適應(yīng)同伴核心人物艾滋病干預(yù)

1、Adapting Popular Opinion Leader (POL)適應(yīng)同伴核心人物艾滋病干預(yù)適應(yīng)同伴核心人物艾滋病干預(yù) (POL)Dr. Sheoran Sheoran 博士Asian & Pacific Islander Wellness Center亞太裔健康中心San Francisco, CA, USA美國加利福尼亞州舊金山Overview概述概述 History歷史歷史 Purpose目的目的 Methods方法方法 Adaptations適應(yīng)適應(yīng) Strengths of Program計劃優(yōu)勢計劃優(yōu)勢 Lessons Learned經(jīng)驗教訓經(jīng)驗教訓 Next St

2、eps后續(xù)步驟后續(xù)步驟History歷史 POL implemented since 20062006 年開始推行同伴核心人物艾滋病干預(yù) Adaptations made以往的適應(yīng)情況 No idea if adaptations working如果適應(yīng)情況良好則無須贅述 No evaluation不做評估 Phase I: Document the experiences, successes, and adaptations in implementing POL with A&PI community第一階段：記錄在亞太裔人群社區(qū)推行同伴核心人物艾滋病干預(yù)過程的經(jīng)歷、成就與適應(yīng)情

3、況 Phase II: Impact Assessment第二階段：影響評估Purpose of Evaluation評估目的Phase I: Methods第一階段：方法POLs同伴核心人物同伴核心人物艾滋病干預(yù)艾滋病干預(yù)Direct Project Staff項目直接項目直接工作人員工作人員General Staff一般工作人員一般工作人員POL Mantra同伴核心人物艾滋病干預(yù)領(lǐng)袖真言Friends influencing friends to instill a risk reduction norm among themselves有助于朋友之間逐步灌輸降低風險準則的良友Adapt

4、ations適應(yīng)Responsibility to ones self 自我責任 (R)Involvement to his/her融入他/她的 (I)Community, belonging and owning ones culture社區(qū)，適應(yīng)并承認他人的文化 (C)Empowerment of ones self, ones community, and people you care for自我、所在社區(qū)以及關(guān)心之人的授能 (M)HIV Epidemic and Prevention Efforts艾滋病傳播及預(yù)防措施艾滋病傳播及預(yù)防措施A&PI亞太裔人群亞太裔人群Adapt

5、ations Contd適應(yīng)（續(xù)） Focus on Empowerment注重授能 Information信息 Tailor curriculum to be more sensitive to A&PIs量身定制課程，更敏銳地洞察亞太裔人群的態(tài)度Social Norms社會準則1. Condom use使用保險套2. Talk about safe sex探討安全性行為Successes成就HIV 101Successes成就“automaticthey bring out a condom” “他們自動拿出保險套他們自動拿出保險套”Successes成就“its to be em

6、powered to serve your community.you empower your community, you influence change among your peers and that creates a ripple effect that spreads through your community, one person at a time.”“你得以授能為所在社區(qū)服務(wù)你為所在社區(qū)授能，你可以對同伴的改變產(chǎn)生影響，隨后產(chǎn)生連鎖反應(yīng)，并在所在社區(qū)的人群中一個接一個傳播開去。”Lessons Learned經(jīng)驗教訓Is sex taboo in A&PI

7、culture?亞太裔人群文化中是否存在性禁忌？SEX性行為性行為Boyfriends男朋友男朋友Sex partners性伴侶性伴侶Relationships性關(guān)系性關(guān)系SAFER SEX安全性行為安全性行為Condom use使用保險套使用保險套HIV testing艾滋病毒檢測艾滋病毒檢測Sexual History性行為歷史性行為歷史Lessons Contd經(jīng)驗教訓（續(xù)） A leader has many faces八面玲瓏的領(lǐng)袖 Feasibility可行性 Flexibility with Scheduling日程安排的靈活性Breaking the silence aroun

8、d safer sex communication打破交流安全性行為話題的沉默打破交流安全性行為話題的沉默Next Steps.后續(xù)步驟Next Steps后續(xù)步驟 Modification: 修改： One norm: acceptance of safer sex communication一項準則：接受安全性行為話題的交流 One social environment一種社會環(huán)境 One social group一個社交群體 Refocus conversations:重新著眼于談話： refocusing the conversations on friends talking to

9、friends; 重新著眼于朋友之間的談話； refocusing the conversations outside the social venue.重新著眼于社交場合外的談話。Phase II EVALUATION第二階段：評估 Baseline and 6 months of clubbing population at A&PI specific club.基準及針對亞太裔人群特定社團中積極參與社團活動之人進行的為期 6 個月的評估。 OUTCOMES: 結(jié)果： comfort and acceptability for safer sex communication amo

10、ng clubbers社團成員接受并從容交流安全性行為的話題 safer sex communication安全性行為話題交流POLs at A&PI Wellness Center亞太裔健康中心同伴核心人物艾滋病干預(yù)“They become like ambassadors .even if theyre not out there with signs, protesting in front of the city counsel, or the city hall I think in some small ways. theyre becoming vehicles of change within their own little communities.”“他們簡直就是大使就算他