《预防医学情报杂志》发表国内首个多学科男同志艾滋病干预策略研究报告


《预防医学情报杂志》发表国内首个多学科男同志艾滋病干预策略研究报告

 
 
 
 
 
《预防医学情报杂志》发表国内首个多学科男同志艾滋病干预策略研究报告


爱白网 爱白卫生与艾滋病服务
2009-08-03


  

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  爱白成都讯 2009年7月31日最新出版的一期《预防医学情报杂志》(预防医学情报杂志.2009,25 (7):499-503 )发表了由爱白卫生与艾滋病部门主持完成的研究论著《中国男男性行为群体HIV干预面临的挑战 : 基于社区和已发表证据的循证评价》。该论文是爱白组织包括流行病、临床医学、社会学及人类学、公共政策和公民社会活动家在内的一个多学科研究团队共同完成的。 《预防医学情报杂志》是中国公共卫生领域的核心期刊。该论文是首篇在国内一级核心期刊发表的由中国同志民间组织主导的对于艾滋病防治策略进行反思的多学科研究论著。

  2006年以来,艾滋病在中国男性同志群体呈现出迅猛上升之势。有些省市的专项调查数据中,男性同志HIV感染率在3年之内从不足5%上升至10%~16%。政府各部门和国际组织投入了大量的经费,中国的各省市进行了很多各种在该群体中进行的艾滋病干预活动,并动员了大量的志愿者参与, 也陆续涌现出了一批民间组织。然而,艾滋病在男性同志群体中蔓延发展的趋势,并未随之出现减缓的迹象,很多线索表明,现有的干预模式并未能起到预期的作用。然而,迄今为止,尚无按照循证医学标准对现有干预模式进行评价的研究。

  该课题的目的,是对中国男男性行为人群中艾滋病干预在理念、模式和技术方法等方面所面临的挑战进行循证评价。

  该研究按照循证医学(evidence-based medicine)的方法技术,通过对主要的英文及中文生物医学文献数据库进行检索,获得迄今为止在男男性行为人群艾滋病有关的流行病、社会学等方面的各种研究。同时收集社区工作者和专家对近5年参与同志社区艾滋病防治活动的经验及其有关反思的意见。由专家按流行病、行为学、社会学等不同专题整合文献和专家意见,并最终形成推荐意见。

  该研究的主要发现包括:

  •以社区组织为基础和以“扩散理论”为指导的干预模式在知识传播、行为改变方面面临巨大挑战。表现为传递的教育信息质量低、教育娱乐化、 不够重视心理社会支持。

  •公共卫生术语“MSM”普遍的被滥用。

  •缺乏对MSM群体的社会及文化特征的研究 。 考虑到中国区域内文化和社会特点的差异性,缺乏这类研究的直接后果是导致各地干预项目的人群敏感性和特异性难以满足需要,进而造成干预项目无法有效促进危险行为降低。

  根据现有证据,该课题对目前中国MSM群体的艾滋病防治策略的调整做出了建议,主要包括:

  •建立高效的媒体反应机制以消除错误信息。

  •在国家艾滋病政策中纳入反对性倾向歧视。 比如最基本的居住权、就学权及工作权,应该受到保障。这样能降低恐惧感,从而改善行为。

  •尊重MSM人群中各个具有文化和社会学意义的各群体, 协助他们发展自己的个性和定义,建立健康的心理状态,这样才能有针对性地、有效地促进行为改变 。

  •艾滋病HIV/AIDS干预工作,应适当地加入心理健康的内容。政府机构和民间组织应该意识到,同志群体的心理健康,在防治HIV/AIDS这个问题上,与安全套同样重要。

  •大力倡导感染者参与。

  •鼓励对MSM中不同群体的社会、心理需求进行更多研究。 尤其应该鼓励和支持更多从多学科视角出发的研究。同时,不论是做项目的总体设计,还是子项目设计都应当有足够的社会学、人类学证据的支持。

  •将循证项目评估原理和方法整合进项目评估体系 。

  基于上述研究证据和线索,爱白卫生与艾滋病服务部门已经启动了多项艾滋病防治专案,在青年男性同志及艾滋病感染者中开展多项有针对性的干预和关怀工作。同时,爱白还在四川省疾病预防控制中心、四川省性病艾滋病防治协会、成都市传染病院、全球基金第四轮及第六轮四川省项目、中英策略支持项目、联合国艾滋病规划署、联合国开发计划署、世界银行及贝利-马丁基金会(Barry & Martin’s Trust)、中国医学科学院北京协和医院 、澳大利亚New Castle大学、美国芝加哥大学及密歇根州立大学等多部门合作伙伴的支持下,进行了数项有关青年同志艾滋病风险和艾滋病感染者营养代谢的多学科研究。

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资讯来源:爱白网
作者译者:爱白卫生与艾滋病服务
2009-08-03
"Journal of Preventive Medicine intelligence" made China's first gay multi-disciplinary study on AIDS intervention strategies


Love love white white network of health and AIDS services
2009-08-03

Chengdu white love hearing July 31, 2009 published in the latest issue of "Journal of Preventive Medicine intelligence" (Journal of Preventive Medicine intelligence .2009,25 (7) :499-503) released by the love of white sectors of health and presided over the completion of AIDS study of the "China MSM groups, the challenges faced by HIV intervention: community-based and has published evidence-based evaluation of the evidence." The white paper is Ai organizations, including the epidemiological, clinical medicine, sociology and anthropology, public policy and civil society activists, including a multi-disciplinary research teams completed. "Journal of Preventive Medicine intelligence" is the core of China's public health journals. The paper is at the domestic level首篇core journals published by the Chinese comrades led by civil society organizations for AIDS prevention and control strategies to reflect the multi-disciplinary research on the.

Since 2006, AIDS in China, Comrade male groups showed a tendency to increase rapidly. Some provinces and cities in the special survey data, the HIV infection rate of male comrades in the 3 years from less than 5% to 10% ~ 16%. Government departments and international organizations, funds invested heavily in China's provinces and municipalities to carry out a lot of variety in the group carried out the activities of AIDS interventions and to mobilize a large number of volunteers to participate, but also have emerged in a number of non-governmental organizations. However, AIDS groups in the male comrades in the development trend of the spread, not the resulting signs of slowing down, many clues indicate that the existing model of intervention has not been able to play its expected role. So far, however, there is no evidence-based medicine in accordance with the standards of the existing model to evaluate the intervention study.

The purpose of the subject is the Chinese MSM population in the concept of AIDS interventions, models and techniques, such as challenges to evidence-based evaluation.

According to the study of evidence-based medicine (evidence-based medicine) of the methods and techniques, through to major in English and Chinese Biomedical Literature database retrieval, access to so far in the MSM epidemic of AIDS-related groups, sociology, etc. various studies. At the same time, community workers and experts to gather for the last 5 years to participate in community-based AIDS prevention and control activities Comrade experience and views of the reflection. By experts according to the epidemic, behavioral science, sociology, such as integration of different thematic literature and expert opinion, and ultimately the formation of recommendations.

The study's main findings included the following:

• community-based organizations and the "diffusion theory" of the intervention model as a guide in the dissemination of knowledge, behavior change, faced enormous challenges. Performance information for the transmission of the low quality of education, education, entertainment, and not pay enough attention to psycho-social support.

• public health term "MSM" widespread abuse.

• the lack of MSM groups, social and cultural characteristics of the study. China region, taking into account cultural and social characteristics of the differences, the lack of such studies is the direct result of intervention projects around the sensitivity and specificity of the population can not meet the needs of the project and thus interfering with the promotion of risk behavior can not be effectively reduced.

According to available evidence, the issue of MSM in China's AIDS prevention strategy groups, the adjustment of the recommendations made, including:

• to establish a highly efficient reaction mechanism of media in order to eliminate error message.

• National AIDS policy in opposition to the inclusion of sexual orientation. For example, the most basic right, the right education and right to work, should be protected. This will reduce the fear in order to improve behavior.

• respect for the various MSM groups with cultural and sociological significance of the various groups to help them develop their own personality and the definition of a healthy mental state, so as to have targeted, effective in promoting behavior change.

• AIDS, HIV / AIDS interventions should be appropriate to join the mental health content. Government agencies and non-governmental organizations should be aware that the mental health groups, comrades, in the fight against HIV / AIDS on this issue, and condoms are equally important.

• infected people to participate in vigorous advocacy.

• to encourage different groups of MSM in the social and psychological needs more research. In particular, should encourage and support more from the perspective of multi-disciplinary research. At the same time, whether it is to do the project design, or sub-project design should have sufficient sociological, anthropological evidence.

• be evidence-based principles and methods of project evaluation into the project evaluation system.

Based on the above research evidence and clues, love white health and AIDS services has started a number of AIDS prevention and control project, the young male comrades and carry out AIDS in a number of targeted interventions and care work. At the same time, also love the White Center for Disease Control and Prevention, Sichuan Province, Sichuan Province Association of sexually transmitted diseases, AIDS, Chengdu hospital for infectious diseases, the Global Fund and the sixth round of the fourth round of the project in Sichuan Province, the Chinese and British strategy in support of the project, UNAIDS, the United Nations Development WFP, the World Bank and Bailey - Martin Foundation (Barry & Martin's Trust), the Chinese Academy of Medical Sciences and Beijing Union Medical College Hospital, Australia, New Castle University, University of Chicago and Michigan State University and other multi-sectoral partnership, with the support of several AIDS-related risk youth comrades AIDS nutrition and metabolism in multi-disciplinary research.

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Author Translator: love White Health and AIDS Service
2009-08-03
 

 
 
 
 
 
 

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