Kubicek Katrina, Beyer William J, Wong Carolyn F, Kipke Michele D
Community, Health Outcomes, and Intervention Research Program, Children's Hospital Los Angeles.
AIDS Educ Prev. 2019 Aug;31(4):325-343. doi: 10.1521/aeap.2019.31.4.325.
Sexual minority individuals experience barriers to receiving equitable health care. Research also indicates that young men who have sex with men (YMSM), particularly young men of color, have limited engagement in the HIV care continuum and there are significant disparities across the continuum. This study aims to uncover how providers can engage YMSM of color in all forms of care, including primary care and HIV prevention through an HIV prevention continuum. This qualitative study reports data from the Healthy Young Men's Cohort Study; a total of 49 YMSM participated in the eight focus groups. This study provides a description of YMSM's overall health concerns, experiences with health care, and under what circumstances YMSM seek care. We then present a model describing the salient characteristics of a HIV prevention continuum for YMSM of color and provide clear areas for education, intervention, and policy change to support better overall health for YMSM of color.
性少数群体在获得公平的医疗保健方面面临障碍。研究还表明，与男性发生性关系的年轻男性（YMSM），尤其是有色人种的年轻男性，在艾滋病毒护理连续体中的参与度有限，而且在整个连续体中存在显著差异。本研究旨在揭示医疗服务提供者如何通过艾滋病毒预防连续体，让有色人种的YMSM参与到包括初级保健和艾滋病毒预防在内的所有形式的护理中。这项定性研究报告了来自健康年轻男性队列研究的数据；共有49名YMSM参加了八个焦点小组。本研究描述了YMSM的总体健康问题、医疗保健经历以及YMSM在何种情况下寻求护理。然后，我们提出了一个模型，描述了有色人种YMSM的艾滋病毒预防连续体的显著特征，并为教育、干预和政策变革提供了明确领域，以支持有色人种YMSM获得更好的整体健康。
