提高纽约市女性对暴露前预防(PrEP)的认识:社区与医疗服务提供者的观点
Raising Awareness of Pre-Exposure Prophylaxis (PrEP) among Women in New York City: Community and Provider Perspectives.
作者信息
Collier Kate L, Colarossi Lisa G, Sanders Kim
机构信息
a Research and Evaluation , Planned Parenthood of New York City , New York , New York , USA.
b Project Street Beat , Planned Parenthood of New York City , New York , New York , USA.
出版信息
J Health Commun. 2017 Mar;22(3):183-189. doi: 10.1080/10810730.2016.1261969. Epub 2017 Feb 8.
This study explored the knowledge, attitudes, and perceived facilitators and barriers to adoption of HIV pre-exposure prophylaxis (PrEP) among black women and Latinas in the Bronx, NY. Data were collected in focus group discussions (FGDs) held separately with staff (n = 21) and black and Latina female clients aged 18 to 50 (n = 23) of four organizations providing health and social services. Participants were also asked to give feedback about four action messages regarding PrEP for a social marketing campaign. Transcripts were analyzed by two researchers using grounded theory. We found that the majority of clients (74%) and staff (57%) had not heard about PrEP before participating in the FGDs. Following brief educational messaging about PrEP, participants identified potential facilitators and barriers to PrEP uptake among women, and expressed enthusiasm for more widespread efforts to raise awareness about PrEP as an HIV prevention option. Participants preferred an action message that was brief, referred to PrEP as a pill, and did not mention condoms or STD testing. These findings demonstrate the need to raise awareness about PrEP among women and build the capacity of women-serving organizations to educate, screen, and refer or provide PrEP services.
本研究探讨了纽约市布朗克斯区黑人女性和拉丁裔女性对艾滋病毒暴露前预防(PrEP)的了解、态度以及采用PrEP的感知促进因素和障碍。数据收集于分别与四个提供健康和社会服务组织的工作人员(n = 21)以及18至50岁的黑人及拉丁裔女性客户(n = 23)进行的焦点小组讨论(FGD)。参与者还被要求就一项社会营销活动中关于PrEP的四条行动信息提供反馈。两名研究人员运用扎根理论对访谈记录进行了分析。我们发现,大多数客户(74%)和工作人员(57%)在参与焦点小组讨论之前未曾听说过PrEP。在接受了关于PrEP的简短教育信息后,参与者确定了女性采用PrEP的潜在促进因素和障碍,并对更广泛地提高对PrEP作为一种艾滋病毒预防选择的认识的努力表达了热情。参与者更喜欢一条简短的行动信息,该信息将PrEP称为一种药丸,且未提及避孕套或性传播感染检测。这些发现表明有必要提高女性对PrEP的认识,并增强为女性服务的组织开展教育、筛查以及转介或提供PrEP服务的能力。