从与PrEP相关的不信任到可信的预防生态系统:在西蒙等人之后的实施优先事项. 和贾斯瓦尔等人
1Department of MLT, University Institute of Allied Health Science, Chandigarh University, Mohali, 140413, Punjab, India. vijaya.e19133@cumail.in.
AIDS and behavior
|February 27, 2026
概括
不信任PrEP源于歧视和不公平的制度,而不仅仅是缺乏信任. 解决这一问题需要建立"信任准备"的艾滋病毒预防生态系统,以确保公平获得暴露前预防 (PrEP).
科学领域:
- 公共卫生 公共卫生
- 社会和行为科学 社会和行为科学
- 健康 公平 卫生 公平
背景情况:
- 与PrEP相关的医疗不信任是一个复杂的问题,源于历史和持续的歧视.
- 不信任不成比例地影响黑人性少数群体的男性和各种性少数群体的年轻男性.
- 现有的研究文件对PrEP缺乏信任,但缺乏可行的生态系统转型战略.
研究的目的:
- 将重点从记录PrEP不信任转移到设计"准备好信任"的预防生态系统.
- 综合证据,将耻辱,不信任和艾滋病毒检测行为联系起来.
- 为建立对PrEP和艾滋病毒预防的信任提出可行的优先事项.
主要方法:
- 关于PrEP不信任,耻辱和艾滋病毒治疗的现有研究的文献综合.
- 分析历史和持续的伤害对生活经验和数字信息实践的影响.
- 基于收证据的实施优先事项的制定.
主要成果:
- 不信任PrEP是一种对被认为是机构背叛和歧视的关系反应.
- 不信任与耻辱,艾滋病毒检测行为和抗逆转录病毒治疗坚持方面的挑战有关.
- 公共卫生叙述必须解决持续的伤害和数字错误信息.
结论:
- 在PrEP和艾滋病毒计划监测中实施经过验证的信任和公平度指标.
- 设计可信任的交付模式,包括减少耻辱和基于权利的保障措施.
- 将数字信息生态系统与建立信任的战略结合起来,打击错误信息和有害信息.
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