在国际移民人口中改善获得艾滋病毒口服暴露前预防的机会
Warittha Tieosapjaroen1, Ying Zhang1, Christopher K Fairley1
1Melbourne Sexual Health Centre, Alfred Health, Melbourne, VIC, Australia; Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
The Lancet. Public health
|July 8, 2023
概括
国际移民面临的艾滋病毒预防挑战. 解决个人知识,服务障碍和社会观念是改善暴露前预防 (PrEP) 准入和减少艾滋病毒传播的关键.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 暴露前预防 (PrEP) 的扩大已经减少了全球HIV发病率.
- 国际移民仍然不成比例地受到艾滋病毒的影响,突出了实施差距.
研究的目的:
- 审查国际移民中PrEP实施障碍和促进因素的证据.
- 在这个关键人群中确定优化PrEP使用的策略.
主要方法:
- 对19项研究的系统综述,检查了PrEP实施因素.
- 分析个人,服务和社会层面的影响.
主要成果:
- 个人因素:艾滋病毒知识和风险感知.
- 服务因素:成本,提供者歧视,医疗系统导航.
- 社会因素:对LGBT+身份的看法,艾滋病毒和PrEP使用者.
结论:
- 需要针对国际移民的文化定制的PrEP活动.
- 审查歧视性政策对于改善获得艾滋病毒预防服务至关重要.
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