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The Indigenous Red Ribbon Storytelling Study: What does it mean for Indigenous peoples living with HIV and a substance use disorder to access antiretroviral therapy in Saskatchewan?

机译：土著红丝带故事讲述研究：这对萨斯喀彻温省艾滋病毒携带者和物质使用障碍患者获得抗逆转录病毒疗法意味着什么？

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Indigenous peoples living with HIV are less likely than non-Indigenous peoples living with HIV to access antiretroviral therapy; however, there is not enough contextual information surrounding this issue. The Indigenous Red Ribbon Storytelling Study was conducted in part to examine how Indigenous peoples living with HIV construct and understand their experiences accessing antiretroviral therapy. Our study design was critical Indigenous qualitative research, using the Behavioral Model of Health Services Use and community-based participatory research approaches. The study was conducted in partnership with Indigenous and non-Indigenous organizations. Study participants were adults from two Canadian cities. The study methods included 20 individual and two Indigenous sharing circle interviews, six participant observation sessions, a short survey and thematic analysis. Accessing antiretroviral therapy within the context of living with a substance use disorder was an overarching theme. Indigenous peoples living with HIV felt they had to choose between living with their active substance use disorder and accessing antiretroviral therapy. They felt misunderstood as a person living with a substance use disorder and often felt coerced into using antiretroviral therapy. Despite these challenges, they persevered as Indigenous peoples living with HIV and a substance use disorder. Further research on antiretroviral therapy access among Indigenous peoples living with HIV and a substance use disorder, particularly from the perspective of health service providers, is needed.
机译：与非艾滋病毒携带者相比，艾滋病毒携带者获得抗逆转录病毒疗法的可能性较小。但是，没有足够的上下文信息来解决此问题。进行了土著红丝带故事讲述研究，部分目的是调查感染艾滋病毒的土著人民如何构建并了解他们获得抗逆转录病毒疗法的经验。我们的研究设计是关键的土著定性研究，使用了卫生服务使用行为模型和基于社区的参与性研究方法。该研究是与土著和非土著组织合作进行的。研究参与者是来自加拿大两个城市的成年人。研究方法包括20个人和两次土著共享圈访谈，六次参与者观察会议，简短调查和主题分析。在患有药物滥用症的情况下获得抗逆转录病毒疗法是一个首要主题。感染艾滋病毒的土著人民感到，他们必须在患有活性物质使用障碍的生活和接受抗逆转录病毒治疗之间做出选择。他们被误解为患有物质使用障碍的人，并常常被迫使用抗逆转录病毒疗法。尽管面临这些挑战，但他们仍然是感染艾滋病毒和药物滥用疾病的土著人民。特别是从卫生服务提供者的角度，需要进一步研究在艾滋病毒携带者和药物滥用症患者中获得抗逆转录病毒疗法。

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