School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Oxford, Oxford, England.
AIDS Educ Prev. 2023 Aug;35(4):277-289. doi: 10.1521/aeap.2023.35.4.277.
Sexual and gender minority (SGM) populations experience discrimination and care-related barriers when seeking appropriate sexual health services. Using rapid assessment procedures we conducted site visits with 11 community-based HIV service agencies to identify priorities, assets, and needs related to serving SGM clients and assessed the alignment of these services with the city's local Ending the HIV Epidemic plan. We identified and mapped themes across agencies into the Consolidated Framework for Implementation Research domains of inner and outer settings: client-facing materials; priorities in serving SGM communities; SGM policies and protocols; collecting sexual orientation and gender identity data; training and education; and funding and scope of programs. Rapid assessment procedures can accelerate the collection and interpretation of data to help public health institutions and community partners make timely adaptations when implementing comprehensive and culturally humble sexual health services for SGM communities.
性少数群体(SGM)在寻求适当的性健康服务时,会经历歧视和与护理相关的障碍。我们使用快速评估程序,对 11 家社区艾滋病服务机构进行了实地考察,以确定与服务 SGM 客户相关的优先事项、资产和需求,并评估这些服务与该市当地终结艾滋病流行计划的一致性。我们在各机构之间确定并绘制了主题,这些主题可以归入实施研究的综合框架的内外环境领域:面向客户的材料;服务 SGM 社区的优先事项;SGM 政策和协议;收集性取向和性别认同数据;培训和教育;以及资金和项目范围。快速评估程序可以加速数据的收集和解释,帮助公共卫生机构和社区合作伙伴在为 SGM 社区实施全面和文化谦逊的性健康服务时及时做出调整。