Mesh : Humans Male HIV Infections / prevention & control ethnology diagnosis Pre-Exposure Prophylaxis Young Adult Black or African American / psychology statistics & numerical data Hispanic or Latino / psychology statistics & numerical data HIV Testing Adolescent Adult Health Knowledge, Attitudes, Practice / ethnology Risk-Taking Focus Groups Patient Acceptance of Health Care / ethnology psychology

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Abstract:
Justice-involved young adult (JIYA) men are at high risk for HIV, yet frequently do not access HIV services. A better understanding of testing behaviors and motivation, as well as facilitators and barriers to testing is necessary for treatment-as-prevention approaches to be implemented among JIYA. Seventeen JIYA men and nine staff were recruited from three alternative sentencing programs (ASPs). In-depth interviews and a staff focus group explored HIV risk and testing uptake behaviors. Narratives from JIYA demonstrated a lack of connection among HIV risk and behavior, views on testing, and knowledge of PreP. Youth and staff also disclosed various youth and environmental/structural barriers to HIV testing. The justice system may be a crucial point of intervention to reduce HIV risk and promote HIV testing with interventions targeted to the needs of JIYA.
摘要:
参与司法的年轻成年男子(JIYA)感染艾滋病毒的风险很高,但往往得不到艾滋病毒服务。更好地理解测试行为和动机,以及促进者和检测障碍对于在JIYA中实施预防治疗方法是必要的。从三个替代量刑计划(ASP)中招募了17名JIYA男子和9名工作人员。深入访谈和员工焦点小组探讨了艾滋病毒风险和测试摄取行为。JIYA的叙述表明,艾滋病毒风险和行为之间缺乏联系,对测试的看法,和PreP知识。青年和工作人员还披露了艾滋病毒检测的各种青年和环境/结构性障碍。司法系统可能是减少艾滋病毒风险并通过针对JIYA需求的干预措施促进艾滋病毒检测的关键点。
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