"ギャップの測定":HIV予防サービスの採用,浸透,維持の評価における進歩と実践的検討
Jennifer Velloza1, Katrina F Ortblad2, Christopher G Kemp3
1Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, California.
Current opinion in HIV and AIDS
|September 2, 2025
まとめ
このレビューは,特に暴露前予防 (PrEP) のHIV研究における採用,浸透,持続の測定が一貫していないことを強調しています. 有効なHIV対策の実施には 堅実で検証された対策の開発が不可欠です
科学分野:
- 実施科学
- 公衆衛生
- HIV予防に関する研究
背景:
- 以前のレビューでは,HIV研究における採用,浸透,持続などの実施結果の測定における矛盾が指摘されました.
- これらの重要な実施成果の評価にはギャップがあり,効果的なプログラムの評価と拡大を妨げています.
研究 の 目的:
- HIV研究文献における採用,浸透,持続を測定するための現在のアプローチをレビューし,要約する.
- 新しいPrEP製剤と持続的な口服PrEPプログラムの出現を考慮して,特に暴露前予防 (PrEP) 分野に焦点を当てること.
主な方法:
- HIV研究における採用,浸透,持続測定に関する250の関連する原稿を特定した.
- 実施研究のための潜在的および明白な措置を区別する概念的ヒューリスティックを開発しました.
主要な成果:
- 暴露前予防 (PrEP) 試験では,適正に採用を測定し,しばしば隠された採用と受容性,明白な採用と浸透を混同しました.
- PrEP 研究における浸透度測定は主にクライアントレベルに焦点を当てており,組織レベルや提供者レベルでの浸透度にはあまり重点が置かれていません.
- 持続性の測定は,組織,プロバイダー,およびクライアントレベルで混合的な方法を採用し,研究によって大きく変化しました.
結論:
- HIV研究における採用,浸透,維持の仕組みと測定方法には依然として大きな異質性がある.
- これらのコンストラクションに対する 実用的で堅実な対策の開発と検証が急務です
- このような対策は,HIV対策の実施状況の変化を効果的に把握し,評価するために不可欠です.
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