在佛罗里达州迈阿密的生育年龄妇女中提高PrEP意识和使用
Nicholas Fonseca Nogueira1, Nicole Luisi2, Ana S Salazar1,3
1Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, United States of America.
PloS one
|June 7, 2023
概括
在迈阿密的妇女中,暴露前预防 (PrEP) 意识很低,这是艾滋病毒流行率很高的地区. 有针对性的干预措施对于增加PrEP吸收至关重要,特别是在不一致使用避孕套的黑人和西班牙裔女性中.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 妇女健康 妇女健康
背景情况:
- 迈阿密是美国艾滋病毒的中心,女性占新感染的20%.
- 尽管暴露前预防 (PrEP) 有效,但只有10%的符合条件的妇女使用它.
- 在高风险环境中,生育年龄妇女对PrEP的认识和使用较低,这是一个重大的公共卫生问题.
研究的目的:
- 评估在佛罗里达州迈阿密的性活跃女性中对暴露前预防 (PrEP) 的认识和使用情况.
- 为了确定与此人群中的PrEP意识相关的因素.
- 为提高艾滋病毒感染风险较高的妇女增加PrEP的目标干预措施提供信息.
主要方法:
- 横截面研究涉及295名艾滋病毒阴性,西斯性别,性活跃的18-45岁妇女在迈阿密.
- 通过关于社会人口统计,艾滋病毒风险,生殖健康和PrEP意识/使用的问卷收集的数据.
- 多变量后勤回归分析,以确定与PrEP意识相关的因素.
主要成果:
- 只有63%的女性知道PrEP,只有5%的人知道正在使用它.
- 与更高的PrEP意识相关的因素包括较低的收入,更多的男性性伴侣,终身艾滋病毒检测和当前的细菌性阴道炎.
- 较低的PrEP意识与黑人,西班牙裔,异性恋和不一致的避孕套使用有关.
结论:
- 在高艾滋病毒发病率地区,在生育年龄的妇女中,PrEP意识非常低.
- 根据文化定制的干预措施对于提高PrEP意识和吸收至关重要.
- 需要特别关注黑人和西班牙裔妇女报告与男性伴侣不一致的避孕套使用情况.
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