COMMUNITY-BASED ORGANIZATION ADAPTATIONS TO THE CHANGING HIV PREVENTION AND CARE LANDSCAPE IN THE SOUTHERN UNITED STATES
COMMUNITY-BASED ORGANIZATION ADAPTATIONS TO THE CHANGING HIV PREVENTION AND CARE LANDSCAPE IN THE SOUTHERN UNITED STATES
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DOI：
10.1521/aeap.2018.30.6.516
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发表时间：
2018-12-01
影响因子：
1.8
通讯作者：
Uhl, Gary
中科院分区：
文献类型：
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作者：
Shapatava, Ekaterine;Rios, Aisha;Uhl, Gary
社区组织在美国各地提供艾滋病毒预防服务，包括艾滋病毒/艾滋病负担很高的南方。我们评估了南部CBO对艾滋病毒预防格局变化的反应，包括国家艾滋病毒/艾滋病战略和疾病控制和预防中心（CDC）的高影响预防。这两项战略都旨在改善艾滋病毒感染者或高危人群的成果。对社区组织、能力建设援助提供者和疾病预防控制中心工作人员的访谈和磋商进行的归纳性定性分析显示，社区组织正在建立临床服务能力和跨机构伙伴关系，以适应新的情况，但面临资金不足或减少的问题。在南方，对艾滋病毒的预防和护理采取综合办法至关重要，因为在那里，耻辱感和其他社会结构因素限制了艾滋病毒感染者的保健选择。卫生保健组织可以通过与社区组织合作而受益，因为社区组织拥有有效改善艾滋病毒感染者健康状况的技能和社区关系。
Community-based organizations (CBOs) provide HIV prevention services throughout the United States, including the South where HIV/AIDS burden is high. We assessed Southern CBO response to changes in the HIV prevention landscape, including the National HIV/AIDS Strategy, and the Centers for Disease Control and Prevention's (CDC's) High Impact Prevention. Both strategies aim to improve outcomes for people living with or at high risk for HIV. Inductive qualitative analysis of interviews and consultations with CBOs, capacity building assistance providers, and CDC staff revealed CBOs are building clinical service capacity and cross-agency partnerships to adapt, but face inadequate or reduced funding. A holistic approach to HIV prevention and care in the South is critical, where stigma and other socio-structural factors limit health care options for persons affected by HIV. Health care organizations may benefit by partnering with CBOs because CBOs have the skillsets and community rapport to effectively improve health outcomes of persons living with HIV.