监禁期间实施暴露前预防:以前被监禁的男性和女性的观点
Elizabeth Anna Banyas1, Madelaine F Castleman1, Husnah A Rahim1
1University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
以前被监禁的个人希望接受艾滋病毒暴露前预防 (PrEP) 教育,并在惩戒设施内获得机会. 在监禁期间启动PrEP可以改善这种服务不足的人群在释放后的获取.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 与普通人口相比,美国监狱系统的艾滋病毒患病率不成比例地高.
- 惩戒机构中的个人在获得有效的艾滋病毒预防工具 (如暴露前预防 (PrEP)) 方面面临重大障碍.
研究的目的:
- 探索关于在惩戒设施内启动艾滋病毒暴露前预防 (PrEP) 的态度和信仰.
- 了解最近从监禁中获释的个人关于获得PrEP的观点.
主要方法:
- 进行了13次深入的定性访谈.
- 参与者是最近从监禁中获释的个人,他们参加了美国南部的一个过渡计划.
主要成果:
- 确定的主要主题包括在监禁期间需要PrEP信息,监禁期间和之后意识到有风险的行为,以及在释放后获得PrEP的预期挑战.
- 参与者表达了强烈的愿望,希望在监禁期间对PrEP和艾滋病毒预防措施进行更多教育.
- 人们认为,在监狱中启动PrEP将有助于更顺利地过渡到社区PrEP计划.
结论:
- 在监禁期间启动PrEP是一种可行的策略,可以提高医疗服务不足的刑事司法参与人口获得这一关键的艾滋病毒预防工具的机会.
- 在惩戒机构内解决PrEP获取问题对于减少返回社区的个人之间的艾滋病毒传播至关重要.
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