在现役美国军队中,艾滋病毒暴露前预防 (PrEP) 的覆盖范围,2023年
James D Mancuso1, Anwar E Ahmed1
1Uniformed Services University of the Health Sciences.
MSMR
|April 15, 2024
概括
美国军队的艾滋病毒暴露前预防 (PrEP) 覆盖率为31.6%,低于全国平均水平. 该研究强调,需要改善性健康平等,并为军队中与男性发生性关系的男性 (MSM) 提供PrEP.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 军人卫生保健 军人卫生保健
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 覆盖率估计尚未先前公布的美国军方.
- 了解PrEP吸收对于不同人群中的HIV预防策略至关重要.
研究的目的:
- 为了估计美国军事人口中的HIV PrEP覆盖率.
- 为了将军事PREP覆盖率与国家平民估计进行比较.
- 识别服务人员,特别是与男性发生性关系的男性 (MSM) 之间的PrEP指示和吸收差异.
主要方法:
- 利用了来自2018年国防部健康相关行为调查的数据,这是一个分层的随机样本.
- 计算PrEP覆盖率作为服用PrEP的有PrEP适应症的个体的比例.
- 分析了整体军人群的指标和覆盖范围,特别是MSM.
主要成果:
- 美国军方的PrEP覆盖率在2023年估计为31.6%,低于2022年全国估计的36.0%.
- 在军事MSM中,24.6%的人有PrEP的迹象,与国家估计 (24.7%) 类似.
- MSM代表了66%的PrEP指示的军事服务人员,比美国一般人口 (40%) 的比例更高.
结论:
- 美国军方的HIV PrEP覆盖率低于全国平均水平,需要有针对性的干预措施.
- 需要持续努力来解决性健康不平等问题,并改善军队中MSM的PrEP获取.
- 协调的战略对于协调军事和社会努力,防止艾滋病毒传播至关重要.
相关概念视频
Sexually Transmitted Infections
304
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
304
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K
Healthcare Agencies II
698
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
698
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Retrovirus Life Cycles
45.9K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.9K


