墨西哥COVID-19大流行期间艾滋病毒护理连续性的挑战:混合方法研究
Isaac Núñez1,2, Ana Amuchastegui3, Alejandra Vásquez-Salinas4
1Departamento de Educación Médica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
AIDS and behavior
|October 3, 2023
概括
COVID-19大流行减少了新的艾滋病毒诊断,并对艾滋病毒感染者 (PWH) 进行最佳的艾滋病毒控制产生了轻微影响. 然而,像灵活的ART交付这样的适应性策略保持了必要的HIV护理服务.
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:
- 随着COVID-19大流行,艾滋病毒感染者 (PWH) 获得医疗保健的途径受到干扰.
- 对长线艾滋病毒治疗连续性的具体影响仍未得到充分评估.
研究的目的:
- 评估COVID-19流行病对墨西哥奥阿克萨卡艾滋病毒治疗连续性的影响.
- 在疫情期间识别艾滋病毒护理的挑战和适应.
主要方法:
- 一项混合方法研究,利用墨西哥分销,物流和ART监控系统的数据.
- 在大流行之前和期间对艾滋病毒诊断的时间序列分析中断.
- 对医护人员和PWH所面临的挑战进行定性分析.
主要成果:
- 与前一年相比,在流行病的第一年,新的艾滋病毒诊断减少了.
- 在疫情期间参与护理的PWH的最佳艾滋病毒控制率略低 (56.1%) 与之前 (58.2%) 相比.
- 报告的适应措施包括减少预约频率,优先照顾更生病的人,扩大ART处分,以及新的沟通方法.
结论:
- 疫情导致艾滋病毒新诊断的减少,以及最佳艾滋病毒控制的轻微下降.
- 尽管面临诸多挑战,包括政府预算削减,但医疗保健工作人员实施了灵活的ART治疗和个性化护理策略,以维持艾滋病毒服务.
- 在公共卫生危机期间,适应性措施对于维持PWH的HIV治疗连续性至关重要.
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