赋权或基于社区的艾滋病毒预防干预措施中的紧张关系:从法国-美国合作自学项目ETOILE中吸取经验教训
Tashuna Albritton1, Anne Gosselin2,3, Karna Coulibaly2,3
1City University of New York School of Medicine, New York, USA.
Global health promotion
|January 9, 2026
概括
国家背景对基于赋权的艾滋病毒预防研究产生重大影响. 美国和法国的社区研究揭示了解决结构性种族主义和影响边缘化群体的权力动态的挑战.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康 公平 卫生 公平
背景情况:
- 人类免疫缺陷病毒 (HIV) 不成比例地影响高收入国家的边缘化社区.
- 基于社区和参与式的研究与赋权方法被用来吸引这些群体.
- 需要进行跨国比较,以了解对研究实施的情境影响.
研究的目的:
- 检查国家背景如何影响基于赋权的艾滋病毒预防研究的实施.
- 为了比较美国和法国研究小组之间的经验.
- 确定影响社区艾滋病毒研究成功的因素.
主要方法:
- 一项定性,自我反思性研究 (ETOILE) 涉及三个研究小组 (两个美国,一个法国) 从2019-2022.
- 参与艾滋病毒预防科学家和社区合作伙伴的焦点小组和访谈.
- 采用了基础分析方法来识别新出现的主题.
主要成果:
- 关于结构性种族主义的沟通方式有所不同,法国团队因国家背景和研究历史而面临更多的项目内部紧张局势.
- 根据种族,族裔和阶级分类的数据分解塑造了对艾滋病毒流行病的理解.
- 社区成员和黑人研究人员的参与对于社区的访问和信任至关重要,但具有挑战性.
结论:
- 国家背景极大地影响了基于赋权的艾滋病预防研究的实施.
- 解决结构性种族主义和权力动态需要文化敏感的方法.
- 提供了在不同的国家环境中进行有效的社区研究的建议.
相关概念视频
Levels of Health Promotion and Illness Prevention
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention I
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...
Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Sexually Transmitted Infections
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
Community Based Intervention
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...


