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创伤知情同伴导航和社交网络 Web 应用程序,以改善受人际暴力影响的非裔美国妇女的 HIV 护理。

: A Trauma-Informed Peer Navigation and Social Networking WebApp to Improve HIV Care among Black Women Affected by Interpersonal Violence.

机构信息

is an Associate Professor at the University of California, San Diego in the School of Medicine, Department of Medicine, Division of Infectious Diseases and Global Public Health and Director of the Disparities Core of the UC San Diego Center for AIDS Research. is a Clinical Research Coordinator at the University of California, San Diego in the School of Medicine, Department of Medicine, Division of Infectious Diseases and Global Public Health and a PhD Student at Emory University, Rollins School of Public Health in the Department of Behavioral, Social, and Health Education Sciences. is an Assistant Professor at the University of California, San Diego in the School of Medicine, Department of Medicine, Division of Infectious Diseases and Global Public Health. is an Associate Professor at San Diego State University in the Department of Psychology.

出版信息

J Health Care Poor Underserved. 2021 May;32(2 Suppl):166-188. doi: 10.1353/hpu.2021.0056.


DOI:10.1353/hpu.2021.0056
PMID:34934301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8687146/
Abstract

In the U.S., Black women living with HIV/AIDS (WLHA) are affected disproportionately by interpersonal violence, which often co-occurs with adverse mental health and/or substance use, and exacerbates existing poor HIV care outcomes. Peer navigation has been successful in improving HIV care; however, HIV clinics often lack resources for sustainability and may not account for socio-structural barriers unique to Black WLHA. To address this gap, we developed , a culturally-tailored, trauma-informed WebApp for Black WLHA affected by interpersonal violence to improve HIV care outcomes. Using focus group data from nine Black WLHA and peer navigators, we developed . Core components include: virtual peer navigation to facilitate skill-building to cope with barriers and navigate care; social networking platform for peer support; educational and self-care tips; GPS-enabled resource locator for HIV care and support service agencies; and medication self-monitoring/reminder system. If efficacious, will shift the HIV prevention and care paradigm for Black WLHA.

摘要

在美国,感染艾滋病毒/艾滋病的黑人女性(BLWH)受到人际暴力的不成比例影响,人际暴力常常与不良心理健康和/或药物使用同时发生,并加剧现有的艾滋病毒护理不良后果。同伴导航已成功改善了艾滋病毒护理;然而,艾滋病毒诊所通常缺乏可持续性的资源,并且可能无法解决 BLWH 特有的社会结构障碍。为了解决这一差距,我们开发了一种针对黑人 WLHA 受人际暴力影响的文化适应性、创伤知情的 WebApp,以改善艾滋病毒护理结果。使用来自九名黑人 WLHA 和同伴导航员的焦点小组数据,我们开发了 。核心组件包括:虚拟同伴导航,以帮助建立应对障碍和导航护理的技能;用于同伴支持的社交网络平台;教育和自我保健技巧;带有 GPS 的资源定位器,用于艾滋病毒护理和支持服务机构;以及药物自我监测/提醒系统。如果有效, 将改变黑人 WLHA 的艾滋病毒预防和护理模式。

相似文献

[1]
: A Trauma-Informed Peer Navigation and Social Networking WebApp to Improve HIV Care among Black Women Affected by Interpersonal Violence.

J Health Care Poor Underserved. 2021-5

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
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BMC Health Serv Res. 2025-3-29

[2]
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Womens Health (Lond). 2024

[3]
A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.

AIDS Care. 2024-10

[4]
Peers plus mobile app for treatment in HIV (PATH): protocol for a randomized controlled trial to test a community-based integrated peer support and mHealth intervention to improve viral suppression among Hispanic and Black people living with HIV.

Trials. 2024-3-22

[5]
A Trauma-Informed HIV Intervention (LinkPositively) to Improve HIV Care Among Black Women Affected by Interpersonal Violence: Protocol for a Pilot Randomized Controlled Trial.

JMIR Res Protoc. 2023-7-5

[6]
Internet-based peer support interventions for people living with HIV: A scoping review.

PLoS One. 2022

[7]
Trauma-Informed HIV Care Interventions: Towards a Holistic Approach.

Curr HIV/AIDS Rep. 2022-6

本文引用的文献

[1]
Applications of digital technology in COVID-19 pandemic planning and response.

Lancet Digit Health. 2020-6-29

[2]
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Psychol Trauma. 2020-6-18

[3]
Digital technology can revolutionize mental health services delivery: The COVID-19 crisis as a catalyst for change.

Int J Eat Disord. 2020-5-25

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Findings from Formative Research to Develop a Strength-Based HIV Prevention and Sexual Health Promotion mHealth Intervention for Transgender Women.

Transgend Health. 2019-12-23

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Gender-based violence and engagement in biomedical HIV prevention, care and treatment: a scoping review.

BMC Public Health. 2019-7-8

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A Novel Adaptation of Peer Health Navigation and Contingency Management for Advancement Along the HIV Care Continuum Among Transgender Women of Color.

AIDS Behav. 2021-7

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Disparities in Incidence of Human Immunodeficiency Virus Infection Among Black and White Women - United States, 2010-2016.

MMWR Morb Mortal Wkly Rep. 2019-5-10

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AIDS Behav. 2019-11

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PLoS One. 2019-3-21

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The barriers to linkage and retention in care for women living with HIV in an high income setting where they comprise a minority group.

AIDS Care. 2019-6

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