Trinity College of Arts and Sciences, Duke University, Durham, NC, USA.
College of Humanities and Social Sciences, North Carolina State University, Raleigh, NC, USA.
BMC Public Health. 2023 Sep 7;23(1):1748. doi: 10.1186/s12889-023-16658-9.
Culture is an important determinant of HIV risk and protective behaviors; yet, we know little about how it is integrated in HIV interventions. This scoping review characterizes the integration of culture in HIV prevention and treatment interventions focused on Black/African Americans. We searched MEDLINE, PsycINFO, CINAHL, and Google Scholar for peer-reviewed manuscripts published between July 1, 2011, and June 28, 2021. Twenty-five interventions were identified, with 96% focused on prevention. Most (40%) targeted men who have sex with men or transgender women. Only three were grounded in cultural theory. Although all interventions were labeled "culturally based," only two explicitly defined culture. Moreover, there was much diversity regarding the ways in which interventions integrated cultural elements, with some conflating race/ethnicity with culture. To improve uptake and HIV-related outcomes, interventions integrating culture are greatly needed. Additionally, HIV interventions purporting to be "culturally based" must include basic information to support rigor and reproducibility.
文化是影响 HIV 风险和保护行为的一个重要决定因素；然而，我们对如何将其融入 HIV 干预措施知之甚少。本范围综述描述了针对非裔美国人的 HIV 预防和治疗干预措施中文化的融入情况。我们在 MEDLINE、PsycINFO、CINAHL 和 Google Scholar 上搜索了 2011 年 7 月 1 日至 2021 年 6 月 28 日发表的同行评审手稿。确定了 25 项干预措施，其中 96%的干预措施侧重于预防。大多数（40%）针对男男性行为者或跨性别女性。只有三项是基于文化理论的。尽管所有的干预措施都被贴上了“以文化为基础”的标签，但只有两项明确界定了文化。此外，干预措施融入文化元素的方式存在很大差异，有些将种族/族裔与文化混为一谈。为了提高接受度和与 HIV 相关的结果，非常需要融入文化的干预措施。此外，声称“以文化为基础”的 HIV 干预措施必须包含基本信息，以支持严谨性和可重复性。
