在具有刑事法律参与的PrEP指示人员中,感知与实际的艾滋病毒风险相比,具有刑事法律参与
Taylor Krajewski1,2, Katherine H LeMasters3, Carrie B Oser4
1Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
AIDS care
|August 1, 2024
概括
社区监督中的个人面临着显著的艾滋病毒风险,但大多数人低估了他们的个人风险. 这种脱节凸显了对有针对性的干预措施的迫切需要,以改善这种脆弱人群的风险感知和预防策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 在社区监督下的人因可能参与未受保护的性行为和/或不安全的注射药物使用而面临艾滋病毒感染的风险较高.
- 这一群体面临着影响健康结果的多方面的挑战,需要针对性的公共卫生干预.
研究的目的:
- 评估在社区监督中的个人之间实际和感知到的艾滋病毒风险之间的一致性.
- 确定个人,社会和行为因素如何影响这一人口群体对艾滋病风险的看法.
主要方法:
- 横截面研究评估与实际风险行为相对应的感知HIV风险.
- 分析与感知HIV风险相关的因素,包括人口统计和诸如注射毒品使用和性行为等行为.
主要成果:
- 显著多数 (81.5%) 临床上适用于HIV暴露前预防 (PrEP) 的参与者认为自己没有风险.
- 在那些认为风险低的人中,有94%的人参与了使他们面临艾滋病毒的高风险的行为.
- 感知风险与共享注射设备,认定自己是性少数群体以及与艾滋病毒阳性伴侣发生性关系有关.
结论:
- 在受社区监督的个体中,实际和感知到的艾滋病毒风险之间存在关键差距.
- 干预措施对于提高准确的风险感知和为这一高风险群体实施有效的艾滋病毒预防策略至关重要.
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