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首页> 外文期刊>Journal of substance use >Perceived barriers and facilitators to uptake of HIV testing services among people who inject drugs in Vietnam
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Perceived barriers and facilitators to uptake of HIV testing services among people who inject drugs in Vietnam

机译：在越南注入毒品的人中，感知障碍和促进者对艾滋病毒检测服务的吸收

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Background: The concentrated HIV epidemic in Vietnam disproportionately impacts people who inject drugs (PWIDs). This qualitative study aims to understand PWID's barriers and facilitators to HIV testing and treatment services (HTTSs). Methods: A participatory research methodology was used. PWIDs were included in the recruitment of participants, development, and refinement of study instruments, data collection, and validation of the research findings. In-depth interviews (IDIs) (N = 18) and focus group discussions (FGDs) (N = 10) were conducted in Hanoi, Ho Chi Minh, and Thai Nguyen. Data were analyzed using a thematic approach. Results: PWIDs reported multiple structural and social barriers to HTTS. Structural barriers included the requirement for local residence documentation to access HTTS, fear of incarceration, and limited operating hours. Significant stigma and social discrimination toward drug users further disincentivized HTTS uptake. PWIDs also expressed concerns about provider capacity and commitment to offering confidential, private HTTS. HIV treatment knowledge was limited: HIV diagnosis was perceived as equivalent to a death sentence. PWIDs who were aware of treatment did not believe it was accessible, effective, or affordable. Conclusions: Future strategies must address the structural and social barriers related to accessing HTTS and destigmatize these services for PWIDs. Approaches should consider using alternative channels as a means to increase coverage of HTTS, and be complemented with social and behavior change communication strategies.
机译：背景：越南浓缩的艾滋病毒疫情不成比例地影响着注射药物（PWIDS）的人。这种定性研究旨在了解PWID的障碍和促进者对艾滋病毒检测和治疗服务（HTTS）。方法：使用了参与性研究方法。 PWIDS包含在招聘参与者，开发和改进研究仪器，数据收集和研究结果验证中。深入的访谈（IDIS）（N = 18）和焦点小组讨论（FGDS）（N = 10）在河内，胡志明和泰国谷。使用主题方法分析数据。结果：PWIDS报告了对HTTS的多种结构和社会障碍。结构障碍包括当地居住文档的要求，以访问HTT，害怕监禁以及有限的运营时间。对吸毒者的显着耻辱和社会歧视进一步抑制了HTTS的摄取。 PWIDS还对提供商的能力和致力于提供机密，私人HTTS表示担忧。艾滋病毒治疗知识有限：艾滋病毒诊断被认为是相当于死刑的判决。意识到治疗的PWID不相信它是可访问的，有效或实惠的。结论：未来的策略必须解决与访问HTTS的结构和社会障碍，并为PWIDS提供这些服务。方法应考虑使用替代渠道作为增加HTT的覆盖率的手段，并与社会和行为相辅相成，改变通信策略。

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