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首页> 外文期刊>JMIR public health and surveillance. >Measuring Sexual Behavior Stigma to Inform Effective HIV Prevention and Treatment Programs for Key Populations
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Measuring Sexual Behavior Stigma to Inform Effective HIV Prevention and Treatment Programs for Key Populations

机译：测量性行为污名，为关键人群提供有效的艾滋病毒预防和治疗计划

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Background: The levels of coverage of human immunodeficiency virus (HIV) treatment and prevention services needed to change the trajectory of the HIV epidemic among key populations, including gay men and other men who have sex with men (MSM) and sex workers, have consistently been shown to be limited by stigma. Objective: The aim of this study was to propose an agenda for the goals and approaches of a sexual behavior stigma surveillance effort for key populations, with a focus on collecting surveillance data from 4 groups: (1) members of key population groups themselves (regardless of HIV status), (2) people living with HIV (PLHIV) who are also members of key populations, (3) members of nonkey populations, and (4) health workers. Methods: We discuss strengths and weaknesses of measuring multiple different types of stigma including perceived, anticipated, experienced, perpetrated, internalized, and intersecting stigma as measured among key populations themselves, as well as attitudes or beliefs about key populations as measured among other groups. Results: With the increasing recognition of the importance of stigma, consistent and validated stigma metrics for key populations are needed to monitor trends and guide immediate action. Evidence-based stigma interventions may ultimately be the key to overcoming the barriers to coverage and retention in life-saving antiretroviral-based HIV prevention and treatment programs for key populations. Conclusions: Moving forward necessitates the integration of validated stigma scales in routine HIV surveillance efforts, as well as HIV epidemiologic and intervention studies focused on key populations, as a means of tracking progress toward a more efficient and impactful HIV response.
机译：背景：改变主要人群（包括男同性恋者和其他与男性发生性关系的男性和性工作者）中改变艾滋病毒流行趋势所需的人类免疫缺陷病毒（HIV）治疗和预防服务的覆盖水平始终如一被证明受污名的限制。目的：本研究的目的是为重点人群的性行为耻辱监测工作提出目标和方法的议程，重点是从4组人群中收集监测数据：（1）重点人群本身的成员（无论（2）也是主要人群成员的HIV感染者（PLHIV），（3）非主要人群成员，以及（4）卫生工作者。方法：我们讨论了测量多种不同类型的污名的优缺点，包括在关键人群之间进行的感知，预期，经历，犯罪，内在化和相交的污名，以及在其他人群中对关键人群的态度或信念。结果：随着人们越来越认识到耻辱感的重要性，需要针对关键人群的一致且经过验证的耻辱感指标，以监测趋势并指导立即采取行动。基于证据的污名干预最终可能是克服针对关键人群的挽救生命的基于抗逆转录病毒的艾滋病毒预防和治疗计划中覆盖和保留障碍的关键。结论：向前迈进需要将经过验证的耻辱量表纳入常规的HIV监测工作，以及针对关键人群的HIV流行病学和干预研究，以追踪朝着更有效和更具影响力的HIV反应的进展的方式。

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