American Indian gay, bisexual and two-spirit men: a rapid assessment of HIV/AIDS risk factors, barriers to prevention and culturally-sensitive intervention
American Indian gay, bisexual and two-spirit men: a rapid assessment of HIV/AIDS risk factors, barriers to prevention and culturally-sensitive intervention
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DOI：
10.1080/13691058.2010.525666
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发表时间：
2011-01-01
影响因子：
2.2
通讯作者：
Durtschi, Jayson P.
中科院分区：
文献类型：
--
作者：
Burks, Derek J.;Robbins, Rockey;Durtschi, Jayson P.
流行病学数据表明，艾滋病毒和艾滋病对美洲印第安人的影响不成比例。具体到美国印第安男子确定为同性恋，双性恋，双灵或谁有同性恋的经验，这项研究评估了艾滋病毒的风险行为和测试，预防和治疗工作的障碍。一个快速评估模式被用作土著支助研究设计。通过多个验证程序实现了严格性和彻底性。围绕艾滋病毒预防障碍的中心主题包括社会歧视、自卑和药物使用。调查结果表明，由于在同性恋、双性恋和双灵个体中流行的地点放置无效和有限的可用性，避孕套的使用不足。与会者指出，艾滋病毒检测的频率降低，而且在下班后或周末无法进行检测。治疗的障碍包括对当前医疗保健系统的不信任，印度卫生服务部门对艾滋病护理的支持不足，以及缺乏前往医疗保健预约的交通工具。最后，与会者讨论并支持对文化敏感的治疗服务。这项研究呼吁关注美国印第安人特定的艾滋病毒/艾滋病服务组织的价值，在社区和文化敏感的医疗保健提供者的土著服务提供者的存在。
Epidemiological data indicate that HIV and AIDS are disproportionately affecting American Indians. Specific to American Indian men identifying as gay, bisexual, two-spirit or who have same-sex experiences, this study assessed HIV-risk behaviours and barriers to testing, prevention and treatment efforts. A rapid assessment model was utilised as an indigenous-supporting research design. Rigour and thoroughness were achieved via multiple validation procedures. Central themes surrounding barriers to HIV prevention included social discrimination, low self-esteem and substance use. Findings suggest the underutilisation of condoms due to ineffective placement and limited availability in popular locations among gay, bisexual and two-spirit individuals. Participants indicated that HIV testing is occurring less frequently and that testing was not available after hours or weekends. Barriers to treatment included a mistrust of the current healthcare system, a perceived lack of support from the Indian Health Service for AIDS care and a lack of transportation to healthcare appointments. Lastly, participants discussed and supported culturally-sensitive treatment services. This study calls attention to the value of an American Indian-specific HIV/AIDS service organisation, the presence of indigenous service providers in the community and culturally-sensitive healthcare providers.