在HPTN 084的定性子研究参与者中,口服和注射PrEP的偏好
Elizabeth E Tolley1, Agatha Bula2, Miria Chitukuta3
1FHI 360, Durham, North Carolina, United States of America.
PloS one
|October 23, 2024
概括
非洲妇女强烈喜欢注射卡博特格拉维尔 (CAB) 暴露前预防 (PrEP) 而不是每日药丸,因为方便和隐私. 实施计划必须解决广泛使用CAB的成本和可访问性.
科学领域:
- 艾滋病毒预防研究 预防研究
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- HPTN 084评估了长效注射性卡博特格拉维尔 (CAB) 与口服TDF/FTC在非洲妇女的HIV-1预防中.
- 该试验显示出高效率,导致早期停止,并要求制定CAB实施策略.
- 一项子研究探讨了四个非洲国家的口服和注射PrEP的可接受性和获取考虑因素.
研究的目的:
- 评估非洲妇女口服和注射性暴露前预防 (PrEP) 的可接受性.
- 确定影响注射性卡博特格拉维尔 (CAB) 和口服TDF/FTC之间的选择因素.
- 探索潜在的障碍和促进者,以便在审判后获得CAB访问.
主要方法:
- 利用了来自四个国家的子研究的调查和深度定性访谈数据.
- 根据艾滋病毒风险行为对参与者进行分类:女性性工作,多个伴侣或一夫一妻制.
- 在NVivo中使用主题分析,并进行编码器间可靠性检查,以分析定性数据并探索风险组和研究臂之间的差异.
主要成果:
- 绝大多数参与者更喜欢注射式CAB而不是口服TDF/FTC,理由是方便,易于使用和隐私.
- 报告说,由于工作,旅行和饮酒,每日口服药片的坚持存在挑战.
- 与CAB手臂相比,TDF/FTC手臂的女性报告了更多的副作用和可变的疼痛经历.
结论:
- 由于对隐私和易于使用的渴望,女性对CAB的强烈偏好超过了对注射剂的担忧.
- 成本,有限的PrEP知识,耻辱和服务质量被确定为CAB访问的潜在障碍.
- 实施计划必须优先考虑解决成本和可访问性问题,以促进广泛采用CAB.
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