环境和文化适应的干预措施,以改善艾滋病毒的结果:一个范围审查
Witdiawati Witdiawati1,2, Kusman Ibrahim3, Neti Juniarti4
1Doctoral Program, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, 45363, Indonesia. witdiawati14001@unpad.ac.id.
BMC infectious diseases
|December 30, 2025
概括
文化适应的干预措施改善人类免疫缺陷病毒 (HIV) 预防和护理参与. 量身定制的方法显示承诺的坚持,减少耻辱感,并增加了预防工具的吸收,如暴露前预防 (PrEP).
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尽管有抗逆转录病毒疗法,但结构性,社会和文化障碍阻碍了人类免疫缺陷病毒 (HIV) 的预防和治疗.
- 一贯使用避孕套和暴露前预防 (PrEP) 是预防艾滋病毒的关键工具.
- 缺乏当地背景和文化相关性的干预措施往往面临着低采用率,特别是在青少年,土著社区和性少数群体中.
研究的目的:
- 系统地绘制和综合适应环境和文化干预措施,旨在增强与人类免疫缺陷病毒 (HIV) 相关的结果.
- 确定有效的策略,以改善不同人群的艾滋病毒预防和护理服务的参与.
主要方法:
- 根据Arksey和O Malley框架和PRISMA ScR指南进行了范围审查.
- 在Scopus,PubMed和CINAHL的搜索中,使用了与人类免疫缺陷病毒 (HIV) 相关的关键词,语境交付和文化适应.
- 符合条件的研究包括针对特定环境或文化量身定制的干预措施,涉及当地利益相关者的投入和文化突出元素.
主要成果:
- 18项研究符合纳入标准,包括社区辅导,数字健康方法,心身策略和以家庭为中心的模型等干预措施.
- 关键主题包括文化基础上的心理社会支持,技术支持的坚持,减少耻辱的心身策略,以及为边缘化群体量身定制的方法.
- 报告的改善包括更好的坚持,减少耻辱感,增加艾滋病毒检测和暴露前预防 (PrEP) 吸收,以及增强心理性,尽管临床终点效应混合.
结论:
- 背景和文化适应是增强参与人类免疫缺陷病毒 (HIV) 预防和护理的有希望的策略.
- 未来的研究应该优先考虑在不同的环境中进行足够强大的评估,评估可扩展性和详细的适应过程,以促进复制.
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