在美国的全州惩戒系统中实施预防艾滋病毒的暴露前预防
Matthew Murphy1,2,3,4, Brooke G Rogers1,2,5, Evan Ames3
1Warren Alpert School of Medicine, Brown University, Providence, RI, USA.
Public health reports (Washington, D.C. : 1974)
|July 21, 2023
概括
在罗德岛的惩戒设施中,人们对暴露前预防 (PrEP) 的兴趣很高,但在释放后很少有人继续接受PrEP护理. 这凸显了在监禁人口中维持艾滋病毒预防的挑战.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 艾滋病毒对被监禁人口的影响不成比例.
- 暴露前预防 (PrEP) 是一种非常有效的艾滋病毒预防策略.
- 有限的努力专注于在惩戒机构内提供PrEP.
研究的目的:
- 评估罗德岛州惩戒部门 (RIDOC) 在整个系统范围内实施PrEP启动计划的实施情况.
- 评估监禁人员中PrEP的使用情况和参与护理.
- 识别PrEP遵守的障碍,并将其与重新入境时的护理联系起来.
主要方法:
- 从2019年11月开始,在RIDOC中实施了一项PrEP启动计划.
- 被监禁的风险较高的人被转介到PrEP咨询.
- 收集了关于PrEP启动,临床评估和发布后社区联系的数据.
主要成果:
- 35%的那些与提供者会面的人同意启动PrEP,54%完成了临床评估并接受了药物治疗.
- 只有8个人成功地与释放后的社区PrEP护理联系起来.
- 观察到有显著的兴趣和适度的PrEP吸收,但释放后的参与度很差.
结论:
- 在RIDOC项目中,被监禁人员对PrEP表现出了兴趣.
- 在释放后确保PrEP的连续性和坚持方面仍然存在挑战.
- 需要进行进一步的研究,以解决在惩戒机构中对PrEP护理的障碍.
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