Department of Pharmacy Practice and Pharmaceutical Sciences, College of Pharmacy, University of Minnesota, Duluth 232 Life Sciences, 1110 Kirby Drive, Duluth, MN, 55812-3003, USA.
Community Partnership, Collaborative 2.0, 2507 Bryant Avenue North, Minneapolis, MN, 55411, USA.
J Immigr Minor Health. 2020 Feb;22(1):134-144. doi: 10.1007/s10903-019-00873-x.
The objective was to gain insight, from the perspective of healthcare professionals, non-medical service providers and community-based organizations working with a large majority of African immigrant patients or clients, regarding sexual health and the potential for the use of HIV PrEP in this priority population. Thirty key informants participated in a needs assessment. A questionnaire was used to obtain information through focus groups, structured interviews and by self-administration. There are cultural and linguistic barriers to engaging Africans in discussing sexual health issues. Key challenges to uptake of PrEP are multi-dimensional: socioeconomic [immigration status, housing]; cultural [talking about sex 'taboo', HIV related stigma, no concept of preventive care]; provider-related (cultural competency, inadequate PrEP education, language barrier); and individual (lack of awareness, perception of HIV risk). Meeting basic needs like housing, assuring access to care (including PrEP), community-based education, relevant training of providers, and tailored messaging are strongly recommended. Effectively addressing HIV incidence in the African-born immigrant population redonequires a multi-pronged approach.
目的是从医疗保健专业人员、非医疗服务提供者和以大多数非洲移民患者或客户为工作对象的社区组织的角度出发，深入了解性健康问题，以及在这一重点人群中使用 HIV 预防药物的可能性。30 名关键知情者参与了需求评估。采用问卷调查的方式，通过焦点小组、结构化访谈和自我管理来获取信息。在让非洲人参与讨论性健康问题方面存在文化和语言障碍。PrEP 的采用面临多方面的挑战：社会经济方面（移民身份、住房）；文化方面（谈论性问题“禁忌”、与 HIV 相关的耻辱感、没有预防保健的概念）；提供者方面（文化能力、PrEP 教育不足、语言障碍）；以及个人方面（缺乏意识、对 HIV 风险的认知）。强烈建议满足基本需求，如住房、确保获得护理（包括 PrEP）、社区教育、提供者的相关培训和量身定制的信息传递。要有效解决非洲出生移民群体中的 HIV 发病率问题，需要采取多管齐下的方法。
