探索一种与文化相符的、基于同伴的针对与男性发生性关系的黑人男性的艾滋病毒预防干预措施的偏好。
Exploring the preferences of a culturally congruent, peer-based HIV prevention intervention for black men who have sex with men.
作者信息
Dangerfield Ii Derek T, Harawa Nina T, McWells Charles, Hilliard Charles, Bluthenthal Ricky N
机构信息
The REACH Initiative, Johns Hopkins School of Nursing, 525N. Wolfe St, Baltimore, MD 21205, USA.
David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Ave, Los Angeles, CA 90095, USA.
出版信息
Sex Health. 2018 Nov;15(5):424-430. doi: 10.1071/SH18057.
Abstract
UNLABELLED
Background HIV testing, treatment initiation and treatment adherence have been emphasised for Black men who have sex with men (BMSM). However, many BMSM do not get tested, obtain HIV treatment or adhere to treatment. It is essential to highlight barriers to HIV testing, treatment adherence and the ideal components for an intervention: peer mentors, socioeconomic resources and participant incentives.
METHODS
Five focus groups (n=24) were conducted among HIV-negative and HIV-positive BMSM aged ≥18 years in Los Angeles, California, USA to explore motivations and barriers to testing and treatment and the components of an ideal, culturally competent HIV testing intervention for BMSM.
RESULTS
Barriers to HIV testing included fear and stigma associated with discovering a HIV-positive status and drug use. Motivations for testing included experiencing symptoms, beginning new relationships, perceptions of risk and peer mentors.
CONCLUSIONS
Future HIV prevention and treatment efforts should consider these components to improve health outcomes among BMSM.
摘要
未标注
背景 对于与男性发生性关系的黑人（BMSM），艾滋病毒检测、开始治疗及治疗依从性一直受到强调。然而，许多BMSM未进行检测、未接受艾滋病毒治疗或未坚持治疗。必须突出艾滋病毒检测、治疗依从性的障碍以及干预措施的理想组成部分：同伴导师、社会经济资源和参与者激励措施。
方法
在美国加利福尼亚州洛杉矶，对年龄≥18岁的艾滋病毒阴性和阳性BMSM进行了5个焦点小组访谈（n = 24），以探讨检测和治疗的动机与障碍，以及针对BMSM的理想的、具有文化胜任力的艾滋病毒检测干预措施的组成部分。
结果
艾滋病毒检测的障碍包括与发现艾滋病毒阳性状态及药物使用相关的恐惧和耻辱感。检测的动机包括出现症状、开始新关系、对风险的认知以及同伴导师。
结论
未来的艾滋病毒预防和治疗工作应考虑这些组成部分，以改善BMSM的健康状况。
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