Ending the HIV epidemic in US Latinx sexual and gender minorities.
Ending the HIV epidemic in US Latinx sexual and gender minorities.
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DOI：
10.1016/s0140-6736(20)32521-6
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发表时间：
2021-03-20
期刊：
影响因子：
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通讯作者：
Crowley JS
中科院分区：
文献类型：
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作者：
Rodriguez-Diaz CE;Martinez O;Bland S;Crowley JS
评论1044 www.我的天使2021年3月20日研究必须集中在无证移民人口和那些谁是单语西班牙语的人，以了解和解决他们在获得卫生和社会服务的挑战。此外，艾滋病毒方案规划和研究应纳入拉丁美洲整体健康促进工作，而不是单独纳入针对特定疾病的方法。第二，参与式研究方法至关重要。研究必须包括拉丁性和性别少数群体的有意义的参与，从其概念到研究结果的传播，并涉及跨学科，跨代，多地点和跨部门的工作团队。基于社区的参与性研究18可以促进采取干预措施，减少艾滋病毒的社会和行为风险，包括增加拉丁裔性和性别少数群体之间的信任和安全，以及解决种族主义等健康决定因素。致力于社区的Latinx科学家可以利用建立良好的关系。然而，需要系统性的变化，使拉丁裔性和性别少数科学家进行高影响力的参与性研究。联邦机构应该增加拉丁裔在科学小组和研究资金决策中的代表性。19、20第三，应采用实施科学框架和学术-社区伙伴关系，以增加拉丁裔性和性别少数群体对艾滋病毒干预措施的接受。21.应特别注意促进学术界与社区的伙伴关系，将其作为减少艾滋病毒差异项目的平台。已经制定了一些遵循这些方法的干预措施。22例如，为拉丁美洲男子及其同性伴侣开展的艾滋病毒生物行为预防和治疗干预活动“在Parejas连接拉丁美洲人”，通过改善夫妇的性健康、总体福祉和加强他们的沟通，帮助支持健康的关系。23接触是一种健康教育干预措施，旨在通过解决艾滋病毒阳性的西班牙语男同性恋、双性恋和其他男男性行为者的社会耻辱感的负面影响，改善健康结果。24对于最近抵达美国的拉丁裔性和性别少数群体，HOLA en Grupo干预措施规定增加避孕套的使用和艾滋病毒检测。跨性别平等项目是一个社区一级的艾滋病毒预防和治疗干预措施，针对的是包括拉丁美洲人在内的有色人种跨性别男子和妇女。20其他干预措施，如
Comment1044 www. thelancet. com Vol 397 March 20, 2021 research must focus on the undocumented immigrant populations and those who are monolingual Spanish speakers to understand and address their challenges in accessing health and social services. Furthermore, rather than segregated into a disease-specific approach, HIV programming and research should be integrated to overall Latinx health promotion efforts. Second, participatory research approaches are crucial. Research must include the meaningful involvement of Latinx sexual and gender minorities from its conception to the dissemination of findings and involve interdisciplinary, cross-generational, multisite, and intersectional working teams. Community-based participatory research18 can facilitate interventions to reduce social and behavioural HIV risks, including by increasing trust and safety among Latinx sexual and gender minorities and by addressing determinants of health such as racism. Latinx scientists who are committed to their communities can leverage well established relationships. However, systemic changes are needed to enable Latinx sexual and gender minorities scientists to conduct high-impact participatory research. Federal agencies should increase the representation of Latinxs in scientific panels and in research funding decisions. 19, 20Third, implementation science frameworks and academic–community partnerships should be adopted to increase the uptake of HIV interventions among Latinx sexual and gender minorities. 21 Special attention should be given to facilitating academic–community partnerships as platforms for projects to reduce HIV disparities. Several interventions have been developed that follow these approaches. 22 For example, Connecting Latinos en Parejas, an HIV biobehavioural prevention and treatment intervention for Latino men and their same-sex partners, helps to support healthy relationships by improving couples’ sexual health, overall wellbeing, and strengthening their communication. 23 Contacto is a health education intervention aimed at improving health outcomes by addressing the negative impacts of social stigma among HIV-positive Spanish-speaking gay, bisexual, and other MSM. 24 For Latinx sexual and gender minorities who have recently arrived in the USA, the intervention HOLA en Grupo provides for increased consistent condom use and HIV testing. Trans Equity Project is a community-level HIV prevention and treatment intervention for transgender men and women of colour, including Latinxs. 20 Other interventions such