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准备决策背后:了解现实世界的用户模式和停用因素
R P Braz Junior1,2, G A Cesar1,2, C Amianti3
1Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil.
AIDS and behavior
|June 2, 2024
概括
暴露前预防 (PrEP) 在 cisgender 男人中使用率很高,但近一半在六个月内停止使用. 障碍包括改变性行为和获得医疗保健的困难,突出了改善PrEP策略的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 艾滋病毒/性传播疾病预防 预防
背景情况:
- 暴露前预防 (PrEP) 是预防艾滋病毒的关键工具.
- 了解PrEP使用模式和障碍对于优化其有效性至关重要.
研究的目的:
- 描述PrEP使用的流行病学.
- 识别进入和继续PREP的障碍.
- 评估对新型PrEP配方的兴趣.
主要方法:
- 在测试和咨询中心 (CTA) 对140名PrEP使用者的横截面研究.
- 通过社会人口统计学,性行为和PrEP停用标准化问卷收集的数据.
- 六个月后进行后续检查,以评估断药率和原因.
主要成果:
- 准备剂使用者主要是西斯性别男性,白人,30岁以上,同性恋倾向和受过高等教育.
- 报告了高比例的不一致的避孕套使用和感知到的性病感染风险.
- 人们对按需和注射PrEP配方非常感兴趣.
- 6个月后停药率为43.6%,主要是由于行为变化和获得医疗保健的问题.
结论:
- 主要人群使用PrEP,但坚持的挑战仍然存在.
- 解决诸如获得医疗保健和不断发展的性行为等障碍至关重要.
- 新的PrEP配方 (按需,注射) 是非常理想的,应该考虑将其纳入国家卫生系统.
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