在尼日利亚的关键人群中进行暴露前预防和艾滋病毒预防
Olaniyi Felix Sanni1, Paul Umoh2, Abiye Kalaiwo3
1Research and Development Department, Heartland Alliance, Abuja, Nigeria.
International journal of MCH and AIDS
|September 9, 2024
概括
暴露前预防 (PrEP) 在尼日利亚的关键人群中预防艾滋病毒传播非常有效. 超过99%的参与者仍然是HIV阴性,突出了PrEP.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 流行病学 流行病学
背景情况:
- 像暴露前预防 (PrEP) 这样的创新药理干预措施为控制和根除艾滋病毒/艾滋病提供了乐观的希望.
- 评估PrEP对关键人群艾滋病毒预防的影响对于推进艾滋病毒/艾滋病控制策略至关重要.
研究的目的:
- 评估PrEP在防止尼日利亚关键人口中人类免疫缺陷病毒 (HIV) 传播方面的有效性.
- 分析女性性工作者 (FSW),与男性发生性关系的男性 (MSM) 和注射药物使用者 (PWID) 的PrEP吸收和结果.
主要方法:
- 从2019年5月到2023年4月,尼日利亚六个州的13,580个KP的数据进行了一项横截面研究.
- 用描述性统计数据和与IBM-SPSS 28.0.0 版本交叉表格分析数据.
- 参与者包括FSWs (50.8%),MSM (28.1%) 和PWIDs (21.1%),其中大多数是PrEP0-3个月.
主要成果:
- 99.9%的参与者仍然是HIV阴性,只有两个 (0.01%) 在接受PrEP时发生血清转化.
- 这两个血清转化病例是FSW和PWID,他们没有完成一个月的PrEP治疗.
- 准备主要针对高风险性行为 (81.6%) 和血清异调关系 (9.9%) 启动.
结论:
- 准备是尼日利亚关键人群的高效艾滋病毒预防工具,血清转化率非常低.
- 将PrEP纳入全面的艾滋病毒预防策略,以及坚持支持和监测是必不可少的.
- 在KPs中宣传PrEP的倡导对尼日利亚的国家艾滋病毒预防战略至关重要.
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