全人艾滋病毒服务:一种社会科学方法。

IF 4.5 3区 医学 Q2 IMMUNOLOGY Current Opinion in HIV and AIDS Pub Date : 2023-01-01 DOI:10.1097/COH.0000000000000773
Alastair Van Heerden, Hilton Humphries, Elvin Geng
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引用次数: 0

摘要

审查目的:在全球范围内,大约有3840万艾滋病毒感染者,他们的生活很复杂,而艾滋病毒发病率仍然很高。为了提高艾滋病毒预防和治疗服务实施的有效性,我们需要了解在艾滋病毒服务使用方面驱动人类行为和决策的因素。这篇综述突出了当前社会科学的思想,强调了如何利用对人类行为的理解来改善艾滋病毒服务的提供。最近的发现:社会科学为研究因素如何协同影响人类行为和决策提供了丰富的方法和理论框架。社会生态模型,如行为驱动模型(BDM),帮助我们概念化和调查人们生活的复杂性。多状态和基于群体的轨迹建模是调查人们艾滋病毒旅程纵向性质的有用工具。成功的艾滋病毒应对需要利用社会科学方法来设计有效、高效和高质量的规划。摘要:为了改善我们的艾滋病毒应对措施,实施科学家、干预人员和公共卫生官员必须对人们对其健康做出决定的背景作出反应。将生物医学功效转化为现实世界的有效性不仅仅是找到一种绕过环境障碍的方法,而是要融入社区使用艾滋病毒服务的社会环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Whole person HIV services: a social science approach.

Purpose of review: Globally, approximately 38.4 million people who are navigating complex lives, are also living with HIV, while HIV incident cases remain high. To improve the effectiveness of HIV prevention and treatment service implementation, we need to understand what drives human behaviour and decision-making around HIV service use. This review highlights current thinking in the social sciences, emphasizing how understanding human behaviour can be leveraged to improve HIV service delivery.

Recent findings: The social sciences offer rich methodologies and theoretical frameworks for investigating how factors synergize to influence human behaviour and decision-making. Social-ecological models, such as the Behavioural Drivers Model (BDM), help us conceptualize and investigate the complexity of people's lives. Multistate and group-based trajectory modelling are useful tools for investigating the longitudinal nature of peoples HIV journeys. Successful HIV responses need to leverage social science approaches to design effective, efficient, and high-quality programmes.

Summary: To improve our HIV response, implementation scientists, interventionists, and public health officials must respond to the context in which people make decisions about their health. Translating biomedical efficacy into real-world effectiveness is not simply finding a way around contextual barriers but rather engaging with the social context in which communities use HIV services.

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来源期刊
Current Opinion in HIV and AIDS
Current Opinion in HIV and AIDS IMMUNOLOGY-INFECTIOUS DISEASES
CiteScore
7.40
自引率
7.30%
发文量
115
审稿时长
6-12 weeks
期刊介绍: Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in HIV and AIDS features hand-picked review articles from our team of expert editors. With six disciplines published across the year – including HIV and ageing, a HIV vaccine, and epidemiology – every issue also contains annotated reference detailing the merits of the most important papers.
期刊最新文献
Recent data on the role of antiretroviral therapy in weight gain and obesity in persons living with HIV. Anticipating HIV viral escape - resistance to active and passive immunization. Accelerating HIV vaccine development through meaningful engagement of local scientists and communities. Guiding HIV-1 vaccine development with preclinical nonhuman primate research. Discovery medicine - the HVTN's iterative approach to developing an HIV-1 broadly neutralizing vaccine.
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