年轻人接触,吸收和使用暴露前预防:对障碍和促进者的系统审查
Sarah Warzywoda1, James A Fowler2, Amalie Dyda2
1School of Public Health, Faculty of Medicine, The University of Queensland, 288 Herston Road, Brisbane, QLD 4006, Australia.
Therapeutic advances in infectious disease
|December 9, 2024
概括
了解年轻人暴露前预防 (PrEP) 的障碍和促进因素对于预防艾滋病毒至关重要. 解决个人,社会和系统因素是实现全球艾滋病毒消除目标的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 性健康 性的健康
背景情况:
- 青少年的性健康决策受多方面因素的影响.
- 获得和遵守艾滋病毒预防,如暴露前预防 (PrEP),对于公共卫生至关重要.
- 了解这些影响对于开发有效的以年轻人为中心的PrEP策略至关重要.
研究的目的:
- 在年轻人 (≤24岁) 中识别个人,人际,社会文化和系统障碍和促进PrEP获取,吸收和使用的促进者.
主要方法:
- 在遵守PRISMA协议的基础上进行系统审查.
- 在八个主要数据库中搜索了关于年轻人,艾滋病毒和PrEP的研究.
- 利用叙事合成来分析已识别的障碍和促进者.
主要成果:
- 32项研究符合纳入标准,主要来自美国,非洲和巴西.
- 障碍物和促进者在人内,人际,社区和系统层面上运作.
- 关键主题包括知识差距,副作用问题,伴侣/家庭态度,社区耻辱和医疗保健系统挑战.
结论:
- 准备计划策略必须将个人因素与医疗保健系统影响和社会文化结构相结合.
- 解决更广泛的外部影响对于成功实施PrEP至关重要.
- 如果不考虑这些因素,可能会阻碍全球消除艾滋病毒传播的目标.
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