动员社区开展青少年艾滋病预防工作：三个联盟如何运用关键策略实现结构变革。
Mobilizing communities around HIV prevention for youth: how three coalitions applied key strategies to bring about structural changes.
作者信息
Chutuape Kate S, Willard Nancy, Sanchez Kenia, Straub Diane M, Ochoa Tara N, Howell Kourtney, Rivera Carmen, Ramos Ibrahim, Ellen Jonathan M
机构信息
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21224, USA.
出版信息
AIDS Educ Prev. 2010 Feb;22(1):15-27. doi: 10.1521/aeap.2010.22.1.15.
Abstract
Increasingly, HIV prevention efforts must focus on altering features of the social and physical environment to reduce risks associated with HIV acquisition and transmission. Community coalitions provide a vehicle for bringing about sustainable structural changes. This article shares lessons and key strategies regarding how three community coalitions located in Miami and Tampa, Florida, and San Juan, Puerto Rico engaged their respective communities in bringing about structural changes affecting policies, practices and programs related to HIV prevention for 12-24-year-olds. Outcomes of this work include increased access to HIV testing and counseling in the juvenile correctional system (Miami), increased monitoring of sexual abuse between young women and older men within public housing, and support services to deter age discordant relationships (Tampa) and increased access to community-based HIV testing (San Juan).
摘要
越来越多的是，艾滋病毒预防工作必须专注于改变社会和物理环境的特征，以降低与艾滋病毒感染和传播相关的风险。社区联盟为实现可持续的结构变革提供了一种途径。本文分享了关于佛罗里达州迈阿密和坦帕以及波多黎各圣胡安的三个社区联盟如何促使各自社区实现影响12至24岁青少年艾滋病毒预防相关政策、实践和项目的结构变革的经验教训和关键策略。这项工作的成果包括在少年教养系统中增加艾滋病毒检测和咨询服务（迈阿密），加强对公共住房内年轻女性与年长男性之间性虐待的监测，以及提供支持服务以阻止年龄不匹配的关系（坦帕），并增加社区艾滋病毒检测服务（圣胡安）。
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