优化为澳大利亚艾滋病毒感染者亚裔移民提供服务:一项定性研究
Donna Sombrea1,2,3,4,5,6,7,8, Thomas Norman1,2,3,4,5,6,7,8, Jennifer Power1,2,3,4,5,6,7,8
1Donna Sombrea, MS, RPsy, is a PhD candidate at the Australian Research Centre in Sex, Health and Society, La Trobe University, Victoria, Australia.
概括
在澳大利亚,携带艾滋病毒的移民面临着诸如官僚主义和耻辱等障碍. 文化敏感,社区主导的艾滋病毒服务可以改善这些人的护理和福祉.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与非移民相比,移民在艾滋病毒治疗和结果方面存在显著差异.
- 为艾滋病毒感染者 (PLWH) 提供心理社会支持的平等机会是一个日益关注的问题.
研究的目的:
- 探索优化澳大利亚亚裔PLWH艾滋病毒服务的战略.
- 识别移民人口中有效的艾滋病毒治疗障碍和促进者的障碍.
主要方法:
- 对18名参与者进行了半结构化的深度访谈 (9名亚裔PLWH,9名艾滋病毒部门工作者).
- 采用反射的主题分析来解释参与者的经验.
主要成果:
- 参与者在澳大利亚艾滋病毒护理系统中经历了边缘化和赋权的二分法.
- 包括官僚主义,语言,种族主义和耻辱感在内的结构性障碍妨碍了获得支持的机会.
- 同行主导的倡议,整体护理和跨国网络显示出持续参与的前景.
结论:
- 社区驱动的方法和领导机会对于改变艾滋病毒服务提供和政策至关重要.
- 解决系统性障碍和促进文化认同的护理可以提高艾滋病毒感染移民的健康和福祉.
- 需要进一步的研究,以制定有效的长期支持策略,为这一群体.
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