与美国PrEP使用和获取相关的因素
Hollie M David1,2, Thomas Martin2,3, Alan Wells2
1Division of Infectious Disease, University of California Los Angeles, Los Angeles.
概括
收入,种族和政治归属等社会人口统计因素显著影响艾滋病毒暴露前预防 (PrEP) 的使用. 了解这些差异对于公平获得PrEP和结束艾滋病毒流行病倡议至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 是美国结束艾滋病毒流行病倡议的关键组成部分.
- 了解影响PrEP吸收的因素对于解决艾滋病毒差异至关重要.
研究的目的:
- 评估社会人口统计因素与美国司法管辖区高艾滋病毒诊断率的PrEP使用之间的关联.
- 根据收入,种族,政治归属和地理位置来确定PrEP使用的差异.
主要方法:
- 利用了来自AIDSVu,美国人口普查局和麻省理工学院选举实验室2012-2019年的数据.
- 采用线性混合效应建模用于县级分析和州级PrEP率的相关性分析.
- 检查了与年份,艾滋病毒诊断,收入,保险覆盖,政治归属,种族和地理位置的关联.
主要成果:
- 在县和州两级,社会人口统计因素 (收入,种族,政治信仰) 和PrEP使用之间发现了显著的关联.
- 在不同的人口群体和地理区域中确定了PrEP使用的差异.
结论:
- 社会人口统计学因素在公平提供和采用PrEP方面发挥着重要作用.
- 进一步调查导致PrEP不平等的政策差异是必要的,以改善获取和减少艾滋病毒传播.
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