加拿大马尼托巴艾滋病毒感染者之间的危害减轻服务的障碍和建议:一项定性研究
Enrique Villacis-Alvarez1, Katharina Maier2, Margaret Haworth-Brockman3,4
1Department of Medical Microbiology and Infectious Diseases, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Frontiers in public health
|October 8, 2025
概括
曼尼托巴艾滋病毒感染者 (PLHIV) 面临着严重的障碍,无法获得减少伤害服务,增加艾滋病毒传播和与物质有关的伤害风险. 建议实施监督消费场所,以提高安全性和支持性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 成 药物 药物 药物 药物
背景情况:
- 曼尼托巴在2022年,与物质相关的死亡和新的艾滋病毒诊断发生了创纪录的增长.
- 随着COVID-19的流行,减少伤害服务的机会变得更加糟糕,特别是对于艾滋病毒感染者 (PLHIV) 来说.
- 鉴于艾滋病毒和注射物质使用之间的联系,了解接入障碍至关重要.
研究的目的:
- 调查曼尼托巴省PLHIV的减少伤害服务的进入障碍.
- 收集PLHIV的建议,以改善减少危害和卫生服务.
主要方法:
- 与PLHIV共同设计和执行的定性研究.
- 与PLHIV进行半结构化的深度访谈,随后进行定量问卷调查.
- 对定性数据的反思性主题分析和对定量数据的描述性统计.
主要成果:
- 两个关键主题出现了:"关于减少危害服务的知识和可用性"和"更安全的物质使用和监督消费场所".
- 参与者报告了对服务的认识,但面临着诸如限制时间和有限的移动选择,增加设备共享等障碍.
- 参与者强调需要非判断性的私人空间,如监督消费场所,以更安全地使用物质,并获得供应和支持.
结论:
- 艾滋病毒感染者遇到实质性障碍,无法获得必要的减伤和卫生服务.
- 专注于PLHIV需求的新战略对于打击不断上升的艾滋病毒率和与物质有关的危害至关重要.
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