整合监狱预约和艾滋病毒监测数据,以促进护理协调
Tigran Avoundjian1,2, Matthew R Golden1,2,3, Brandon L Guthrie2,4
1Department of Epidemiology, University of Washington, Seattle, Washington, USA.
概括
数据交换和护理协调并没有改善监狱释放后艾滋病毒感染者 (PWH) 的艾滋病毒治疗参与度. 需要在监狱和社区进行额外的干预,以提高释放后的艾滋病毒结果.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 被监禁的艾滋病毒感染者 (PWH) 在保持一致的艾滋病毒治疗方面经常面临挑战.
- 参与社区艾滋病毒护理后释放是管理条件和预防传播至关重要的.
研究的目的:
- 评估数据交换计划与护理协调相结合的有效性,以改善监狱释放后PWH的HIV治疗结果.
- 评估病毒载量 (VL) 测试和病毒抑制率在特定的释放后时间框架内的影响.
主要方法:
- 创建了一个自动化系统,将监狱预订数据与艾滋病毒监控记录联系起来.
- 艾滋病毒再连接专家和监狱释放规划人员在护理协调案例会议上使用了这些数据.
- 病毒载荷测试和抑制率在干预前和干预后的时期之间使用Cox比例危险模型进行了比较.
主要成果:
- 在释放后3个月内进行的病毒载荷测试显示没有显著差异 (47%对55%).
- 释放后6个月内病毒抑制也没有显著改善 (35%对44%).
- 该干预措施虽然促进了数据交换和协调,但并没有在关键艾滋病毒结局方面取得统计学上显著的改善.
结论:
- 仅仅数据交换和护理协调不足以改善PWH的释放后艾滋病毒结果.
- 需要在惩戒设施和社区内进行额外的有针对性的干预.
- 未来的战略应该整合全面的支持系统,以解决从监狱过渡到社区的PWH复杂需求.
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