肯尼亚的潜在用户对通过在线药店提供暴露前预防的偏好:一个离散选择实验
Enrique M Saldarriaga1, Yilin Chen1, Michalina A Montaño2,3
1The Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, University of Washington, Seattle, Washington, USA.
Journal of the International AIDS Society
|October 10, 2024
概括
在线药房可以增加对艾滋病毒暴露前预防 (PrEP) 的获取. 大多数用户更喜欢远程咨询和自我测试,但有些人希望亲自选择,这表明需要灵活的服务提供.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 口服暴露前预防 (PrEP) 是有效的,但在高艾滋病毒流行率地区未得到充分利用.
- 在线药房提供了一个有前途的途径,以增加PrEP的获取和吸收.
- 了解用户偏好对于优化远程PrEP服务提供至关重要.
研究的目的:
- 评估肯尼亚潜在用户对在线药房PrEP服务的偏好.
- 确定影响使用远程PrEP服务的意愿因素.
- 探索不同服务组件的用户偏好的异质性.
主要方法:
- 进行了一项离散选择实验 (DCE),其中有772名对PrEP感兴趣的参与者.
- 评估的属性包括评估,艾滋病毒检测,咨询和用户支持.
- 条件逻辑模型和隐性类分析被用来分析偏好.
主要成果:
- 大多数参与者愿意使用在线PrEP服务,特别是那些对PrEP新手.
- 首选的属性包括远程咨询,艾滋病毒自我检测,在线自我评估和电话/短信支持.
- 确定了三个不同的偏好群体:完全远程,与个人组件的远程和完全远程.
结论:
- 在线PrEP服务的接受度很高,可以扩大对PrEP的获取.
- 用户偏好倾向于隐私和自主,更倾向于自我测试和远程交互.
- 提供远程和亲自选择的组合可能会最大限度地提高PrEP的吸收率.
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