divisions of Infectious Diseases and Epidemiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Nwora Lance Okeke, MD, MPH, is an Infectious Diseases Physician Scientist and Associate Professor, Duke Department of Medicine, Durham, North Carolina, USA. Chris T. Longenecker, MD, is a Non-invasive Cardiologist and Associate Professor, Division of Cardiology and Department of Global Health, University of Washington School of Medicine, Seattle, Washington, USA. Eric G. Meissner, MD, PhD, is an Infectious Diseases Physician Scientist and Associate Professor, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. Sarah Gonzales, BA, is a Clinical Research Coordinator, Duke Department of Population Health Sciences, Duke University, Durham, North Carolina, USA. Shamea Gray, is a Community Advisory Member, Durham, North Carolina, USA. Joseph Vicini, BA, MDiv, is a Community Advisory Member, Nashville, Tennessee, USA. Morgan Lima, MSN, RN, AC, RN, is a Clinical Nurse, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Mersedes Brown, MPH, is a Clinical Research Coordinator, Department of Population Health Sciences, Durham, North Carolina, USA. Mary C. Hill, is an undergraduate student, Duke University, Durham, North Carolina, USA. Joshua Kwawuvi, MPH, is a graduate student, Duke University, Durham, North Carolina, USA. Jules Iradukunda, MD, MSc, is a graduate student, Duke University, Durham, North Carolina, USA. Gerald S. Bloomfield, MD, MPH, is a Non-invasive Cardiologist and Associate Professor, Duke Division of Cardiology, Department of Medicine and Duke Global Health Institute, Duke University, Durham, North Carolina, USA.
来自少数群体的艾滋病毒感染者面临更高的心血管疾病 (CVD) 风险. 干预措施必须解决个人信仰和公平护理的系统障碍.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 健康差异 在健康上的差异
背景情况:
- 来自代表不足的种族和少数民族 (URM) 群体的艾滋病毒感染者经历了心血管疾病 (CVD) 风险升高.
- 现有研究表明,需要了解这一群体面临的具体挑战.
研究的目的:
- 探索与艾滋病毒感染的URM个人的关于心血管疾病风险和护理的看法和经验.
- 为了确定个人信仰和系统障碍影响心血管疾病管理在这个人群.
主要方法:
- 进行了深入采访,对27名艾滋病毒感染和已确定的心血管疾病或风险因素的URM参与者进行了深入采访.
- 该研究以健康信念模型为指导,并采用应用主题分析.
- 数据收集发生在美国南部的三个学术医疗中心.
主要成果:
- 参与者认为他们的艾滋病毒状况增加了心血管疾病的严重程度.
- 确定的障碍包括缺乏专家和负担能力问题.
- 调查结果强调了影响心血管疾病护理的个人挑战和系统不平等.
结论:
- 为艾滋病毒感染的URM个人提供公平的心血管疾病护理,需要解决个人信仰和系统障碍的干预措施.
- 整合这些发现可以加强预防策略,改善心血管健康结果.
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