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打破全球障碍:一种跨国和多社区的方法,以消除耻辱感并增进艾滋病毒感染者的心理健康。

Breaking down global barriers: A multinational and multi-community approach to combat stigma and enhance mental wellbeing in people with HIV.

作者信息

Mkhize Ntombenhle, Garrido Jorge, Cole-Haley Susan, Diallo Dázon Dixon, Maldonado Gabriel, Vernhes Stéphan, Wu YoYo, Cascio Mario

机构信息

AIDS Foundation of South Africa, Durban, South Africa.

Apoyo Positivo, Madrid, Spain.

出版信息

HIV Med. 2025 Apr;26(4):621-632. doi: 10.1111/hiv.13763. Epub 2025 Jan 16.

Abstract

INTRODUCTION

The Joint United Nations Programme on HIV/AIDS (UNAIDS) Global 2025 targets prioritize action to overcome the collective barriers affecting the people and communities sitting on the outer margins of HIV care. Addressing the social and structural disparities that drive greater HIV prevalence and burden requires well-resourced, community-led responses that are fully integrated into national and global HIV initiatives.

METHODS

The HIV Community Council (HCC), composed of 10 leaders from diverse global communities, convened to share their insights, amplify the community's voice, and identify barriers and solutions to empower all to live well with HIV through a dynamic, stepwise process of preparative work, deep discussion, prioritization, and consensus.

RESULTS

The HCC created six recommendations to address two important barriers to living well with HIV: stigma and poor mental wellbeing. These recommendations are informed by best practice and community experience. They include suggestions for developing and delivering actionable solutions at the community level to prompt opportunities for support from existing global and regional organizations.

CONCLUSION

The HCC calls for action to implement community-endorsed, culturally appropriate, and practical solutions to tackle stigma and poor mental wellbeing and improve the long-term health of people with HIV.

摘要

引言

联合国艾滋病规划署(UNAIDS)的2025年全球目标将采取行动克服影响处于艾滋病毒治疗边缘的人群和社区的集体障碍作为优先事项。应对导致更高艾滋病毒流行率和负担的社会和结构差异,需要资源充足、由社区主导且完全融入国家和全球艾滋病毒倡议的应对措施。

方法

由来自不同全球社区的10位领导人组成的艾滋病毒社区委员会(HCC)召开会议,分享他们的见解,扩大社区声音,并通过一个动态的、逐步的准备工作、深入讨论、优先排序和达成共识的过程,确定障碍和解决方案,以使所有人都能在感染艾滋病毒的情况下过上良好生活。

结果

HCC提出了六项建议,以解决与艾滋病毒共存的两个重要障碍:耻辱感和心理健康不佳。这些建议以最佳实践和社区经验为依据。它们包括关于在社区层面制定和提供可采取行动的解决方案的建议,以促使现有全球和区域组织提供支持机会。

结论

HCC呼吁采取行动,实施社区认可、符合文化背景且切实可行的解决方案,以解决耻辱感和心理健康不佳问题,并改善艾滋病毒感染者的长期健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d6/11970344/8bfe74b0a458/HIV-26-621-g001.jpg

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