利害关系方对改善艾滋病毒暴露前预防措施的干预措施的看法 莱索托的艾滋病毒暴露前预防措施的采用和延续:参与者排名偏好研究
Joy J Chebet1, Shannon A McMahon2,3, Rachel P Chase4
1Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States of America.
PLOS global public health
|September 27, 2023
概括
社区艾滋病毒检测是预防暴露前预防 (PrEP) 接收的关键. 坚持咨询和多个月的处方改善了PrEP的延续,这对预防艾滋病毒的努力至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防艾滋病毒/艾滋病 预防
背景情况:
- 暴露前预防药物 (PrEP) 摄入量低和停用率高,阻碍了其在控制艾滋病毒流行病方面的有效性.
- 识别障碍和有效的干预措施对于优化PrEP覆盖率至关重要.
研究的目的:
- 确定当地利益关方对PrEP采用和持续使用最重要的障碍的看法.
- 确定最有前途的干预措施,以改善PrEP在不同人群中的覆盖率.
主要方法:
- 与155个当地利益相关者进行了卡片排序和排名,包括政策制定者,医疗保健提供者和最终用户.
- 参与者根据他们对PrEP覆盖的感知重要性来评估和排名预先识别的障碍和干预措施.
主要成果:
- 缺乏PrEP意识是女性的主要障碍;对艾滋病毒检测的恐惧是男性的关键.
- 社区艾滋病毒检测被认为是改善PrEP吸收的最有前途的干预措施.
- 耻辱影响了两性人的prep持续;竞争的日常活动是男性的障碍.
- 坚持辅导和多个月的处方被认为是改善了prep的延续.
结论:
- 以社区为基础的倡议,如艾滋病毒检测和媒体活动,可以推动PrEP需求.
- 基于设施的支持,包括咨询和延长处方,对于持续使用PrEP至关重要.
- 针对意识,获取和遵守的综合战略对于成功的PrEP计划至关重要.
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