Bon Sante(良好健康):影响海地人/海地美国人使用PrEP的因素。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Candice A Sternberg, E Valerie Daniel, Dora Marcelin, Maurice Junior Chery, Krisna Maddy, Danelle Richard, Tanya Thomas, Jovanka Ravix, Joshua Warner, Micaelle Titus, Aline Francois, Joseph Borick, Daniel J Feaster, Susanne Doblecki-Lewis, Deborah L Jones, Maria L Alcaide, Sannisha K Dale
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引用次数: 0

摘要

背景:艾滋病毒/艾滋病流行病对美国黑人的影响不成比例,这种健康差距随着时间的推移而增加。尽管暴露前预防(PrEP)作为艾滋病毒预防工具的有效性,但其使用存在差异,并且在包括海地人/海地美国人在内的种族和少数民族中,这种干预措施的使用率仍然很低。本研究探讨了影响佛罗里达州迈阿密海地人/海地裔美国人使用PrEP的因素,为解决差异提供必要的数据。方法:研究小组与当地组织合作,于2021年2月4日至10月1日招募30人(海地人/海地美国人),进行半结构化访谈。所有访谈都进行录音和转录,并使用NVivo®分析突发主题的转录本。结果:研究样本包括佛罗里达州迈阿密的30名海地裔成年人(50%为女性,约67%为高中及以上学历,平均年龄= 43.7±13岁,74.2%出生在海地)。从分析中得出了四个主要主题:(1)PrEP意识有限,(2)PrEP利用不足,(3)对艾滋病毒预防策略的讨论不足,以及(4)PrEP的提供,包括PrEP提供和推广策略的障碍和促进因素。结论:本研究表明,迫切需要提高海地人/海地美国人对PrEP的认识。针对海地人/海地美国人的耻辱感、对艾滋病毒的态度和风险认知,专门为海地人/海地美国人量身定制的健康沟通干预措施可能对增加该人群的PrEP具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bon Sante (Good Health): Factors Influencing PrEP Use Among Haitians/Haitian Americans.

Background: The HIV/AIDS epidemic has disproportionately affected Black individuals in the USA, and this health disparity has increased over time. Despite the effectiveness of pre-exposure prophylaxis (PrEP) as a prevention tool for HIV, there are disparities in its use, and uptake of this intervention remains low among racial and ethnic minorities, including Haitians/Haitian Americans. In this study, factors influencing PrEP use among Haitians/Haitian Americans in Miami, FL, are explored to provide necessary data to address disparities.

Methods: The research team collaborated with local organizations to recruit 30 individuals (Haitians/Haitian Americans) between February 4 and October 1, 2021, and conducted semi-structured interviews. All interviews were audio-recorded and transcribed, and NVivo® was used to analyze the transcripts for emergent themes.

Results: The study sample comprised 30 adults of Haitian descent in Miami, FL (50% female, approximately 67% with a high school education or more, mean age = 43.7 ± 13 years, and 74.2% born in Haiti). Four primary themes emerged from the analysis: (1) limited PrEP awareness, (2) underutilization of PrEP, (3) inadequate discussion of HIV prevention strategies, and (4) PrEP delivery encompassing barriers and facilitators for PrEP delivery and promotion strategies.

Conclusion: This study indicated that there is a critical need to increase Haitians/Haitian Americans' knowledge regarding PrEP. Health communication interventions tailored specifically for Haitians/Haitian Americans that target stigma, attitudes toward HIV, and risk perception may be significant in increasing PrEP in this population.

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来源期刊
Journal of Racial and Ethnic Health Disparities
Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
5.10%
发文量
263
期刊介绍: Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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