A System-Level Intervention to Encourage Collaboration Between Juvenile Justice and Public Health Agencies to Promote HIV/STI Testing.

A System-Level Intervention to Encourage Collaboration Between Juvenile Justice and Public Health Agencies to Promote HIV/STI Testing.
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DOI:
10.1521/aeap.2020.32.4.337
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发表时间:
2020-08
影响因子:
1.8
通讯作者:
DiClemente, Ralph
DiClemente, Ralph
中科院分区:
医学4区
文献类型:
--
作者:
Elkington, Katherine S.;Spaulding, Anne;Gardner, Sheena;Knight, Danica;Belenko, Steven;Becan, Jennifer E.;Robertson, Angela A.;Oser, Carrie;DiClemente, Ralph

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参与司法的青少年面临艾滋病毒和性传播感染的高风险,司法机构具有独特的能力来提供艾滋病毒/性传播感染检测。然而,在这些环境中进行测试并不是例行公事,并且意味着错失了机会。本研究描述了一种系统级实施干预措施,旨在通过美国六个州六个县的青少年司法 (JJ) 和公共卫生机构合作来增加获得艾滋病毒/性传播感染检测的机会。利用当地变革团队、积极推动和培训来促进机构伙伴关系和艾滋病毒/性传播感染实践变革协议的制定。五个县建立了卫生和 JJ 合作伙伴关系,四个县成功实施了其协议。具有艾滋病毒/性传播感染教育和检测方案的站点对 98.5% 的青少年进行了行为筛查,并对 41.2% 的青少年进行了检测; 0% 为 HIV+,43.2% 为 STI。该干预措施通过促进 JJ 和卫生机构之间的伙伴关系,提供了一个可行、可扩展的解决方案,将青少年与检测和治疗服务联系起来。
Justice involved youth are at high risk for HIV and STIs, and justice agencies are uniquely poised to offer HIV/STI testing. However, testing in these settings is not routine and represents a missed opportunity. This study describes a system-level implementation intervention designed to increase access to HIV/STI testing through juvenile justice (JJ) and public health agency collaboration across six counties in six states in the US. Local change teams, active facilitation, and training were utilized to facilitate agency partnerships and development of HIV/STI practice change protocols. Five counties established health and JJ partnerships and four counties successfully implemented their protocols. Sites with HIV/STI education and testing protocols behaviorally screened 98.5% of youth and tested 41.2% of youth offered; 0% were HIV+ and 43.2% had an STI. The intervention provides a feasible, scalable solution, through promoting partnerships between JJ and health agencies, to link youth to testing and treatment services.
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