黑人成年人中的HIV PrEP覆盖率:对不平等,不平等和影响的概念分析
Ikenna Obasi Odii1, David E Vance1, Patricia A Patrician1
1School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Health equity
|July 16, 2024
概括
艾滋病毒暴露前预防 (PrEP) 覆盖范围的种族差异仍然存在,黑人成年人面临更高的感染率和更低的获取率. 这项分析提出了一个更清晰的PrEP覆盖范围的定义,以促进公平的获取和减少艾滋病毒传播.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 在美国,艾滋病毒暴露前预防 (PrEP) 覆盖率存在显著的种族差异.
- 黑人患艾滋病毒感染率不成比例地高,PrEP覆盖率较低.
- 这些差异阻碍了实现"结束艾滋病毒流行病" (EHE) 目标的进展.
研究的目的:
- 分析HIV PrEP覆盖范围的概念.
- 解决缺乏概念清晰度和操作定义的问题.
- 提出一个统一的,公平的对HIV PrEP覆盖范围的定义.
主要方法:
- 使用沃克和阿万特方法进行概念分析.
- 检查有关HIV PrEP覆盖范围的现有文献和CDC资源.
- 确定HIV PrEP覆盖的关键属性,先例和后果.
主要成果:
- 目前,HIV PrEP覆盖的概念尚不清楚,目前已经确定了四个不同的操作定义.
- 一项拟议的概念定义强调18-64岁的性活跃个体平等获得PrEP,优先考虑服务不足的种族少数群体.
- 关键属性包括PrEP使用,获取,需要,成本,副作用,艾滋病毒检测频率和自我有效性.
结论:
- 分析艾滋病毒PrEP覆盖率揭示了推动艾滋病毒预防中的健康不平等的社会和结构因素.
- 统一的性健康沟通,种族少数群体的PrEP获取策略多样化,以及改善黑人成年人的政策至关重要.
- 倡导公平的HIV PrEP覆盖是解决种族差异和实现EHE目标的关键.
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