美国卫生中心在2021年提供艾滋病毒暴露前预防措施
Tanat Chinbunchorn1, Kenneth H Mayer1,2,3, Juwan Campbell2
1Department of Global Health and Population, Harvard T.H. Chan School of Public Health.
AIDS (London, England)
|October 31, 2023
概括
卫生中心对于在少数群体中扩大艾滋病毒暴露前预防 (PrEP) 的规模至关重要. 处方中心为更多多样化的患者提供服务,并且通常位于医疗补助扩张或PrEP援助计划的州.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 医疗保健政策 医疗保健政策
背景情况:
- 美国结束艾滋病毒流行 (EHE) 倡议将卫生中心确定为扩大艾滋病毒暴露前预防 (PrEP) 的关键.
- 卫生中心为3000多万患者提供服务,其中许多人没有保险,是种族/少数民族或低收入人群.
- 这项研究是第一个全面评估美国卫生中心内PrEP供应的研究.
研究的目的:
- 评估美国卫生中心对艾滋病毒暴露前预防 (PrEP) 的提供情况.
- 确定与PrEP处方相关的卫生中心,患者群体和政策的特征.
- 为优化PrEP实施和实现EHE倡议目标的战略提供信息.
主要方法:
- 利用了2021年卫生资源和服务管理局统一数据系统的综合数据.
- 分析了美国各州和地区1375个卫生中心的PrEP处方和患者社会人口统计数据.
- 患者人口统计学和政策因素 (医疗补助扩张,PrEP辅助计划) 在处方和不处方PrEP的中心之间进行了比较.
主要成果:
- 在1375个医疗中心服务超过3000万名患者中,79,163人接受了PrEP.
- 处方PrEP的卫生中心服务的性,性别,种族和少数民族患者比例更高.
- 处方PrEP的中心更有可能位于EHE高优先级管辖区或有医疗补助扩张和公共PrEP援助计划的州.
结论:
- 卫生中心对于扩大PrEP的规模至关重要,特别是在受影响不成比例的少数群体中.
- 联邦和州的政策,包括医疗补助扩展和PrEP援助计划,促进PrEP获得.
- 调查结果突出了现有的服务缺口,并为未来的干预措施提供了见解,以加强PrEP实施和支持EHE目标.
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