分子HIV流行病学在公共卫生实践中的风险,担忧和益处:受影响和感兴趣的社区之间的观点的定性探索
Stuart Rennie1,2, Ujunwa Onyeama3, Kristen Sullivan1,4
1Department of Social Medicine, University of North Carolina-Chapel Hill, NC, USA.
Journal of public health research
|October 7, 2025
概括
分子艾滋病毒流行病学 (MHE) 对艾滋病毒监测有好处,但受影响社区中仍然存在对隐私,犯罪和耻辱的担忧. 持续的社区参与对于负责任的MHE实施至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 基因组监测 基因组监测
背景情况:
- 分子HIV流行病学 (MHE) 对美国国家艾滋病毒/艾滋病战略至关重要.
- MHE分析了分子流行病学和疫情检测的临床测试中的HIV序列.
研究的目的:
- 探索社区对MHE风险,益处和担忧的观点.
- 了解各种利益相关者的观点,包括艾滋病毒感染者 (PLWH) 和公共卫生官员.
主要方法:
- 使用社会生态框架进行定性研究.
- 对来自五个关键组的41名参与者 (2020-2021) 的采访进行主题分析.
主要成果:
- 在所有接受采访的群体中,MHE通常被认为是有益的.
- 重要问题包括隐私,保密性,对艾滋病毒检测和护理的潜在负面影响,以及犯罪化和污名化的风险.
结论:
- 负责任地实施MHE需要持续的社区参与.
- 需要进一步进行定性研究,以解决社区的担忧,并确保在艾滋病毒监测中道德地使用MHE.
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