在青少年中提供艾滋病毒预暴露预防:2018年至2021年
Anne A Kimball1, Weiming Zhu1, Jerome Leonard2
1Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Pediatrics
|October 30, 2023
概括
从2018年到2021年,青少年的HIV暴露前预防 (PrEP) 处方显著增加,主要是在老年男性中. 这一趋势凸显了儿科提供者在艾滋病毒预防方面的机遇.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 预防传染病 预防传染病
背景情况:
- 在美国,青少年和年轻人占艾滋病毒新诊断的20%.
- 艾滋病毒暴露前预防 (PrEP) 在2018年被批准用于青少年,是安全有效的.
- 了解青少年PrEP吸收趋势对于有针对性的预防策略至关重要.
研究的目的:
- 从2018年到2021年,描述13-19岁青少年口服PrEP处方的趋势.
- 描述接受PrEP的青少年及其医疗保健提供者.
- 分析PrEP提供的人口和专业趋势.
主要方法:
- 利用国家药房数据库识别口服PrEP处方 (2018-2021) 的青少年 (13-19岁).
- 评估趋势使用总和年度百分比变化与95%的置信区间.
- 分析了2021年青少年和提供者特征,用于性别和年龄组差异的千平方测试.
主要成果:
- 青少年PrEP处方从2018年到2021年增加了76.2% (18.0%的年增长),尽管2020年有所下降.
- 在所有性别和年龄段观察到增加,在年长的青少年 (18-19岁) 中吸收更大.
- 在2021年,接受PrEP的6,444名青少年中,82.6%是男性,87.8%是18-19岁;2,455名提供者的29.6%是儿科医生.
结论:
- 青少年的PrEP提供量有所增加,主要在老年男性中.
- 儿科提供者有很大的机会领导青少年艾滋病毒预防工作.
- 可能需要有针对性的干预措施来解决年轻青少年和女性在PrEP吸收方面的差异.
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