在使用PrEP的第一年中,PrEP延续和覆盖的模式:肯尼亚的一个程序性PrEP试验的潜在类分析
Kenneth K Mugwanya1,2, Adam Palayew1, Torin Schaafsma2
1Department of Epidemiology, University of Washington, Seattle, Washington, USA.
Journal of the International AIDS Society
|July 5, 2023
概括
有效的PrEP使用对于预防艾滋病毒至关重要,但现实世界的持续模式各不相同. 这项研究确定了肯尼亚PrEP覆盖率的四个不同的轨迹,突出了为改善坚持改善量身定制支持的需要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 有效地使用暴露前预防 (PrEP) 对于控制艾滋病毒传播至关重要.
- 现实世界PrEP延续和覆盖模式的数据有限.
研究的目的:
- 在肯尼亚的现实环境中识别和描述PrEP延续和覆盖的模式.
- 检查与不同PrEP延续轨迹相关的因素.
主要方法:
- 分析了来自合作伙伴扩大规模项目的数据,这是肯尼亚公共卫生机构的阶段性结集群随机试验.
- 评估使用参观和药房补充记录继续使用PrEP.
- 隐性类混合模型和多项逻辑回归的应用.
主要成果:
- 在4898名参与者中,确定了四种不同的PrEP覆盖轨迹.
- 在四分之一的用户中,在12个月内观察到持续持续的高持续率.
- 43.8%的使用者立即停止使用,而其他群体在初次使用后迅速下降.
结论:
- 在这个肯尼亚现实世界的环境中,PrEP延续模式存在显著的异质性.
- 三分之一的使用者保持高PrEP持续,而五分之二立即停止使用.
- 调查结果可以为制定有针对性的干预措施提供信息,以提高PrEP的坚持和有效性.
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