Nkodo Emmanuel Nazaire Essam, Fadul Nada
Division of Infectious Diseases, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States.
Front Med (Lausanne). 2025 Mar 19;12:1537930. doi: 10.3389/fmed.2025.1537930. eCollection 2025.
HIV disproportionately impacts women, particularly in sub-Saharan Africa and other low-and middle-income countries, where conflict and displacement heighten their vulnerability to HIV. Refugee women face compounded challenges, including trauma before and during migration and healthcare inequities in host countries. This perspective paper aims to assess existing evidence on HIV treatment and prevention for refugee women resettling in the U.S., using intersectional stigma and the status-neutral service delivery model as theoretical frameworks, to propose an implementation strategy. Trauma-informed care (TIC) offers a promising approach to address these challenges, emphasizing culturally responsive, safe, and empowering healthcare. Integrating TIC with the status-neutral model, which centers on HIV testing and pathways for prevention or treatment, can improve care access and outcomes. Moreover, including refugee women and stakeholders in designing tailored interventions that address individual and systemic-level barriers is critical to fostering health equity.
艾滋病毒对妇女的影响尤为严重，特别是在撒哈拉以南非洲以及其他低收入和中等收入国家，在这些地方，冲突和流离失所加剧了她们感染艾滋病毒的脆弱性。难民妇女面临着多重挑战，包括迁移之前和期间的创伤以及东道国的医疗保健不平等。本观点论文旨在以交叉污名和地位中立的服务提供模式为理论框架，评估关于在美国重新安置的难民妇女艾滋病毒治疗和预防的现有证据，以提出一项实施策略。创伤知情护理（TIC）提供了一种有前景的方法来应对这些挑战，强调具有文化响应性、安全且赋权的医疗保健。将创伤知情护理与以艾滋病毒检测以及预防或治疗途径为核心的地位中立模式相结合，可以改善医疗服务的可及性和治疗效果。此外，让难民妇女和利益相关者参与设计针对个人和系统层面障碍的定制干预措施，对于促进健康公平至关重要。
