暴露前预防的动机在艾滋病毒过度流行环境中的吸收和下降:来自莱索托的一个定性实施研究的发现
Joy J Chebet1, Shannon A McMahon2,3, Tapiwa Tarumbiswa4
1Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
AIDS research and therapy
|July 6, 2023
概括
暴露前预防 (PrEP) 的吸收率很低,尽管它的有效性很高. 使用PrEP的关键动机包括关系支持和更安全的怀孕,而障碍包括耻辱和访问问题.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 社会科学 社会科学 社会科学
背景情况:
- 暴露前预防 (PrEP) 是临床有效的预防艾滋病毒,但低吸收仍然是一个挑战.
- 这项研究调查了影响莱索托风险人口采用和拒绝PrEP的因素.
研究的目的:
- 为了确定激励因素和障碍在莱索托的暴露前预防 (PrEP) 吸收.
- 为改善国家PrEP实施和可访问性的战略提供信息.
主要方法:
- 采用对95个利益相关者进行深入采访的定性研究,包括PrEP用户,拒绝者和计划实施者.
- 与105名参与HIV和PrEP服务的医疗保健工作人员进行了焦点小组讨论.
主要成果:
- 在高风险人群中观察到PrEP需求最高,例如那些有血清异调关系的人和性工作者.
- 使用PrEP的动机包括关系的维护,更安全的怀孕和照顾;障碍包括感知到的副作用,耻辱和访问问题.
- 文化敏感的咨询促进了信任和知识转移,而自上而下的方法导致了混乱和不信任.
结论:
- 有效的PrEP推广需要创造需求,强调好处并解决担忧.
- 加强医疗保健提供者的咨询技能对于有效的PrEP提供至关重要.
- 解决与艾滋病毒相关的社会和结构性耻辱是提高PrEP可访问性和普及的关键.
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