集中自主权和选择来支持注射毒品的人口PrEP使用:HPTN 094 INTEGRA的定性教训
Amaya Perez-Brumer1, Rose Schmidt2,3, Rebecca Kennedy4
1Dalla Lana School of Public Health, University of Toronto, Toronto, Canada. a.perezbrumer@utoronto.ca.
Addiction science & clinical practice
|December 19, 2024
概括
口服暴露前预防 (PrEP) 接入对于预防注射药物使用者 (PWID) 之间的艾滋病毒传播至关重要. 然而,个人的风险感知和自主性显著影响了PrEP的使用,而不仅仅是促进使用.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 口服暴露前预防 (PrEP) 是有效的预防艾滋病毒的传播.
- 注射药物使用者 (PWID) 面临高艾滋病毒风险,但目前的预防工作服务不足.
- 本研究探讨了HPTN 094 INTEGRA研究中PWID对口服PrEP的观点.
研究的目的:
- 探索注射药物使用者 (PWID) 中口服PrEP使用的观点.
- 了解影响PrEP决策和使用在关键人群中的因素.
- 在PWID中识别PrEP吸收障碍和促进者的障碍.
主要方法:
- 使用半结构面试对美国五个城市77名PWID进行定性研究.
- 采访的指导是"实用性,稳健性,实施性和可持续性模型" (PRISM).
- 使用诱导和演主题方法分析数据.
主要成果:
- 59.7%的参与者讨论了口服PrEP,其中15人报告目前使用PrEP.
- 准备剂使用受到个人风险感知,信息以及住房和财务安全等外部因素的影响.
- 用户的关键主题包括易于访问和高艾滋病毒风险感知;非用户表示低风险感知或紧急需求.
结论:
- 仅仅促进PrEP接入是不足以激励PWID使用的.
- 准备剂的决策与风险感知和个人自主性有关,受个人情况的影响.
- 解决住房,金融稳定和健康需求的以个人为中心的干预措施对于促进PrEP使用至关重要.
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