'Proyecto Orgullo', an HIV prevention, empowerment and community mobilisation intervention for gay men and transgender women in Callao/Lima, Peru.

'Proyecto Orgullo', an HIV prevention, empowerment and community mobilisation intervention for gay men and transgender women in Callao/Lima, Peru.
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DOI:
10.1080/17441692.2016.1161814
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发表时间:
2016-08
影响因子:
3.3
通讯作者:
Cáceres C
Cáceres C
中科院分区:
医学3区
文献类型:
--
作者:
Maiorana A;Kegeles S;Salazar X;Konda K;Silva-Santisteban A;Cáceres C

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我们使用定性、定量和观察方法来评估 Proyecto Orgullo (PO) 的可行性、可接受性和潜在功效,这是一项试点社区动员干预措施,旨在降低秘鲁男同性恋者 (GM) 和跨性别女性 (TW) 的性风险、促进寻求健康的行为并促进个人和社区赋权。 PO 改编自美国的两部作品《Mpowerment》和《Hermanos de Luna y Sol》。 PO包括六个相互关联的核心要素:1)自我反思小组会议; 2) 支持同行预防艾滋病毒; 3) 解决艾滋病毒、转基因/台湾问题和社区赋权的动员活动; 4) 设计/实施这些活动的核心小组(工作人员 + GM/TW 志愿者); 5)项目空间; 6)宣传。 PO 包含了 TW 的特定组件,但促进了历史上合作不佳的 GM/TW 为共同目标而合作。我们发现 PO 受到 GM/TW 的欢迎。 PO 对 GM/TW 的 HIV 预防信念、自我效能和行为产生了积极影响;提供社会支持并创建社区;促进个人和社区赋权;实现GM/TW协作;并建立了一个功能齐全的社区中心,用于社交/开展动员活动。秘鲁的艾滋病毒预防工作缺乏社区动员战略,但被认为是艾滋病毒预防的关键,可以帮助改善寻求健康的行为并巩固支持GM/TW预防行为的社会规范。
We used qualitative, quantitative and observational methods to assess the feasibility, acceptability, and potential efficacy of Proyecto Orgullo (PO), a pilot community mobilisation intervention to decrease sexual risk, promote health-seeking behaviours, and facilitate personal and community empowerment among gay men (GM) and transgender women (TW) in Peru. PO was adapted from Mpowerment and Hermanos de Luna y Sol, two US interventions. PO included six interrelated core elements: 1) Self-reflection Small Group sessions; 2) Supporting peers in HIV prevention; 3) Mobilisation Activities addressing HIV, GM/TW issues, and community empowerment; 4) A Core Group (staff + GM/TW volunteers) designing/implementing those activities; 5) A Project Space; 6) Publicity. PO included specific components for TW, but promoted that GM/TW, who historically have not worked well together, collaborate for a common goal. We found that PO was embraced by GM/TW. PO positively influenced GM/TW's HIV prevention beliefs, self-efficacy, and behaviours; provided social support and created community; facilitated individual and community empowerment; achieved that GM/TW collaborate; and established a functional Community Centre for socializing/conducting mobilisation activities. Community mobilisation strategies, lacking from HIV prevention efforts in Peru but considered key to HIV prevention, can help improve health-seeking behaviours and consolidate social norms supporting preventive behaviours among GM/TW.
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