Learning from community-based HIV prevention to inform control and mitigation of the COVID-19 pandemic.

Learning from community-based HIV prevention to inform control and mitigation of the COVID-19 pandemic.
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向基于社区的艾滋病毒预防学习,以告知COVID-19大流行的控制和缓解。

DOI:
10.1016/j.ypmed.2023.107445
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发表时间:
2023-04
影响因子:
5.1
通讯作者:
Opara, Ijeoma
Opara, Ijeoma
中科院分区:
医学2区
文献类型:
--
作者:
Abrams, Jasmine A.;Rutledge, Jaleah;Opara, Ijeoma

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当前的COVID-19大流行和未来病毒大流行的可能性表明,有必要开展战略性预防活动,将生物医学、结构和行为干预纳入更大规模的综合公共卫生举措。在人体免疫缺陷病毒(艾滋病毒)预防方面,社区努力降低了传播率,增加了检测,增加了生物医学预防的吸收,并增加了对二级和三级预防工作的参与。在本文中,我们回顾了三种以社区为基础的策略(健康传播、无障碍筛查和无障碍预防资源),这些策略在艾滋病毒预防方面已证明是有效的,并为在COVID-19大流行中使用这些策略提供了建议。例如,健康宣传战略对艾滋病毒检测行为、性交流和艾滋病毒阴性者使用避孕套以及艾滋病毒感染者开始治疗、坚持治疗和继续接受护理产生了积极影响。此外,研究表明,在学校、药店、移动检测站、教堂、发廊和酒吧等社区场所改善艾滋病毒筛查和预防资源的可及性,有助于增加艾滋病毒检测的接受率,特别是在受影响不成比例的人群和被认为难以接触的人群中。尽管传播方式不同,但强调社区努力的协同多层次应对可能会导致当前COVID-19大流行和未来病毒大流行的类似结果。以社区为基础的预防战略提供了一个机会,可以整合和支持那些相互脱节和孤立的举措,这些举措单独产生的影响有限。
The current COVID-19 pandemic and the likelihood of future viral pandemics demonstrate a need for strategic prevention campaigns that integrate biomedical, structural, and behavioral interventions within larger scale comprehensive public health initiatives. In Human Immunodeficiency Virus (HIV) prevention, community-based efforts have resulted in reductions in transmission rates, increases in testing, increases in biomedical prevention uptake, and increased engagement in secondary and tertiary prevention efforts. In this paper, we review three community-based strategies (health communication, accessible screening, and accessible prevention resources) that have demonstrated effectiveness in HIV prevention and offer recommendations for utilizing these strategies in the COVID-19 pandemic. For example, health communication strategies have positively influenced HIV testing behavior, sex communication, and condom use among HIV negative individuals and treatment initiation, treatment adherence, and retention in care among people living with HIV. In addition, studies have shown that improving accessibility of HIV screening and prevention resources in community venues such as schools, pharmacies, mobile-testing sites, churches, hair salons, and bars is useful for increasing the uptake of HIV testing, especially among disproportionately affected populations and those deemed hard to reach. Despite differences in modes of transmission, it is plausible that a synergistic multilevel response with emphasis on community-based efforts could lead to similar outcomes for the current COVID-19 pandemic and future viral pandemics. Community-based prevention strategies offer an opportunity to integrate, and bolster disconnected and siloed initiatives that achieve limited impacts independently.
DOI: 10.1186/s12889-022-13127-7
发表时间: 2022-04-14
期刊: BMC PUBLIC HEALTH
影响因子: 4.5
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影响因子: 2.8
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