一个双语HIV状态中立的干预措施,以促进阿巴拉契亚地区的GBQMSM和跨性别和非双性人之间的健康平等:阿巴拉契亚接入项目干预试验的结果
Amanda E Tanner1, Lilli Mann-Jackson2, Jorge Alonzo2
1Department of Public Health Education, University of North Carolina Greensboro, Greensboro, North Carolina.
概括
阿巴拉契亚人访问项目改善了艾滋病毒和性传播疾病的知识,同性恋,双性恋,酷尔和其他与男性发生性关系的男性 (GBQMSM) 和阿巴拉契亚的跨性别人士. 虽然干预没有统计学意义,但在服务使用和预防方法方面显示出积极的趋势.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在阿巴拉契亚,同性恋者,双性恋者,异性恋者和其他与男性发生性关系的男性 (GBQMSM) 以及跨性别者和非双性人面临着严重的健康差异.
- 艾滋病毒,性传播疾病,型肝炎病毒和mopox预防和护理服务以及性别肯定激素治疗的获取在阿巴拉契亚农村地区是有限的.
- 现有的干预措施往往无法解决这些人口在这个特定的地理区域的独特需求和社会网络.
研究的目的:
- 评估阿巴拉契亚地区接入项目的有效性,这是一个旨在增加艾滋病毒,性传播疾病,C型肝炎病毒和mopox预防和护理服务的新型干预措施.
- 评估干预措施对符合条件的参与者使用医疗监督的性别确认激素治疗的影响.
- 确定干预对艾滋病毒和性传播疾病的知识和服务利用在阿巴拉契亚的GBQMSM和跨性别和非二进制个人的影响.
主要方法:
- 进行了一项基于社交网络的随机试验,参与者被社交网络招募并随机分配到干预组或延迟干预等候名单控制组.
- 该干预措施整合了双语沟通,艾滋病毒状态中立的方法,同行导航和移动健康战略.
- 在随访时收集数据,以评估服务使用结果的变化,预防方法的采用 (例如PrEP),艾滋病毒检测频率以及对艾滋病毒和性传播感染的知识.
主要成果:
- 与对照组相比,干预参与者在艾滋病毒和性传播感染知识方面表现出统计学上显著的增加.
- 在干预组中观察到轻微但不具有统计学意义的增加,该干预组的HIV状态中立服务使用结果,PrEP使用和HIV检测.
- 社交网络和mHealth组件,以及同行导航,显示出改善卫生服务参与度的积极趋势.
结论:
- 阿巴拉契亚人访问项目作为未来公共卫生倡议的基础模型,旨在减少阿巴拉契亚农村地区的健康差异.
- 虽然在所有测量结果中没有达到统计学意义,但该干预措施在增强健康知识和鼓励使用服务方面显示出希望.
- 需要对更大样本规模进行进一步的研究,以证实这种多组件干预措施在改善贫困农村地区GBQMSM,跨性别和非二进制人口的健康结果方面的有效性.
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