一个增强的社交网络策略,以增加艾滋病毒服务的使用率:I型混合实施研究的协议 (卡罗来纳州RESPOND)
Ian Dale1, Meagan Zarwell2, Alicia Diggs3
1Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
JMIR public health and surveillance
|August 29, 2025
概括
加强社会网络战略 (eSNS) 旨在改善艾滋病毒预防和对受影响人口不成比例的关怀. 这种创新方法旨在减少社会障碍,增加获得重要艾滋病毒服务的机会.
科学领域:
- 公共卫生
- 社会网络干预
- 预防艾滋病毒
背景情况:
- 在美国的同性恋,双性恋和其他与男性发生性关系的男性 (GBMSM) 和跨性别女性中持续存在新的艾滋病毒诊断.
- 美国南部的黑人,拉丁裔和跨性别女性感染艾滋病毒的情况不成比例.
- 社交网络的方法在增加艾滋病毒检测和护理连续性的参与方面显示出希望.
研究的目的:
- 评估加强社会网络策略 (eSNS) 的干预措施,以促进对艾滋病毒服务的参与.
- 解决艾滋病毒感染群体之间的预防和护理差异.
- 在北卡罗来纳州夏洛特地区实施和评估eSNS,这是结束艾滋病毒流行 (EHE) 管辖权的优先事项.
主要方法:
- 一种混合型的有效性实施研究设计.
- 第一个阶段:培养混合方法来完善疾病控制和预防中心的社交网络战略 (SNS).
- 第二阶段:将eSNS整合到NC合作伙伴服务中,使用"大使"来推HIV服务的同行.
- 第3阶段:与北卡罗来纳州罗利的标准护理服务对比eSNS的有效性评估.
主要成果:
- 第一个阶段于2024年8月结束,报告了研究的修改.
- 在2025年3月开始实施eSNS.
- 研究修改包括扩大大使资格和推途径,以形成性发现为基础.
结论:
- 有效的公共卫生策略对于减少新的艾滋病毒诊断至关重要.
- 该eSNS协议将现有方法与创新干预相结合.
- 欧洲艾滋病防治网络旨在克服阻碍艾滋病感染者参与艾滋病防治和护理的社会障碍.
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