PrEP吸收的障碍:美国中南部地区社区卫生工作者的观点

IF 0.4 Q4 SOCIAL WORK Journal of HIV-AIDS & Social Services Pub Date : 2019-09-02 DOI:10.1080/15381501.2019.1655512
Kendra Vaughn, P. J. Dillon, Satish K. Kedia
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引用次数: 4

摘要

摘要尽管暴露前预防(PrEP)有前景,但在美国,它的普及率一直很低,110万美国人中只有不到10万人被认为有感染艾滋病毒的巨大风险。社区卫生工作者在提高当地社区对PrEP的认识和获得PrEP方面发挥着关键作用。然而,目前关注提供PrEP服务的社区卫生工作者面临的障碍的文献有限。本定性研究利用社会生态模型(SEM),从美国中南部一个大城市的社区卫生工作者的角度考察PrEP吸收的障碍。研究参与者确定了SEM所有五个层面的几个障碍:个人、人际、社区、组织和政策。研究结果为旨在促进PrEP吸收的多层次干预提供了可行的切入点。
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Barriers to PrEP uptake: Perspectives of community health workers in the Mid-South region of the United States
Abstract Despite its promise, pre-exposure prophylaxis (PrEP) uptake has been slow in the United States with fewer than 100,000 of the 1.1 million Americans considered at substantial risk for HIV currently taking it. Community health workers play a critical role in promoting PrEP awareness and access in their local communities. However, there is currently limited literature that focuses on barriers faced by community health workers providing PrEP services. The present qualitative study draws upon the social ecological model (SEM) to examine barriers to PrEP uptake from the perspective of community health workers in a large Mid-South U.S. city. Study participants identified several barriers at all five levels of the SEM: individual, interpersonal, community, organizational, and policy. The study findings provide viable entry points for multilevel interventions aimed at promoting PrEP uptake.
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
8
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