James W Carey, Cari Courtenay-Quirk, Neal Carnes, Aisha L Wilkes, Alisú Schoua-Glusberg, Casey Tesfaye, Valerie Betley, Sarah Pedersen, Laura A Randall, Paula M Frew
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引用次数: 0
摘要
国家 "结束艾滋病毒流行:美国计划 "支持在艾滋病负担过重的辖区和群体中扩大检测范围。公共卫生规划者可以从了解 HIV 检测服务(HTS)的优势、挑战和创新中获益。我们对来自德克萨斯州休斯顿、佛罗里达州迈阿密、路易斯安那州新奥尔良和华盛顿特区当地卫生部门、社区组织和社区成员的 120 名 HTS 工作人员进行了半结构式访谈。我们采用定性方法对访谈记录进行了编码,以确定主题。项目的优势包括将 HIV 检测与其他客户服务相结合;优先检测和量身定制的激励措施;多种广告宣传方法;以及 HTS 提供者之间的合作关系。挑战包括污名化、恐惧和差异;造成服务提供者之间竞争的资金要求;以及服务的可及性、不必要的重复检测和创新不足。四个辖区应对了其中的一些挑战,但并非全部。跨辖区合作、州和联邦合作伙伴以及计划数据可能有助于确定加强半边天计划的其他策略。
HIV Testing Program Activities and Challenges in Four U.S. Urban Areas.
The national "Ending the HIV Epidemic: A Plan for America" supports expanded testing in jurisdictions and groups with disproportionate HIV burden. Public health planners benefit from learning HIV testing service (HTS) strengths, challenges, and innovations. We conducted semistructured interviews with 120 HTS staff from local health departments, community-based organizations, and community members in Houston, Texas; Miami, Florida; New Orleans, Louisiana; and Washington, DC. We coded interview transcripts using qualitative methods to identify themes. Program strengths include HIV testing integration with other client services; prioritized testing and tailored incentives; multiple advertising methods; and partnerships among HTS providers. Challenges include stigma, fear, and disparities; funding requirements that create competition between providers; and service accessibility, unnecessary repeat testing, and insufficient innovation. The four jurisdictions addressed some, but not all, of these challenges. Cross-jurisdictional collaboration, together with state and federal partners plus program data may help identify additional strategies for strengthening HTS.
期刊介绍:
Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.