推进社区参与的研究方法:对MSM社区对中国HIV污名化研究贡献的定性研究
Danyang Luo1, Wei Zhang1, Siyan Meng2
1University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
Stigma and health
|August 11, 2025
概括
在艾滋病毒研究中,将与男性发生性关系的男性 (MSM) 作为标准化患者,赋予参与者权力,并提高了他们对性健康的了解. 这种新的方法促进了社区联系,并强调了需要在艾滋病毒预防研究中持续参与MSM的需要.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 社区参与 社区参与
背景情况:
- 社区参与对于在边缘化人口中有效预防艾滋病毒至关重要,特别是与男性发生性关系的男性 (MSM).
- 以前的研究强调,需要创新的方法来解决医疗保健机构内的艾滋病毒污名和同性恋恐惧症.
- 标准化患者 (SP) 计划提供了一种独特的方法来评估医疗保健质量和提供者-患者互动.
研究的目的:
- 探索在中国HIV污名和医疗保健研究中作为标准化患者 (SPs) 的MSM的经验.
- 通过社区参与及其对参与者的影响来分析这些经验.
- 确定对未来的艾滋病毒预防干预和涉及MSM社区的研究的影响.
主要方法:
- 一项定性子研究涉及对MSM进行深入采访,这些MSM在一项更大的研究中担任SP.
- 面试分为两轮,分别在SP经验之前和之后进行.
- 数据分析以社会生态模型为基础.
主要成果:
- 作为SP的参与促进了MSM之间个人赋权和社区联系的感觉.
- 医生获得了有关性传播感染 (STIs) 和提供者-患者沟通的新知识,导致性健康讨论增加.
- 大多数专科医生对在研究期间获得的医疗保健质量表示高度满意.
结论:
- 该SP研究提供了一种新且有效的方法,使MSM社区参与研究.
- 这些发现对设计艾滋病毒污名干预措施,让MSM参与研究以及为中国的这一群体量身定制性健康服务具有重大意义.
- 对于MSM社区在直接影响他们的HIV研究中持续和定期参与,有着至关重要的需求.
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