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结束大都会亚特兰大的艾滋病毒流行:一项混合方法研究,以支持当地艾滋病毒/艾滋病应对措施

Micah Piske¹, Bohdan Nosyk^1,2, Justin C Smith^3,4

¹Centre for Advancing Health Outcomes, St. Paul's Hospital, Vancouver, British Columbia, Canada.

Journal of the International AIDS Society

|July 23, 2024

概括

结束亚特兰大的艾滋病毒流行 (EHE) 需要扩大艾滋病毒检测和PrEP服务,特别是在南部县. 解决未满足的需求,如病例管理和运输,对于减少差距至关重要.

科学领域:

公共卫生公共卫生
流行病学流行病学
医疗保健服务研究医疗服务研究

背景情况:

美国的美国.
结束艾滋病毒流行病
(EHE) 计划的目标是到2030年将艾滋病毒发病率降低90%,优先考虑亚特兰大资格大都市区 (EMA) 的特定县.
亚特兰大艾滋病毒流行病的差异需要对当地服务的可用性,需求和组织能力进行审查,以满足EHE的目标.

研究的目的:

进行亚特兰大EMA的混合方法评估.
检查地理HIV流行病学和服务分布.
评估每个EHE支柱的服务需求和组织基础设施.

主要方法:

收集了2021年县级关于艾滋病毒流行,诊断,测试和暴露前预防 (PrEP) 地点的数据.
在欧洲药物管理局向艾滋病毒护理机构的关键利益相关者分发了一项在线调查.
利用组织准备实施变革问卷来评估服务扩展的组织气候.

主要成果:

在艾滋病毒负担和服务可用性方面发现了种族/民族和地理差异,特别是在南部的EMA县进行艾滋病毒检测和PrEP.
五个没有优先考虑的县占新诊断的16%,但不到9%的测试站点和7%的PrEP站点.
利益相关者报告了艾滋病毒自我检测,移动检测,病例管理,导航,综合护理,住房和运输的大量未满足需求,理由是人员和基础设施不足.

结论:

在所有EHE支柱中大幅扩大服务供应对于实现国家目标和解决亚特兰大大都会的艾滋病毒差异至关重要.
高分辨率的关于艾滋病毒流行病学和服务提供的地理数据,结合社区的投入,可以有效地指导当地EHE的努力.

关键词:

艾滋病毒流行病学艾滋病毒流行病学预防艾滋病毒预防艾滋病毒这就是为什么PrEP是PrEP.公共卫生公共卫生.结构驱动因素结构驱动因素测试测试测试测试测试

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