整合CBPR和实施科学,为黑人跨性别女性开发PrEP促进干预措施
Scott D Rhodes1, Lilli Mann-Jackson1, Jorge Alonzo1
1Wake Forest University School of Medicine, Winston-Salem, NC, USA.
这项研究适应了黑人/非洲裔美国跨性别女性的艾滋病毒预防干预,促进暴露前预防 (PrEP) 和避孕套. 新的"姐妹联合"计划解决了特定的社区需求和医疗不信任.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 实施科学 实施科学
背景情况:
- 黑人/非洲裔美国跨性别女性面临高艾滋病毒感染率.
- 很少有基于证据的干预措施是针对这一群体的.
- 现有的干预措施需要根据社区的具体需求进行调整.
研究的目的:
- 为黑人/非洲裔美国人跨性别女性开发和调整"姐妹联合"的干预.
- 促进暴露前预防 (PrEP),使用避孕套和性别肯定激素治疗 (GAHT).
- 为了解决这个社区的艾滋病毒健康差异.
主要方法:
- 整合了基于社区的参与式研究和实施科学.
- 一个由黑人/非洲裔美国跨性别女性和利益相关者组成的指导委员会指导了适应.
- 焦点小组和代反为干预内容提供了信息,包括对医生的不信任和可注射PrEP.
主要成果:
- 开发了"姐妹联合"的干预,包括实施手册,辅导员指南,视频和电子学习课程.
- 该干预旨在进行两次会议,重点关注HIV/GAHT意识,避孕套技能和获得医疗保健.
- 关键的调整是解决医疗不信任和注射PrEP的使用.
结论:
- "姐妹联合"提供了一个可扩展的解决方案,以促进黑人/非洲裔美国跨性别女性之间的艾滋病毒健康平等.
- 系统的适应过程可以指导未来的干预开发和改进.
- 这项工作填补了艾滋病毒预防的关键缺口,该缺口在于受艾滋病毒影响非常不成比例的人口.
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