在COVID-19大流行期间,艾滋病毒预防和性经验的变化:一种混合方法研究
Maria Pyra1,2, J Kline3, O Taylor3
1Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL.
概括
许多接受PrEP (暴露前预防) 的个人在COVID-19期间保持了使用和性活动水平,通常是作为一种习惯. 解决PrEP和STI测试的障碍对于持续的艾滋病毒预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 性健康 性的健康
背景情况:
- 由于COVID-19大流行,人们无法获得性传播感染 (STI) 和艾滋病毒服务.
- 医疗保健获取和行为的变化影响了性传播感染/艾滋病毒率.
- 了解大流行期间的决策对于应对不断上升的性传播感染/艾滋病毒率至关重要.
研究的目的:
- 调查个人如何在COVID-19大流行期间导航艾滋病毒预防策略,特别是暴露前预防 (PrEP) 使用.
- 了解性行为,PrEP坚持和与流行病相关的行为之间的关系.
主要方法:
- 进行了在线调查和一对一的采访,对有使用PrEP史的患者进行了采访.
- 参与者报告了两种不同的流行病时期 (2020年11月-2021年1月和2021年2月-6月) 的性活动和PrEP使用情况.
- 在2021年在芝加哥服务于性和性别少数群体健康的联邦合格卫生中心进行的研究.
主要成果:
- 大多数参与者在整个大流行期间保持或增加了性伴侣数量和PrEP使用.
- 使用PrEP通常是作为一种习惯,独立于波动的性行为.
- 预防COVID-19的行为影响了性活动,尤其是在疫苗可用之前.
结论:
- 准备剂使用者经常将艾滋病毒预防与性接触结合起来,从而建立了长期的坚持.
- 保持PrEP的习惯性使用是预防艾滋病毒的一个关键策略.
- 降低财务和进入障碍对于提高PrEP采用率和STI测试率至关重要.
相关概念视频
Sexually Transmitted Infections
362
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
362
Study Designs in Epidemiology
292
Epidemiological study designs are fundamental tools for investigating the distribution, determinants, and control of health conditions in populations. They help researchers understand the relationships between exposures and outcomes, and they broadly fall into two categories: "observational" and "experimental" studies.
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
Observational studies are those where the researcher does not intervene but rather observes natural variations. They include cross-sectional, cohort, and...
292
Factors Affecting the Risk of Infection
12.1K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.1K
Retrovirus Life Cycles
46.3K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
46.3K
Prevalence and Incidence
650
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
650
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K


