在巴西圣保罗的一个专业服务中遵守艾滋病毒暴露后预防措施
Marcos Morais Santos Silva1, Luciane Simões Duarte2, Lucia Yasuko Izumi Nichiata1
1Public Health Nursing Department, School of Nursing, University of São Paulo, São Paulo, Brazil.
Journal of infection in developing countries
|July 5, 2023
概括
对人类免疫缺陷病毒 (HIV) 暴露后预防 (PEP) 的遵守率为56.7%. 没有医疗保险的用户表现出更高的坚持,而工作是巴西错过预约的关键原因.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 艾滋病毒暴露后预防 (PEP) 的有效性取决于严格遵守抗逆转录病毒 (ARV) 药物治疗方案和随访.
- 了解坚持模式和障碍对于优化风险人群中PEP结果至关重要.
研究的目的:
- 确定接受HIV PEP的个人对ARV药物的坚持率和后续咨询.
- 确定与坚持相关的特征以及不参加巴西圣保罗艾滋病毒PEP咨询的原因.
主要方法:
- 进行了一项横截面研究,其中91名个人表示PEP对性接触.
- 通过自我报告对ARV使用和出席计划后续预约来评估遵守.
- 使用统计措施来确定与遵守相关的因素.
主要成果:
- 艾滋病毒PEP的整体坚持率为56.7%.
- 医疗保险状态与坚持有显著的关联 (p=0.039),没有保险的人的坚持更高.
- 错过后续检查的主要原因包括工作 (55.9%),使用私人服务 (15.2%),遗忘 (11.8%) 和缺乏必要性 (11.8%).
结论:
- 遵守HIV PEP协议,包括ARV使用和随访,仍然是一个挑战.
- 与工作相关的因素和对必要性的看法显著影响了后续咨询的出席率.
- 需要有针对性的干预措施来解决像工作承诺这样的障碍,以提高艾滋病毒PEP完成率.
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