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在密西西比州,药剂师领导的同一天PrEP计划的坚持:混合方法研究研究.

Christine M Khosropour1, Taylor Riley2, Elise Healy3

  • 1Department of Epidemiology, Hans Rosling Center for Population Health, University of Washington, 3980 15th Ave NE, Seattle, WA, 98195, USA. ckhosro@uw.edu.

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概括

许多人没有启动或持续使用暴露前预防 (PrEP) 预防艾滋病毒,尽管在同一天处方. 解决成本,耻辱和错误信息对于改善PrEP吸收和坚持至关重要.

关键词:
障碍物 这些障碍物艾滋病病毒 艾滋病病毒 艾滋病病毒密西西比 密西西比 密西西比 密西西比暴露前预防 暴露前预防储存 储存 储存 储存 储存

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科学领域:

  • 公共卫生 公共卫生
  • 流行病学 流行病学
  • 预防艾滋病毒 预防艾滋病毒

背景情况:

  • 密西西比州面临高艾滋病毒率和低暴露前预防 (PrEP) 吸收.
  • 了解PrEP使用模式对于提高启动和持久性至关重要.

研究的目的:

  • 为了评估在密西西比州杰克逊的一天PrEP启动计划.
  • 使用混合方法方法识别PrEP启动和持续的障碍和促进因素.

主要方法:

  • 在121名高风险个体的混合方法评估中,他们被推给同一天的PrEP处方.
  • 将非临床现场记录与电子健康记录联系起来,以评估护理联系.
  • 对26名参与者进行定性访谈,这些参与者代表了四种PrEP使用模式.

主要成果:

  • 18%与3个月内护理相关;12%与3个月后联系;26%从未填写过处方;44%填写过但从未与护理相关.
  • 主要障碍包括成本,耻辱 (性,艾滋病毒),错误信息和副作用.
  • 促进者包括保持健康的愿望和PrEP诊所工作人员的支持.

结论:

  • 大多数在同一天接受PrEP处方的人在三个月内没有开始或持续服用药物.
  • 解决耻辱感,错误信息和结构性障碍对于改善PrEP启动和持续性至关重要.