在加拿大的跨性别和非二进制个体中,暴露前预防意识和使用
Jason Hallarn1, Ayden I Scheim1,2,3, Greta R Bauer1,4
1Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Journal of acquired immune deficiency syndromes (1999)
|June 25, 2024
概括
跨性别和非二进制加拿大人对艾滋病毒暴露前预防 (PrEP) 的认识较低,并发现了显著的不平等. 需要有针对性的公共卫生举措,以改善这一群体的PrEP吸收.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 健康 公平 卫生 公平
背景情况:
- 跨性别者和非二进制人群在艾滋病毒感染率上出现了不成比例的高点.
- 对于这些社区来说,接触与艾滋病毒相关服务的障碍仍然存在.
- 暴露前预防 (PrEP) 是预防艾滋病毒的关键生物医学干预措施.
研究的目的:
- 调查加拿大跨性别和非二进制个人的PrEP意识和采用情况.
- 为了确定与此人群中的PrEP意识相关的因素.
主要方法:
- 来自2019年Trans PULSE加拿大调查数据的分析 (n=1965).
- 估计PrEP意识和吸收流行率的估计.
- 修改Poisson回归的使用,以确定PREP意识的预测因素.
主要成果:
- 总的来说,对PrEP的认识是71.0%,对于那些有PrEP的适应症的人来说,这一数字增加到82.3%.
- 在整个样本中,摄入率 (终身和当前使用) 很低 (分别为2.2%和0.9%).
- 意识较低与年龄较大,变性女性身份,土著身份,教育程度较低和特定的地理位置有关;意识较高与性工作,艾滋病毒/性传播疾病检测,关系状况和社会支持有关.
结论:
- 在加拿大的跨性别和非二进制个体中,有必要提高PrEP的认识和采用.
- 识别的认识不平等性突出了需要有针对性的公共卫生干预措施的特定子组.
- 解决这些差异对于改善跨性别和非二进制社区艾滋病毒预防结果至关重要.
相关概念视频
01:25Transmission-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
01:17Transmission-based Precautions I: Contact, Enteric, and Droplets
3.6K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.6K
01:22Healthcare 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
01:22PPE Use in Healthcare Settings I: Donning
947
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
947