SEPA+PrEP-BW干预:为黑人妇女提供可行和可接受的HIV预防干预
Rosina Cianelli1,2, Joseph P De Santis1, Evelyn Iriarte3
1School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America.
PloS one
|November 18, 2025
概括
一个新的艾滋病毒预防计划,SEPA+PrEP-BW,在黑人妇女中显示出高可行性和接受度. 这种文化定制的干预措施解决了这一高风险人群在艾滋病毒预防方面的关键差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 美国的黑人妇女面临不成比例的高新艾滋病毒感染率 (54%),尽管有生物医学预防措施,如暴露前预防 (PrEP).
- 预防BW艾滋病毒的障碍包括低估风险,传统的性别角色,种族主义,耻辱和医疗不信任.
- 现有的预防策略往往对BW缺乏文化相关性.
研究的目的:
- 为黑人妇女适应和评估SEPA+PrEP,一种生物行为性艾滋病毒预防干预措施.
- 整合SEPA模式 (健康/健康,教育/教育,预防/预防,自动照顾/自我护理) 与PrEP教育和文化定制的BW组件.
- 评估适应干预措施的可行性,可接受性和社区驱动的实施潜力.
主要方法:
- 采用混合方法方法,收集定量和定性数据.
- 这项研究涉及佛罗里达州迈阿密-戴德县的73名黑人妇女.
- 可行性和可接受性通过保留率和参与者的满意度来衡量.
主要成果:
- 在SEPA+PrEP-BW的干预表明高可行性与94.5%的保留率.
- 参与者的满意度高达94.2%,表明干预内容的接受度很高.
- 参与者对推干预和成为同行方便者表示极大的兴趣,强调需要文化相关的教育和安全空间.
结论:
- SEPA+PrEP-BW是一个可行和可接受的社区驱动的干预措施,用于预防黑人妇女感染艾滋病毒.
- 该干预措施通过将PrEP教育与文化定制的组件相结合,有效地解决了关键的差距.
- 调查结果支持SEPA+PrEP-BW的潜力,以改善黑人妇女的艾滋病毒预防结果.
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