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减少美国医疗卫生机构中针对 HIV 感染者的污名化和歧视的方法:近期干预措施较少。

A Scoping Review of Approaches to Reduce Stigma and Discrimination Against People with HIV in Health-Care Settings in the United States: Few Recent Interventions Identified.

机构信息

Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA.

Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA.

出版信息

Nurs Clin North Am. 2024 Jun;59(2):235-252. doi: 10.1016/j.cnur.2023.12.002. Epub 2024 Jan 16.

DOI:10.1016/j.cnur.2023.12.002
PMID:38670692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11055979/
Abstract

This scoping review identified contemporary stigma-reduction studies across US health-care settings. Despite the significance of this problem, only 3 intervention studies were identified in the past 5 years. These studies highlight the value of intervening during formative training experiences and the importance of including interprofessional health-care providers in interventions. The findings relate to the novel approaches (eg, virtual patient simulations) that are used in interventions. The importance of using a participatory approach to intervention design is noted. Critical gaps in human immunodeficiency virus (HIV) stigma measurement and the lack of interventions are identified, laying a foundation for future programs and research.

摘要

本范围综述确定了美国医疗保健环境中当代减少污名的研究。尽管这是一个重要问题,但在过去 5 年中仅确定了 3 项干预研究。这些研究强调了在形成性培训经验期间进行干预的价值,以及在干预中纳入多专业医疗保健提供者的重要性。研究结果与干预中使用的新方法(例如,虚拟患者模拟)有关。还指出了采用参与式方法进行干预设计的重要性。确定了人类免疫缺陷病毒(HIV)污名衡量方面的重大差距以及缺乏干预措施,为未来的项目和研究奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df60/11055979/cb8de93e974c/nihms-1956537-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df60/11055979/cb8de93e974c/nihms-1956537-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df60/11055979/cb8de93e974c/nihms-1956537-f0001.jpg

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本文引用的文献

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HIV infection.艾滋病毒感染。
Nat Rev Dis Primers. 2023 Aug 17;9(1):42. doi: 10.1038/s41572-023-00452-3.
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Is the USA on track to end the HIV epidemic?美国是否有望终结艾滋病流行?
Lancet HIV. 2023 Aug;10(8):e552-e556. doi: 10.1016/S2352-3018(23)00142-X.
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The Impact of HIV-Related Stigma on Racial/Ethnic Disparities in Retention in HIV Care Among Adults Living with HIV in Florida.HIV 相关污名对佛罗里达州艾滋病毒感染者中保留在艾滋病毒护理中种族/民族差异的影响。
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Systematic review and quantitative and qualitative comparative analysis of interventions to address HIV-related stigma and discrimination.系统评价及针对艾滋病相关耻辱与歧视问题的干预措施的定量与定性比较分析。
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A Systematic Review of Intervention Studies That Address HIV-Related Stigmas Among US Healthcare Workers and Health Systems: Applying a Theory-Based Ontology to Link Intervention Types, Techniques, and Mechanisms of Action to Potential Effectiveness.一项针对美国医护人员和卫生系统中与 HIV 相关耻辱感的干预研究的系统评价:应用基于理论的本体论将干预类型、技术和作用机制与潜在有效性联系起来。
Ann Behav Med. 2023 Sep 13;57(10):801-816. doi: 10.1093/abm/kaad022.
6
Intersectional Discrimination in HIV Healthcare Settings Among Persons with Diagnosed HIV in the United States, Medical Monitoring Project, 2018-2019.美国医疗监测项目,2018 - 2019年,美国已确诊感染艾滋病毒者在艾滋病毒医疗环境中的交叉歧视
AIDS Behav. 2023 Nov;27(11):3623-3631. doi: 10.1007/s10461-023-04076-2. Epub 2023 May 11.
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The Problem With Intersectional Stigma and HIV Equity Research.交叉污名与艾滋病病毒公平研究的问题
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Adopting U = U to end stigma and discrimination.采用“U=U”来消除污名和歧视。
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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
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