HIV 预防 40 多年来在黑人和西班牙裔/拉丁裔社区中的科学现状。
A State of the Science on HIV Prevention Over 40 Years Among Black and Hispanic/Latinx Communities.
机构信息
S. Raquel Ramos, PhD, MBA, MSN, FNP-BC, is an Assistant Professor, Rory Meyers College of Nursing, New York University, New York, New York, USA. LaRon E. Nelson, PhD, RN, FNP, FNAP, FAAN, is the Associate Dean, Global Affairs & Planetary Health, and Independence Foundation Professor and Associate Professor, Yale University, New Haven, Connecticut, USA. Sande Garcia Jones, PhD, RN, ACRN, FAAN, is a Professor and Vanessa Von Wertheim Endowed Chair, Chronic Disease Prevention and Care, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, Florida, USA. Zhao Ni, PhD, RN, is a Postdoctoral Fellow, Yale School of Medicine, Yale University, New Haven, Connecticut, USA. Rodman E. Turpin, PhD, is an Assistant Professor, Department of Epidemiology and Biostatistics, University of Maryland College Park, School of Public Health, College Park, Maryland, USA. Carmen J. Portillo, PhD, RN, FAAN, is the Executive Deputy Dean and Professor, Yale University School of Nursing, Yale University, New Haven, Connecticut, USA.
出版信息
J Assoc Nurses AIDS Care. 2021;32(3):253-263. doi: 10.1097/JNC.0000000000000266.
We present a state of the science on HIV behavioral prevention interventions in Black and Hispanic/Latinx communities. The purpose of this article is threefold: (a) highlight the early documented underlying social and political barriers that constrained interventions to prevent new HIV infections; (b) address the structural inequities in HIV prevention and treatment; and (c) describe the need for increasing HIV multilevel prevention interventions that support greater HIV testing and pre-exposure prophylaxis uptake. To address HIV prevention, multilevel interventions that address individual, structural, and social level components have demonstrated more sustainable outcomes. Implications for research and clinical practice include (a) updating antiquated curricula in nursing, medicine, and public health that perpetuate racial, structural-level inequities and (b) increasing the pipeline for Black and Hispanic/Latinx persons to pursue research or clinical-focused doctorate degrees.
我们介绍了在黑人和西班牙裔/拉丁裔社区中针对 HIV 行为预防干预措施的最新科学研究进展。本文的目的有三：（a）强调早期记录的社会和政治障碍，这些障碍限制了预防新的 HIV 感染的干预措施；（b）解决 HIV 预防和治疗中的结构性不平等问题；（c）描述需要增加支持更多 HIV 检测和暴露前预防的 HIV 多层次预防干预措施。为了解决 HIV 预防问题，针对个人、结构和社会层面的多层次干预措施已经显示出更可持续的效果。对研究和临床实践的启示包括：（a）更新护理、医学和公共卫生中陈旧的课程，这些课程延续了种族和结构性的不平等；（b）增加黑人和西班牙裔/拉丁裔人士攻读研究或临床博士学位的渠道。
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