在社区组织中提供预备服务:与传统服务进行比较研究.
Alexandre Grangeiro1, Paula Andrea Massa1, Maria Mercedes Escuder2
1Universidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil.
Revista de saude publica
|October 17, 2024
概括
社区组织 (COs) 为青少年 (包括年轻人和边缘化群体) 提供更快的暴露前预防 (PrEP) 接入. 这个倡议有助于减少易受伤害的年轻人之间与艾滋病毒相关的不平等.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 青少年健康 青少年健康
背景情况:
- 来自性少数群体的青少年面临着显著的社会和艾滋病毒脆弱性.
- 在这种人口群体中,获得暴露前预防 (PrEP) 对于预防艾滋病毒至关重要.
- 基于社区的组织 (COs) 为PrEP提供了传统医疗服务的替代方案.
研究的目的:
- 将在COs和传统服务中启动PrEP的青少年之间的社会和艾滋病毒脆弱性进行比较.
- 评估COs中青少年获得PrEP的及时性.
- 通过不同的服务模式识别通过PrEP获取青少年的特征.
主要方法:
- 巴西圣保罗的一项示范研究,涉及两家CO和一家常规艾滋病毒检测服务 (CTA).
- 符合条件的参与者:与男性发生性关系的cisgender男性青少年 (aMSM) 和跨性别/性别多样性青少年 (aTTrans),年龄15-19岁,艾滋病毒阴性,具有高风险的做法.
- 用于分析及时访问和脆弱性指标的多项逻辑回归.
主要成果:
- 608名青少年开始使用PrEP. 与CTA相比,COs提供了更快的启动时间 (1-7天).
- 在CO,特别是CO郊区的青少年更年轻,生活在更靠近服务的地方.
- COs与较高的艾滋病毒风险或脆弱性没有关联,并且为人类发展指数 (HDI) 较低的人提供了更容易的访问.
结论:
- 在CO中提供PrEP可以提高易受伤害的青少年的获取机会.
- 基于社区的PrEP服务可以在减少健康不平等方面发挥关键作用.
- 为了预防艾滋病毒,COs有效地接触到更年轻和可能更被边缘化的青少年群体.
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