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黑人理发店对 HIV 自我检测推广的看法:对公平参与黑人拥有的小企业公共卫生项目的影响。

Perceptions of HIV self-testing promotion in black barbershop businesses: implications for equitable engagement of black-owned small businesses for public health programs.

机构信息

Milken Institute School of Public Health, The George Washington University, Washington, DC, USA.

University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA.

出版信息

BMC Public Health. 2024 Sep 9;24(1):2440. doi: 10.1186/s12889-024-19973-x.


DOI:10.1186/s12889-024-19973-x
PMID:39245719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11382491/
Abstract

BACKGROUND: HIV self-testing (HIVST) offers an innovative and promising approach to increasing HIV testing among Black men in the United States, a population disproportionately affected by HIV. However, engaging Black men in traditional HIV prevention programs has been challenging due to stigma, medical mistrust, and limited access to preventive health services. This formative qualitative study aimed to explore the potential of utilizing barbershops as an example of a nontraditional healthcare venue to promote and distribute HIVST. METHODS: Four virtual focus group discussions (FGDs) consisting of 19 participants in North Carolina were conducted with Black men, including barbershop business owners, barbers, and their customers, to assess perceptions of HIVST and the acceptability of partnering with barbershop businesses to promote HIVST. FGDs were digitally recorded, transcribed, and analyzed using a deductive coding approach to thematic analysis. RESULTS: Participants reported that the trusting relationship between barbers and their customers, which may not exist between Black men and health care providers, is a facilitator of collaborating with barbershop businesses to reach Black men for HIVST distribution. Participants recommended providing education for barbers on the use of HIVST, as well as how to inform self-testers about linkage to care following HIVST to build the credibility of the barbers in delivering the intervention. Participants also raised the issue of the cost of HIVST to barbershop customers as a potential barrier to implementation, as well as the possibility that the implementation of such interventions could be seen as out of place in a barbershop business venue. Participants also expressed a strong belief that compensation to barbershops and their employees should accompany any intervention. CONCLUSION: These findings suggest that barbershop business venues may provide an appropriate venue for HIVST promotion and distribution, though factors like cost, training, and incentivization of implementers are necessary to consider in implementation planning. Furthermore, partnerships between public health actors and the business community must be built on equitable engagement to ensure the long-term viability of these critical initiatives.

摘要

背景:艾滋病毒自检 (HIVST) 为增加美国受艾滋病毒影响比例过高的黑人男性的艾滋病毒检测提供了一种创新且有前途的方法。然而,由于污名化、医疗不信任和获得预防保健服务的机会有限,让黑人男性参与传统的艾滋病毒预防计划一直具有挑战性。这项形成性定性研究旨在探索利用理发店作为推广和分发艾滋病毒自检的非传统医疗场所的潜力。

方法:在北卡罗来纳州,对包括理发店老板、理发师和他们的顾客在内的 19 名黑人男性进行了 4 次虚拟焦点小组讨论 (FGD),以评估对艾滋病毒自检的看法以及与理发店合作推广艾滋病毒自检的可接受性。FGD 被数字化记录、转录,并使用演绎编码方法进行主题分析。

结果:参与者报告称,理发师和他们的顾客之间的信任关系——这种关系可能不存在于黑人男性和医疗保健提供者之间——是与理发店合作向黑人男性分发艾滋病毒自检的促进因素。参与者建议为理发师提供有关使用艾滋病毒自检的教育,以及如何告知自检者在进行艾滋病毒自检后如何获得护理以建立理发师提供干预措施的可信度。参与者还提出了艾滋病毒自检对理发店顾客的费用问题,认为这可能是实施的一个障碍,以及在理发店经营场所实施此类干预措施可能被视为不合适的问题。参与者还强烈认为,应向理发店及其员工提供补偿。

结论:这些发现表明,理发店业务场所可能是促进和分发艾滋病毒自检的合适场所,但在实施规划中,必须考虑成本、培训和执行者的激励等因素。此外,公共卫生行为者和企业界之间的伙伴关系必须建立在公平参与的基础上,以确保这些关键举措的长期可行性。

相似文献

[1]
Perceptions of HIV self-testing promotion in black barbershop businesses: implications for equitable engagement of black-owned small businesses for public health programs.

BMC Public Health. 2024-9-9

[2]
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J Community Health. 2016-8

[3]
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Transl Behav Med. 2025-1-16

[4]
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Ann Behav Med. 2024-6-18

[5]
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Am J Mens Health. 2015-7

[6]
Formative research to inform the development of a peer-led HIV self-testing intervention to improve HIV testing uptake and linkage to HIV care among adolescents, young people and adult men in Kasensero fishing community, Rakai, Uganda: a qualitative study.

BMC Public Health. 2020-10-20

[7]
Organizational-Level Recruitment of Barbershops as Health Promotion Intervention Study Sites: Addressing Health Disparities Among Black Men.

Health Promot Pract. 2018-5

[8]
A Qualitative Study to Assess Barber Perceptions of the Feasibility of the Employer as a Health Advisor for Obesity Prevention.

Am J Mens Health. 2018-9

[9]
Establishing an Academic-Community Partnership to Explore the Potential of Barbers and Barbershops in the Southern United States to Address Racial Disparities in HIV Care Outcomes for Black Men Living With HIV.

Am J Mens Health. 2023

[10]
"The black man's country club": assessing the feasibility of an HIV risk-reduction program for young heterosexual African American men in barbershops.

Fam Community Health. 2013

本文引用的文献

[1]
Where Do We Go From Here? The Survival and Recovery of Black-Owned Businesses Post-COVID-19.

Humanity Soc. 2022-8

[2]
Projected Life Expectancy Gains From Improvements in HIV Care in Black and White Men Who Have Sex With Men.

JAMA Netw Open. 2023-11-1

[3]
Addressing disparities in Pre-exposure Prophylaxis (PrEP) access: implementing a community-centered mobile PrEP program in South Florida.

BMC Health Serv Res. 2023-11-27

[4]
Implementing barbershop-based health-promotion interventions for Black men: A systematic scoping review.

Health Psychol. 2023-7

[5]
Racial-Ethnic Disparities in HIV/AIDS and Health Care in the United States: Evidence from a Sociological Field Research in Alabama's Black Belt.

J Healthc Sci Humanit. 2018

[6]
Addressing key issues in HIV self-test program implementation for Black and Latino sexual minority men in the Southern United States: a multiphase study protocol.

Implement Sci Commun. 2023-2-13

[7]
Establishing an Academic-Community Partnership to Explore the Potential of Barbers and Barbershops in the Southern United States to Address Racial Disparities in HIV Care Outcomes for Black Men Living With HIV.

Am J Mens Health. 2023

[8]
Pandemic Through the Lens of Black Barbershops: COVID-19's Impact and Barbers' Potential Role as Public Health Extenders.

J Immigr Minor Health. 2023-6

[9]
The updated Consolidated Framework for Implementation Research based on user feedback.

Implement Sci. 2022-10-29

[10]
Perceptions of COVID-19 self-testing and recommendations for implementation and scale-up among Black/African Americans: implications for the COVID-19 STEP project.

BMC Public Health. 2022-6-20

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