Improving the HIV Prevention Landscape to Reduce Disparities for Black MSM in the South
Improving the HIV Prevention Landscape to Reduce Disparities for Black MSM in the South
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DOI：
10.1007/s10461-019-02671-w
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发表时间：
2019-10-01
影响因子：
4.4
通讯作者：
Flores, Stephen A.
中科院分区：
文献类型：
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作者：
Carter, Jarvis W., Jr.;Flores, Stephen A.
南方男男性行为者(MSM)的黑人男子的艾滋病毒诊断率是全国最高的，这增加了这一人群在艾滋病毒方面长期存在的种族差异。目前的艾滋病毒预防和护理格局在很大程度上是由个人一级的临床和生物医学方法推动的，这些方法在减少艾滋病毒诊断方面取得了进展，但在减少南方黑人MSM的艾滋病毒种族差距方面效果不佳。为了加强对缩小艾滋病毒种族差距的关注，并更全面地解决南方黑人MSM的需求，我们就可以补充我们现有艾滋病毒预防和护理组合的综合方法提出了见解。我们讨论了五个领域，其中包括：(1)利用和整合资源；(2)建立在旨在减少差距的现有项目模型上；(3)劳动力发展和文化敏感性；(4)卫生数据利用的社会决定因素；以及5)政策考虑。我们敦促公共卫生从业人员和医疗保健提供者考虑并纳入概述的方法，以改善连续护理过程中的艾滋病毒结果，并最终减少影响南方黑人MSM生活质量的艾滋病毒差距。
Black men who have sex with men (MSM) in the South have the highest rates of HIV diagnosis in the country adding to the persistent racial disparities in HIV experienced by this population. The current HIV prevention and care landscape is heavily driven by individual-level clinical and biomedical approaches that have shown progress in reducing HIV diagnoses, but yield less than adequate results in reducing the HIV racial disparities for Black MSM in the South. In efforts to enhance focus on reducing the racial HIV disparities and more completely address the needs of Black MSM in the South, we offer insight on comprehensive approaches that can complement our current HIV prevention and care portfolio. There are five domains we discuss which include: (1) leveraging and integrating resources; (2) building upon existing program models designed to reduce disparities; (3) workforce development and cultural sensitivity; (4) social determinants of health data utilization; and 5) policy considerations. We urge public health practitioners and healthcare providers to consider and incorporate the outlined approaches to improve HIV outcomes along the continuum of care and ultimately reduce disparities in HIV affecting the quality of life of Black MSM living in the South.