适应同伴核心人物艾滋病干预

1、Adapting Popular Opinion Leader (POL)适应同伴核心人物艾滋病干预适应同伴核心人物艾滋病干预 (POL)Dr. Sheoran Sheoran 博士Asian & Pacific Islander Wellness Center亚太裔健康中心San Francisco, CA, USA美国加利福尼亚州旧金山Overview概述概述 History历史历史 Purpose目的目的 Methods方法方法 Adaptations适应适应 Strengths of Program计划优势计划优势 Lessons Learned经验教训经验教训 Next St

2、eps后续步骤后续步骤History历史 POL implemented since 20062006 年开始推行同伴核心人物艾滋病干预 Adaptations made以往的适应情况 No idea if adaptations working如果适应情况良好则无须赘述 No evaluation不做评估 Phase I: Document the experiences, successes, and adaptations in implementing POL with A&PI community第一阶段：记录在亚太裔人群社区推行同伴核心人物艾滋病干预过程的经历、成就与适应情

3、况 Phase II: Impact Assessment第二阶段：影响评估Purpose of Evaluation评估目的Phase I: Methods第一阶段：方法POLs同伴核心人物同伴核心人物艾滋病干预艾滋病干预Direct Project Staff项目直接项目直接工作人员工作人员General Staff一般工作人员一般工作人员POL Mantra同伴核心人物艾滋病干预领袖真言Friends influencing friends to instill a risk reduction norm among themselves有助于朋友之间逐步灌输降低风险准则的良友Adapt

4、ations适应Responsibility to ones self 自我责任 (R)Involvement to his/her融入他/她的 (I)Community, belonging and owning ones culture社区，适应并承认他人的文化 (C)Empowerment of ones self, ones community, and people you care for自我、所在社区以及关心之人的授能 (M)HIV Epidemic and Prevention Efforts艾滋病传播及预防措施艾滋病传播及预防措施A&PI亚太裔人群亚太裔人群Adapt

5、ations Contd适应（续） Focus on Empowerment注重授能 Information信息 Tailor curriculum to be more sensitive to A&PIs量身定制课程，更敏锐地洞察亚太裔人群的态度Social Norms社会准则1. Condom use使用保险套2. Talk about safe sex探讨安全性行为Successes成就HIV 101Successes成就“automaticthey bring out a condom” “他们自动拿出保险套他们自动拿出保险套”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.”“你得以授能为所在社区服务你为所在社区授能，你可以对同伴的改变产生影响，随后产生连锁反应，并在所在社区的人群中一个接一个传播开去。”Lessons Learned经验教训Is sex taboo in A&PI

7、culture?亚太裔人群文化中是否存在性禁忌？SEX性行为性行为Boyfriends男朋友男朋友Sex partners性伴侣性伴侣Relationships性关系性关系SAFER SEX安全性行为安全性行为Condom use使用保险套使用保险套HIV testing艾滋病毒检测艾滋病毒检测Sexual History性行为历史性行为历史Lessons Contd经验教训（续） A leader has many faces八面玲珑的领袖 Feasibility可行性 Flexibility with Scheduling日程安排的灵活性Breaking the silence aroun

8、d safer sex communication打破交流安全性行为话题的沉默打破交流安全性行为话题的沉默Next Steps.后续步骤Next Steps后续步骤 Modification: 修改： One norm: acceptance of safer sex communication一项准则：接受安全性行为话题的交流 One social environment一种社会环境 One social group一个社交群体 Refocus conversations:重新着眼于谈话： refocusing the conversations on friends talking to

9、friends; 重新着眼于朋友之间的谈话； refocusing the conversations outside the social venue.重新着眼于社交场合外的谈话。Phase II EVALUATION第二阶段：评估 Baseline and 6 months of clubbing population at A&PI specific club.基准及针对亚太裔人群特定社团中积极参与社团活动之人进行的为期 6 个月的评估。 OUTCOMES: 结果： comfort and acceptability for safer sex communication amo

10、ng clubbers社团成员接受并从容交流安全性行为的话题 safer sex communication安全性行为话题交流POLs at A&PI Wellness Center亚太裔健康中心同伴核心人物艾滋病干预“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.”“他们简直就是大使就算他