Exploring the preferences of a culturally congruent peer-based HIV prevention intervention for black men who have sex with men
Exploring the preferences of a culturally congruent peer-based HIV prevention intervention for black men who have sex with men
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DOI：
10.1071/sh18057
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发表时间：
2018-01-01
期刊：
影响因子：
1.6
通讯作者：
Bluthenthal, Ricky N.
中科院分区：
文献类型：
--
作者：
Dangerfield, Derek T., II;Harawa, Nina T.;Bluthenthal, Ricky N.
背景：艾滋病毒检测，治疗开始和治疗坚持已被强调的黑人男子谁与男性发生性关系（BMSM）。然而，许多BMSM没有得到检测，获得艾滋病毒治疗或坚持治疗。必须强调艾滋病毒检测、坚持治疗和干预措施的理想组成部分的障碍：同伴导师、社会经济资源和参与者激励措施。研究方法：在美国加州洛杉矶的HIV阴性和HIV阳性的年龄≥ 18岁的BMSM中进行了5个焦点组（n = 24），以探讨检测和治疗的动机和障碍，以及理想的、文化上胜任的BMSM HIV检测干预的组成部分。结果：艾滋病毒检测的障碍包括与发现艾滋病毒阳性状态和吸毒有关的恐惧和耻辱。测试的动机包括经历症状，开始新的关系，风险和同伴导师的看法。结论：未来的IIIV预防和治疗工作应考虑这些组成部分，以改善BMSM的健康结果。
Background: HIV testing, treatment initiation and treatment adherence have been emphasised for Black men who have sex with men (BMSM). However, many BMSM do not get tested, obtain HIV treatment or adhere to treatment. It is essential to highlight barriers to HIV testing, treatment adherence and the ideal components for an intervention: peer mentors, socioeconomic resources and participant incentives. Methods: Five focus groups (n = 24) were conducted among HIV-negative and HIV-positive BMSM aged >= 18 years in Los Angeles, California, USA to explore motivations and barriers to testing and treatment and the components of an ideal, culturally competent HIV testing intervention for BMSM. Results: Barriers to HIV testing included fear and stigma associated with discovering a HIV-positive status and drug use. Motivations for testing included experiencing symptoms, beginning new relationships, perceptions of risk and peer mentors. Conclusions: Future IIIV prevention and treatment efforts should consider these components to improve health outcomes among BMSM.