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吸引“失踪男性”参与 HIV 治疗环节:制定一项量身定制的干预措施,以提高南非农村地区男性接受 HIV 护理服务的比例:一项研究方案。

Engaging the 'Missing Men' in the HIV Treatment Cascade: Creating a Tailored Intervention to Improve Men's Uptake of HIV Care Services in Rural South Africa: A Study Protocol.

机构信息

Africa Health Research Institute, Somkhele 3935, South Africa.

Department of Sociology, Faculty of Humanities, University of Johannesburg, Johannesburg 2006, South Africa.

出版信息

Int J Environ Res Public Health. 2021 Apr 2;18(7):3709. doi: 10.3390/ijerph18073709.

Abstract

Men, especially young men, have been consistently missing from the HIV care cascade, leading to poor health outcomes in men and ongoing transmission of HIV in young women in South Africa. Although these men may not be missing for the same reasons across the cascade and may need different interventions, early work has shown similar trends in men's low uptake of HIV care services and suggested that the social costs of testing and accessing care are extremely high for men, particularly in South Africa. Interventions and data collection have hitherto, by and large, focused on men in relation to HIV prevention in women and have not approached the problem through the male lens. Using the participatory method, the overall aim of this study is to improve health outcomes in men and women through formative work to co-create male-specific interventions in an HIV-hyper endemic setting in rural KwaZulu-Natal, South Africa.

摘要

男性,尤其是青年男性,在艾滋病防治环节中一直处于缺失状态,导致南非男性健康状况不佳,青年女性中艾滋病仍在持续传播。尽管这些男性在整个防治环节中缺失的原因可能并不相同,可能需要不同的干预措施,但早期的研究表明,男性接受艾滋病护理服务的比例很低,这一趋势相似,并表明检测和获得护理的社会成本对男性来说极高,尤其是在南非。迄今为止,干预措施和数据收集主要集中在与女性预防艾滋病相关的男性方面,而没有从男性视角来解决这一问题。本研究采用参与式方法,其总体目标是通过在南非夸祖鲁-纳塔尔省农村地区这一艾滋病高发地区开展合作,共同制定针对男性的具体干预措施,从而改善男性和女性的健康结果。

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