AIDS education and prevention : official publication of the International Society for AIDS Education · 2019
Community-Based Care in the ANRS-IPERGAY Trial: The Challenges of Combination Prevention.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Puppo Costanza, Mabire Xavier, Cotte Laurent, Castro Daniela Rojas, Spire Bruno, Cua Eric, Pialoux Gilles, Monti Marie Suzan, Pasquet Armelle, Raffi François, Molina Jean-Michel, Préau Marie, ANRS-Ipergay Study Group
Аннотация
ANRS-IPERGAY was a community-based randomized trial investigating the efficacy of sexual activity-based HIV pre-exposure prophylaxis (PrEP) in a population of males and transgender females who had sex with men and were at high risk of HIV infection. We qualitatively analyzed the support provided to participants by community-based health workers (CBHW) throughout the trial's double-blind and open-label extension phases. In particular, we showed that the relationship between participants and CBHW strongly influenced self-managed pill intake. The delicate construction of this relationship, balanced between trust and dependence, played an important role in PrEP adherence. CBHW had to deal with various issues surrounding participants' feelings of empowerment regarding their role in the trial, as well as related tensions between various logics and rationalities. They were essential to participants' continued involvement.